The Role of Neighborhood Factors and Community Stigma in Predicting Community Participation Among Persons With Psychiatric Disabilities
The Role of Neighborhood Factors and Community Stigma in Predicting Community Participation Among Persons With Psychiatric Disabilities
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DOI：
10.1176/appi.ps.201700165
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发表时间：
2018-01-01
影响因子：
3.8
通讯作者：
Harney-Delehanty, Brianna
中科院分区：
文献类型：
--
作者：
Gonzales, Lauren;Yanos, Philip T.;Harney-Delehanty, Brianna
目的：本研究探讨了邻里特征，当地社区成员报告的精神疾病相关的耻辱感，并与精神残疾的个人生活在独立的分散的网站住房或聚集在三个街区的住房在纽约市大都市area.Methods：邻里特征之间的关联感知耻辱和社区参与的措施，从2010年美国人口普查。调查重点对精神疾病患者的态度和预期的行为进行了管理，608一般社区成员，和临床访谈进行了343人与精神disability.Results：邻里的特点，更大的社会经济劣势和更多的“郊区价值观”（较低的住房密度和更大的政治保守主义）预测更多的社区成员报告犯下的耻辱。社区成员报告的耻辱感与精神残疾参与者的耻辱感之间没有显着的关系。社区污名预测职业参与和住房的互动效应，如居住在集合住房的人表现出更多的社区参与社区更多的耻辱，而居住在分散的网站住房的人表现出较少的参与这些社区。感知的耻辱显着负相关的社区participation.Conclusions：研究结果表明，社区特征和社区耻辱精神残疾人的影响是复杂的，部分条件的住房环境。
Objective: This study examined the association between neighborhood characteristics, stigma related to mental illness reported by local community members, and measures of perceived stigma and community participation among individuals with psychiatric disabilities living in independent scattered-site housing or in congregate housing in three neighborhoods in the New York City metropolitan area.Methods: Neighborhood characteristics were drawn from the 2010 U.S. Census. Surveys focusing on attitudes and intended behavior toward people with mental illness were administered to 608 general community members, and clinical interviews were conducted with 343 persons with psychiatric disabilities.Results: Of neighborhood characteristics, both greater socioeconomic disadvantage and more "suburban values" (lower housing density and greater political conservativism) predicted more perpetrated stigma reported by community members. There was no significant relationship between stigma reported by community members and perceived stigma among participants with psychiatric disabilities. Community stigma predicted vocational involvement and demonstrated interaction effects with housing, such that persons living in congregate housing demonstrated more community participation in communities with more stigma, whereas persons living in scattered-site housing demonstrated less participation in these communities. Perceived stigma was significantly negatively related to community participation.Conclusions: Findings suggest that effects of neighborhood characteristics and community stigma on people with psychiatric disabilities are complex and are partly conditioned by housing context.