Levels of stigma among community mental health staff in Guangzhou, China

Jie Li · Graham Thornicroft · Yuanguang Huang

92 citations0/0 files storedBMC Psychiatry

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Mental Health Treatment and Access Psychology and Mental Health Gender Roles and Identity Studies

Abstract

BACKGROUND: Stigma and discrimination are widely experienced by people with mental illness, even in healthcare settings. The purposes of this study were to assess mental health stigma among community mental health staff in Guangzhou, China and in doing so also to assess the psychometric properties of the Reported and Intended Behaviour Scale (RIBS) - Chinese version. METHODS: A cross-sectional survey was undertaken among 214 community mental health staff in Guangzhou from September to November, 2013. The Mental Health Knowledge Schedule (MAKS) and RIBS were administered together with the Mental Illness: Clinicians' Attitudes Scale (MICA) to evaluate staff stigma from the perspective of knowledge, attitudes and behaviour. RESULTS: The total scores of RIBS, MAKS and MICA were (11.97 ± 3.41), (16.80 ± 5.39) and (51.69 ± 6.94) respectively. Female staff members were more willing to contact people with mental illness than males (t(212) = -2.85,P = 0.005) and had more knowledge about mental illness (t(212) = -2.28,P = 0.024). The Chinese version of RIBS had good internal consistency (alpha = 0.82), test-retest reliability (r = 0.68,P < 0.001) and adequate convergent validity, as indicated by a significant negative correlation with the Chinese version of MICA(r = -0.43, P < 0.001). CONCLUSIONS: Our results show relatively high levels of stigma toward people with mental illness among community mental health staff in Guangzhou, China. There are slightly gender differences in discriminatory behaviours and stigma related knowledge of mental illness among community mental health staff, with female staff in general less stigmatising. Accordingly, anti-stigma programmes should be established among healthcare staff. In addition, the Chinese version of RIBS is a reliable, valid and acceptable measure which can be used to assess the willingness of participants to contact people with mental illness in future anti-stigma campaigns.

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References

2012Challenging the Public Stigma of Mental Illness: A Meta-Analysis of Outcome Studies 2006Stigma and its public health implications 2009Global pattern of experienced and anticipated discrimination against people with schizophrenia: a cross-sectional survey 2005Public beliefs about and attitudes towards people with mental illness: a review of population studies 2013Mental Illness Stigma, Help Seeking, and Public Health Programs 2007Stigma: ignorance, prejudice or discrimination?2004Structural Levels of Mental Illness Stigma and Discrimination 2011Scale up of services for mental health in low-income and middle-income countries

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2017Mental Health-Related Stigma in China 2014Mental wellbeing amongst younger and older migrant workers in comparison to their urban counterparts in Guangzhou city, China: a cross-sectional study 2016Seeking help for psychological distress: Barriers for mental health professionals 2016Stigma in Different Cultures 2018Evaluation of attitudes and knowledge toward mental disorders in a sample of the Chinese population using a web-based approach

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