Cross-national variations in reported discrimination among people treated for major depression worldwide: The ASPEN/INDIGO international study
Lasalvia,Antonio Van Bortel,Tine Bonetto,Chiara Jayaram,Geetha van Weeghel,J. Zoppei,Silvia Knifton,Lee Quinn,Neil Wahlbeck,Kristian Cristofalo,Doriana
Lasalvia,Antonio
Van Bortel,Tine
Bonetto,Chiara
Jayaram,Geetha
van Weeghel,J.
Zoppei,Silvia
Knifton,Lee
Quinn,Neil
Wahlbeck,Kristian
Cristofalo,Doriana
Abstract
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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© The Royal College of Psychiatrists 2015.
Date
2015
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Lasalvia, A, Van Bortel, T, Bonetto, C, Jayaram, G, van Weeghel, J, Zoppei, S, Knifton, L, Quinn, N, Wahlbeck, K, Cristofalo, D, Lanfredi, M, Sartorius, N, Thornicroft, G & ASPEN/INDIGO Study Group 2015, 'Cross-national variations in reported discrimination among people treated for major depression worldwide : The ASPEN/INDIGO international study', British Journal of Psychiatry, vol. 207, no. 5, pp. 507-514. https://doi.org/10.1192/bjp.bp.114.156992