Magnitude and Associated Factors of Perceived Stigma among Adults with Mental Illness in Ethiopia.

Journal: Psychiatry journal

Volume: 2019

Issue: 

Year of Publication: 

Affiliated Institutions:  Mekelle University Ayder Comprehensive Specialized Hospital, Mekelle, Ethiopia. Department of Psychiatry College of Medicine and Health Science University of Gondar, Gondar, Ethiopia. Department of Preventive Medicine, School of Public Health, Addis Ababa University, Ethiopia. Department of Child and Adolescent Psychiatry, Ludwig Maximilian University Munich, Munich, Germany. Center for International Health, Ludwig Maximilian University Munich, Munich, Germany. St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.

Abstract summary 

Many people with mental illness perceive and experience stigma caused by other people's knowledge, attitudes, and behavior. The stigma can lead to patients' impoverishment, social marginalization, poor adherence to medication, and low quality of life, worsen the disease, decrease health-seeking behavior, and have a negative impact on socioeconomic well-being. Therefore, this study aimed to explore these issues.To assess the magnitude and associated factors of perceived stigma among adults with mental illness in an Ethiopian setting.A facility-based, cross-sectional study design with a consecutive sampling technique was employed from September 1 to 30, 2012. Data for perceived stigma were assessed by using the perceived devaluation-discrimination (PDD) scale from new or returning patients. The data was analyzed by using the Statistical Package for the Social Sciences (SPSS) version 20. The results were described with the frequency table, graph, mean, and standard deviation. Bivariate analysis was used to get candidate variables for multivariate logistic regression analysis. Variables with a value of < 0.05 at multivariate analysis were considered statistically associated with perceived stigma.A total of 384 participants were interviewed and the response rate was 100%. The prevalence of high and low perceived stigma was 51% and 44%, respectively. Having substance use history (AOR=0.6, 95% CI: 0.4-0.9) and family support (AOR=2.5, 95% CI: 1.5-4.3) and medication side effects (AOR=0.6, 95% CI: 0.5-0.8) were associated statistically with higher perceived stigma of people with mental illness.Perceived stigma is a major problem of adults with mental illness in this outpatient setting in Ethiopia. Patients who had substance use and family support and medication side effects were more likely to have high perceived stigma. Therefore, screening and management of substance use, social support, and medication side effect should be strengthened for people with mental illness.

Authors & Co-authors:  Hadera Etsedingl E Salelew Endalamaw E Girma Eshetu E Dehning Sandra S Adorjan Kristina K Tesfaye Markos M

Study Outcome 

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Statistics
Citations :  Clark W., Welch S. N., Berry S. H., et al. California's historic effort to reduce the stigma of mental illness: the mental health services act. American Journal of Public Health. 2013;103(5):786–794. doi: 10.2105/AJPH.2013.301225.
Authors :  6
Identifiers
Doi : 8427561
SSN : 2314-4327
Study Population
Male,Female
Mesh Terms
Other Terms
Study Design
Cross Sectional Study
Study Approach
Country of Study
Ethiopia
Publication Country
Egypt