A cross-cultural study of employers’ concerns about hiring people with psychotic disorder: implications for recovery

Tsang, Hector W.H.; Angell, Beth; Corrigan, Patrick W.; Lee, Yueh-Ting; Shi, Kan; Lam, Chow S.; Jin, Shenghua; Fung, Kevin M.T.

doi:10.1007/s00127-007-0208-x

Cited by 146Mental Health Treatment and AccessSchizophrenia research and treatmentCultural Competency in Health Care

A cross-cultural study of employers’ concerns about hiring people with psychotic disorder: implications for recovery

Tsang, Hector W.H., Angell, Beth, Corrigan, Patrick W., Lee, Yueh-Ting, Shi, Kan, Lam, Chow S., Jin, Shenghua, Fung, Kevin M.T.·2007·Social Psychiatry and Psychiatric Epidemiology

DOI 10.1007/s00127-007-0208-x

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Abstract

Introduction Employment discrimination is considered as a major impediment to community integration for people with serious mental illness, yet little is known about how the problem manifests differently across western and non-western societies. We developed a lay model based on Chinese beliefs and values in terms of Confucianism, Taoism, Buddhism, and folk religions which may be used to explain cross-cultural variation in mental illness stigma, particularly in the arena of employment discrimination. In this study, we tested this lay approach by comparing employers' concerns about hiring people with psychotic disorder for entry-level jobs in US and China.Method One hundred employers (40 from Chicago, 30 from Hong Kong, and 30 from Beijing) were randomly recruited from small size firms and interviewed by certified interviewers using a semi-structured interview guide designed for this study. Content analysis was used to derive themes, which in turn were compared across the three sites using chi-square tests.Results Analyses reveal that employers express a range of concerns about hiring an employee with mental illness. Although some concerns were raised with equal frequency across sites, comparisons showed that, relative to US employers, Chinese employers were significantly more likely to perceive that people with mental illness would exhibit a weaker work ethic and less loyalty to the company. Comparison of themes also suggests that employers in China were more people-oriented while employers in US were more task-oriented.Conclusion Cultural differences existed among employers which supported the lay theory of mental illness.

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Stigmatisation and discrimination of people with mental illness is common and extends to employment.
“Stigmatisation and discrimination of people with mental illness is common and this extends to employment. 2,3”
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Authors: Tsang, H. W. H., Angell, B., Corrigan, P. W., Lee, Y.-T., Shi, K., Lam, C. S., Jin, S., & Fung, K. M. T.
Affiliations: Hong Kong Polytechnic University (HK)
University of Chicago (US)
Illinois Institute of Technology (US)
Minot State University (US)
Chinese Academy of Sciences (CN)
Beijing Normal University (CN)
Corresponding author: Tsang, Hector W.H.
ORCID: Tsang, Hector W.H.
Corrigan, Patrick W.
Shi, Kan
Jin, Shenghua
Venue: Social Psychiatry and Psychiatric Epidemiology
Publisher: Springer Science and Business Media LLC
Published: 2007-05-23
Volume: 42
Issue: 9
Pages: 723-733
ISSN: 0933-7954 (ISSN-L)
1433-9285
DOI: 10.1007/s00127-007-0208-x
OpenAlex: W1992850587
Cited by: 146
References: 73
Citations by year: 2026: 2 · 2025: 5 · 2024: 6 · 2023: 9 · 2022: 24 · 2021: 9 · 2020: 6 · 2019: 5 · 2018: 4 · 2017: 10 · 2016: 9 · 2015: 7 · 2014: 6 · 2013: 11 · 2012: 3
FWCI: 12.36
Type: journal article
Language: en
Open access: closed
Licence: www.springer.com/tdm (tdm)
Locations: Social Psychiatry and Psychiatric Epidemiology (publishedVersion)
PubMed (publishedVersion)
Institutional Repository of Institute of Psychology, Chinese Academy of Sciences (Institute of Psychology, Chinese Academy of Sciences) (submittedVersion)
PolyU Institutional Research Archive (Hong Kong Polytechnic University) (submittedVersion)
Funders: University of Hong Kong
Chinese University of Hong Kong
National Institutes of Health
National Institute on Alcohol Abuse and Alcoholism (AA014842-01, R01AA014842)
National Institute of Mental Health
Topics: Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
Social Sciences › Sociology and Political Science › Cultural Competency in Health Care
Keywords: employment discrimination, psychosis, mental health stigma, cross-cultural comparison, Confucianism, work ethic, employee loyalty, social reintegration, severe mental illness
MeSH terms: Adult, Attitude, Buddhism, China, Convalescence, Cross-Cultural Comparison, Culture, Employee Performance Appraisal, Employment, Female, Hong Kong, Humans, Male, Personnel Management, Psychotic Disorders, United States, Asian People

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A cross-cultural study of employers’ concerns about hiring people with psychotic disorder: implications for recovery

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