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Experience of stigma among mental health service users in Hong Kong: Are there changes between 2001 and 2017?

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  • Ka-Fai Chung
  • Samson Tse
  • Chit-Tat Lee
  • Michael Ming-Cheuk Wong
  • Wing-Man Chan

Abstract

Background: Public expenditure on mental health education has grown exponentially in the past two decades. Does the experience of stigma among people with mental health problems improve over time? Our study aims to compare the levels of perceived stigmatization, rejection experiences and stigma–coping among mental health service users in Hong Kong between 2001 and 2017 using longitudinal and repeated cross-sectional study design. Method: The baseline survey was completed by 193 psychiatric outpatients in 2001. They were traced for re-assessment in 2017. Another sample of 193 outpatients matched in age, gender and psychiatric diagnosis was recruited in 2017 for cross-sectional comparison. Participants completed a 39-item questionnaire on stigma experiences, Beck Depression Inventory and Disability Assessment Schedule at both time points. Results: In total, 109 of 193 participants (56.5%) of the 2001 survey were re-assessed. No significant change in perceived stigmatization, rejection experiences and stigma–coping was found among the 109 participants interviewed in 2001 and 2017. For cross-sectional comparison, significant differences in two perceived stigma items were observed upon Bonferroni correction (chi-square test, p  

Suggested Citation

  • Ka-Fai Chung & Samson Tse & Chit-Tat Lee & Michael Ming-Cheuk Wong & Wing-Man Chan, 2019. "Experience of stigma among mental health service users in Hong Kong: Are there changes between 2001 and 2017?," International Journal of Social Psychiatry, , vol. 65(1), pages 64-72, February.
    • Handle: RePEc:sae:socpsy:v:65:y:2019:i:1:p:64-72
    DOI: 10.1177/0020764018815926
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    References listed on IDEAS

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    1. Hatzenbuehler, M.L. & Phelan, J.C. & Link, B.G., 2013. "Stigma as a fundamental cause of population health inequalities," American Journal of Public Health, American Public Health Association, vol. 103(5), pages 813-821.
    2. Mak, Winnie W.S. & Poon, Cecilia Y.M. & Pun, Loraine Y.K. & Cheung, Shu Fai, 2007. "Meta-analysis of stigma and mental health," Social Science & Medicine, Elsevier, vol. 65(2), pages 245-261, July.
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