Cross-national variations in reported discrimination among people treated for major depression worldwide: The ASPEN/INDIGO international study

Antonio Lasalvia, Tine Van Bortel, Chiara Bonetto, Geetha Jayaram, J. van Weeghel, Silvia Zoppei, Lee Knifton, Neil Quinn, Kristian Wahlbeck, Doriana Cristofalo, Mariangela Lanfredi, Norman Sartorius, Graham Thornicroft, ASPEN/INDIGO Study Group

Research output: Contribution to journalArticleScientificpeer-review

10 Citations (Scopus)

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
Original languageEnglish
Pages (from-to)507-514
JournalBritish Journal of Psychiatry
Volume207
Issue number5
DOIs
Publication statusPublished - 2015

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