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Stigma and discrimination against people with schizophrenia related to medical services

Author

Listed:
  • J Harangozo
  • B Reneses
  • E Brohan
  • J Sebes
  • G Csukly
  • JJ López-Ibor
  • N Sartorius
  • D Rose
  • G Thornicroft

Abstract

Objective: To investigate whether people with schizophrenia experience discrimination when using health care services. Methods: A cross-sectional survey in 27 countries in centres affiliated to the INDIGO Research Network, using face-to-face interviews with 777 participants with schizophrenia (62% male and 38% female). We analysed the data related to health issues, including health care, disrespect of mental health staff, and also personal privacy, safety and security, starting a family, pregnancy and childbirth. Discrimination was measured by the Discrimination and Stigma Scale (DISC), which consists of 36 items comprising three sub-scales: positive experienced discrimination; negative experienced discrimination; and anticipated discrimination. Results: More than 17% of patients experienced discrimination when treated for physical health care problems. More than 38% of participants felt disrespected by mental health staff, with higher ratings in the post-communist countries. Conclusions: Mental health service providers have a key role in decreasing stigma in their provision of health care, and by doing more against stigmatizing and discriminating practices on the therapeutic and organizational level. This will require a change of attitudes and practices among mental and physical health care staff.

Suggested Citation

  • J Harangozo & B Reneses & E Brohan & J Sebes & G Csukly & JJ López-Ibor & N Sartorius & D Rose & G Thornicroft, 2014. "Stigma and discrimination against people with schizophrenia related to medical services," International Journal of Social Psychiatry, , vol. 60(4), pages 359-366, June.
    • Handle: RePEc:sae:socpsy:v:60:y:2014:i:4:p:359-366
    DOI: 10.1177/0020764013490263
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