Factors Affecting Public Prejudice and Social Distance on Mental Illness: Analysis of Contextual Effect by Multi-level Analysis
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Objectives: While there have been many quantitative studies on the public’s attitude towards mental illnesses, it is hard to find quantitative study which focused on the contextual effect on the public’s attitude. The purpose of this study was to identify factors that affect the public’s beliefs and attitudes including contextual effects. Methods: We analyzed survey on the public’s beliefs and attitudes towards mental illness in Korea with multi-level analysis. We analyzed the public’s beliefs and attitudes in terms of prejudice as an intermediate outcome and social distance as a final outcome. Then, we focused on the associations of factors, which were individual and regional socioeconomic factors, familiarity, and knowledge based on the comparison of the intermediate and final outcomes. Results: Prejudice was not explained by regional variables but was only correlated with individual factors. Prejudice increased with age and decreased by high education level. However, social distance controlling for prejudice increased in females, in people with a high education level, and in regions with a high education level and a high proportion of the old. Therefore, social distance without controlling for prejudice increased in females, in the elderly, in highly educated people,and in regions with a high education and aged community. Conclusions: The result of the multi-level analysis for the regional variables suggests that social distance for mental illness are not only determined by individual factors but also influenced by the surroundings so that it could be tackled sufficiently with appropriate considering of the relevant regional context with individual characteristics.
Abstract
Objectives: While there have been many quantitative studies on the public’s attitude towards mental illnesses, it is hard to find quantitative study which focused on the contextual effect on the public’s attitude. The purpose of this study was to identify factors that affect the public’s beliefs and attitudes including contextual effects. Methods: We analyzed survey on the public’s beliefs and attitudes towards mental illness in Korea with multi-level analysis. We analyzed the public’s beliefs and attitudes in terms of prejudice as an intermediate outcome and social distance as a final outcome. Then, we focused on the associations of factors, which were individual and regional socioeconomic factors, familiarity, and knowledge based on the comparison of the intermediate and final outcomes. Results: Prejudice was not explained by regional variables but was only correlated with individual factors. Prejudice increased with age and decreased by high education level. However, social distance controlling for prejudice increased in females, in people with a high education level, and in regions with a high education level and a high proportion of the old. Therefore, social distance without controlling for prejudice increased in females, in the elderly, in highly educated people,and in regions with a high education and aged community. Conclusions: The result of the multi-level analysis for the regional variables suggests that social distance for mental illness are not only determined by individual factors but also influenced by the surroundings so that it could be tackled sufficiently with appropriate considering of the relevant regional context with individual characteristics.
참고문헌 (24)
- El-Adi M, "First Episode Psychosis(FEP): factors associated with delayed access to care in arural Egyptian setting", Eur Psychiatry, 22(Suppl 1), pp.79~80 (2007)
- Jovanovic D, "Duration of untreated psychosis and stigma in psychotic patients: a family view", Eur Psychiatry, 22(Suppl 1), pp.117~118 (2007)
- Lehtinen V, "Attitudes towards mental illness and utilization of psychiatric treatment", Soc Psychiatry Psychiatr Epidemiol, 13(2), pp.63~68 (1978)
- Kessler RC, "The prevalence, distribution, and mental health correlates of perceived discrimination in the United States", J Health Soc Behav, 40(3), pp.208~230 (1999)
- 2009 Annual report, "The Central Mental Health Supporting Committee", The Central Mental Health Supporting Committee, ~ (2010)
- 2011 Working paper, "The Central Mental Health Supporting Committee", The Central Mental Health Supporting Committee, ~ (2010)
- Link BG, "Conceptualizing stigma", Annu Rev Sociol, 27, pp.363~385 (2001)
- 문상준, "정신질환에 대한 일반인의 사회적 거리감에 영향을 미치는 요인", 예방의학회지, 41(6), pp.419~426 (2008), 대한예방의학회
- Yang S, "The stigma toward the mental illness and mentally ill patients among nursing students between before and after learning psychiatric: mental health nursing", J Korean Acad Psychiatr Ment Health Nurs, 10(3), pp.421~435 (2001)
- 김미희, "정신위생 교육 전 . 후 대학생의 정신질환자에 대한 인식과 태도 비교", 한국응급구조학회지, 6(1), pp.5~14 (2002), 사단법인 한국응급구조학회
- Angermeyer MC, "Public beliefs about and attitudes towards people with mental illness: a review of population studies", Acta Psychiatr Scand, 113(3), pp.163~179 (2006)
- Corrigan PW, "Prejudice, social distance, and familiarity with mental illness", Schizophr Bull, 27(2), pp.219~225 (2001)
- Angermeyer MC, "Violent attacks on public figures by persons suffering from psychiatric disorders. Their effect on the social distance towards the mentally ill", Eur Arch Psychiatry Clin Neurosci, 245(3), pp.159~164 (1995)
- Angermeyer MC, "Public attitudes to people with depression: have there been any changes over the last decade?", J Affect Disord, 83(2), pp.177~182 (2004)
- Angermeyer MC, "Gender and attitudes towards people with schizophrenia. Results of a representative survey in the Federal Republic of Germany", Int J Soc Psychiatry, 44(2), pp.107~116 (1998)
- Chou KL, "Attitudes towards mental patients in Hong Kong", Int J Soc Psychiatry, 42(3), pp.213~219 (1996)
- Gaebel W, "Public attitudes towards people with mental illness in six German cities: results of a public survey under special consideration of schizophrenia", Eur Arch Psychiatry Clin Neurosci, 252(6), pp.278~287 (2002)
- Lauber C, "Factors influencing social distance toward people with mental illness", Community Ment Health J, 40(3), pp.265~274 (2004)
- Lauber C, "Public acceptance of restrictions on mentally ill people", Acta Psychiatr Scand Suppl, (407), pp.26~32 (2000)
- Levav I, "Mental health-related knowledge, attitudes and practices in two kibbutzim", Soc Psychiatry Psychiatr Epidemiol, 39(9), pp.758~764 (2004)
- Madianos MG, "Changes in public attitudes towards mental illness in the Athens area (1979", 1980- 1994), 1999, pp.99(1), 73~78
- Ojanen M, "Attitudes towards mental patients", Int J Soc Psychiatry, 38(2), pp.120~130 (1992)
- Pescosolido BA, "The public’s view of the competence, dangerousness, and need for legal coercion of persons with mental health problems", Am J Public Health, 89(9), pp.1339~1345 (1999)
- Wolff G, "Community attitudes to mental illness", Br J Psychiatry, 168, pp.183~190 (1996)