Stigma beliefs of Asian Americans with depression in an Internet sample
Stigma beliefs of Asian Americans with depression in an Internet sample
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DOI：
10.1177/070674370505000807
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发表时间：
2005-07-01
影响因子：
4
通讯作者：
Ford, DE
中科院分区：
文献类型：
--
作者：
Fogel, J;Ford, DE
目的：了解亚裔美国抑郁症患者在朋友、雇主和家人中对抑郁症治疗相关污名的看法。方法：研究对象在互联网上匿名填写流行病学研究中心抑郁量表(CES-D)。在这项横断面设计中，那些抑郁症筛查呈阳性的人被问及有关污名的问题(n=68656)。我们使用方差分析(ANOVA)和协方差分析(ANCOVA)来比较亚裔美国人和白人，并按年龄和性别进行比较。此外，我们对亚裔美国人进行了分层，并使用方差分析和方差分析来比较年龄和性别。我们使用线性回归来评估污名信念与自我报告的抑郁症治疗需求之间的关系。结果：亚裔美国人总体上在所有3种污名结果上都比白人有更多的污名信念(P<；0.001)，特别是与家庭相关的污名信仰。尽管在16岁至29岁和30岁至45岁之间的受试者中存在同样的模式(P<；0.001)，但在16岁以下的受试者中，这是因为家庭耻辱(P<；0.001)，而不是朋友或雇主的耻辱。在我们对亚裔美国人的分层分析中，男性参与者比女性参与者对朋友(P<；0.001)和雇主(P<；005)有更多的污名信念，但对家庭没有。结论：由于文化适应，亚裔美国人比白人更有污名程度的模式可能正在改变。此外，在亚裔美国人中，与之前的研究显示没有性别差异的污名不同，我们表明男性参与者比女性参与者有更高的污名程度。未来的方向应该包括测量特定文化干预后的污名。
Objective: To study the beliefs of Asian Americans with depression about stigma associated with depression treatment among friends, employers, and family.Method: Participants completed the Center for Epidemiologic Studies-Depression Scale (CES-D) anonymously on the Internet. In this cross-sectional design, those who screened positive for depression were asked questions regarding stigma (n = 68 656). We used analysis of variance (ANOVA) and analysis of covariance (ANCOVA) to compare Asian Americans with whites and also to make comparisons by age and sex. Further, we stratified for Asian Americans and used ANOVA and ANCOVA to compare age and sex. We used linear regression to assess how stigma beliefs were associated with self-reported need for depression treatment.Results: Asian Americans overall had greater stigma beliefs than did whites for all 3 stigma outcomes (P < 0.001), especially those related to family. Although this same pattern existed for subjects aged between 16 and 29 years and between 30 and 45 years (P < 0.001), among those aged under 16 years, this existed for family stigma (P < 0.001) but not for friends or employer stigma. In our stratified analyses among Asian Americans, male participants had greater stigma beliefs than did female participants for friends (P < 0.001) and employer (P < 0.05) but not for family.Conclusions: The pattern of Asian Americans having greater stigma levels than whites may be changing among younger Asian Americans because of acculturation. Also, among Asian Americans, unlike previous research showing no sex differences for stigma, we show that male participants had greater stigma levels than did female participants. Future directions should include measuring stigma after culture-specific interventions.