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Int J Soc Psychiatry. 2016 Dec;62(8):685-695. Epub 2016 Oct 6.

Influence of urbanity on perception of mental illness stigma: a population based study in urban and rural Hanoi, Vietnam.

Author information

1
Department of Psychiatry and Psychotherapy, Charité-Universitätsmedizin Berlin, Campus Benjamin Franklin, Germany thi-minh-tam.ta@charite.de.
2
Department of Psychiatry and Psychotherapy, Charité-Universitätsmedizin Berlin, Campus Benjamin Franklin, Germany.
3
Department of Psychiatry, Ernst Moritz Arndt University Greifswald, Germany.
4
HELIOS Hanseklinikum Stralsund, Germany.
5
Department of Psychiatry and Psychological Medicine, Hospital 103, Military Academy of Medicine, Hanoi, Vietnam.
6
Department of Psychiatry, Psychotherapy and Psychosomatic, Ev. Krankenhaus Königin Elisabeth Herzberge, Berlin, Germany.
7
Center for Public Mental Health, Gösing am Wagram, Austria.

Abstract

BACKGROUND AND AIMS:

To examine, for the first time in Vietnam, whether urbanity of respondents among other socio-demographic factors affects the public perception of stigma attached to persons with mental illness in Hanoi.

METHODS:

A general population-based survey was carried out in 2013 in the greater Hanoi area. The perception of stigma attached to people with mental illness was elicited using Link's perceived discrimination and devaluation scale (PDDS) carried out in Vietnamese language. The survey sample (n = 806) was stratified for gender, urban/rural location, age, household size and marital status, in accordance with the 2013 Vietnamese census.

RESULTS:

Comparing the total score of the PDDS and its single items, we found less perceived stigma and discrimination among the rural population of Hanoi and in respondents who reported religious attainment to either Buddhism or Christianity. Logistic regression analyses found no significant influences of gender, age, household size or marital status regarding the perceived stigma toward persons with mental illness.

CONCLUSION:

Less negative perception of stigma attached to persons with mental illness that was observed among the rural population in the Hanoi area may be interpreted in the light of possibly more demanding living conditions in modern urban Vietnam with less opportunities for mentally ill patients and points toward a dynamic interaction with rapidly changing living conditions in Asian megacities.

KEYWORDS:

Hanoi; Perceived stigma; Vietnam; mental illness; perceived discrimination and devaluation scale; population study; rural; urban

PMID:
27887028
DOI:
10.1177/0020764016670430
[Indexed for MEDLINE]

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