TY - JOUR
T1 - Cross-national variations in reported discrimination among people treated for major depression worldwide
T2 - The ASPEN/INDIGO international study
AU - The Aspen/indigo Study Group
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
AU - Treacy, Samantha
AU - Brohan, Elaine
AU - Ando, Shuntaro
AU - Rose, Diana
AU - Aromaa, Esa
AU - Nordmyr, Johanna
AU - Nyqvist, Fredrica
AU - Herberts, Carolina
AU - Lewis, Oliver
AU - Russo, Jasna
AU - Karsay, Dorottya
AU - Maglajlic, Rea
AU - Goldie, Isabella
AU - Van Audenhove, Chantal
AU - Scheerder, Gert
AU - Tambuyzer, Else
AU - Hristakeva, Valentina
AU - Germanov, Dimitar
AU - Roelandt, Jean Luc
AU - Bacle, Simon Vasseur
AU - Daumerie, Nicolas
AU - Caria, Aude
AU - Zaske, Harald
AU - Gaebel, Wolfgang
AU - Economou, Marina
AU - Louki, Eleni
AU - Peppou, Lily
AU - Geroulanou, Klio
AU - Harangozo, Judit
AU - Sebes, Julia
AU - Csukly, Gabor
AU - Rossi, Giuseppe
AU - Pedrini, Laura
AU - Germanavicius, Arunas
AU - Markovskaja, Natalja
AU - Valantinas, Vytis
AU - Sumathipala, Athula
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.
UR - http://www.scopus.com/inward/record.url?scp=84949782958&partnerID=8YFLogxK
U2 - 10.1192/bjp.bp.114.156992
DO - 10.1192/bjp.bp.114.156992
M3 - Article
C2 - 26382952
AN - SCOPUS:84949782958
SN - 0007-1250
VL - 207
SP - 507
EP - 514
JO - British Journal of Psychiatry
JF - British Journal of Psychiatry
IS - 6
ER -