TY - JOUR
T1 - Cross-national variations in reported discrimination among people treated for major depression worldwide
T2 - The ASPEN/INDIGO international study
AU - Lasalvia, Antonio
AU - Van Bortel, Tine
AU - Bonetto, Chiara
AU - Jayaram, Geetha
AU - Van Weeghel, Jaap
AU - Zoppei, Silvia
AU - Knifton, Lee
AU - Quinn, Neil
AU - Wahlbeck, Kristian
AU - Cristofalo, Doriana
AU - Lanfredi, Mariangela
AU - Sartorius, Norman
AU - Thornicroft, Graham
PY - 2015/12/1
Y1 - 2015/12/1
N2 - Background No study has so far explored differences in discrimination reported by people with major depressive disorder (MDD) across countries and cultures. Aims To (a) compare reported discrimination across different countries, and (b) explore the relative weight of individual and contextual factors in explaining levels of reported discrimination in people with MDD. Method Cross-sectional multisite international survey (34 countries worldwide) of 1082 people with MDD. Experienced and anticipated discrimination were assessed by the Discrimination and Stigma Scale (DISC). Countries were classified according to their rating on the Human Development Index (HDI). Multilevel negative binomial and Poisson models were used. Results People living in 'very high HDI' countries reported higher discrimination than those in 'medium/low HDI' countries. Variation in reported discrimination across countries was only partially explained by individual-level variables. The contribution of country-level variables was significant for anticipated discrimination only. Conclusions Contextual factors play an important role in anticipated discrimination. Country-specific interventions should be implemented to prevent discrimination towards people with MDD.
AB - Background No study has so far explored differences in discrimination reported by people with major depressive disorder (MDD) across countries and cultures. Aims To (a) compare reported discrimination across different countries, and (b) explore the relative weight of individual and contextual factors in explaining levels of reported discrimination in people with MDD. Method Cross-sectional multisite international survey (34 countries worldwide) of 1082 people with MDD. Experienced and anticipated discrimination were assessed by the Discrimination and Stigma Scale (DISC). Countries were classified according to their rating on the Human Development Index (HDI). Multilevel negative binomial and Poisson models were used. Results People living in 'very high HDI' countries reported higher discrimination than those in 'medium/low HDI' countries. Variation in reported discrimination across countries was only partially explained by individual-level variables. The contribution of country-level variables was significant for anticipated discrimination only. Conclusions Contextual factors play an important role in anticipated discrimination. Country-specific interventions should be implemented to prevent discrimination towards people with MDD.
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U2 - 10.1192/bjp.bp.114.156992
DO - 10.1192/bjp.bp.114.156992
M3 - Article
AN - SCOPUS:84949782958
VL - 207
SP - 507
EP - 514
JO - British Journal of Psychiatry
JF - British Journal of Psychiatry
SN - 0007-1250
IS - 6
ER -