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Stigma and discrimination related to mental illness in low- and middle-income countries
Open accessAbstract
AIMS: This paper aims to provide an overview of evidence from low- and middle-income countries (LAMICs) worldwide to address: the nature of stigma and discrimination, relevant context-specific factors, global patterns of these phenomena and their measurement and quantitative and qualitative evidence of interventions intended to reduce their occurrence and impact. The background to this study is that the large majority of studies concerned with identifying effective interventions to reduce stigma and discrimination originate in high-income countries (HICs). This paper therefore presents such evidence from, and relevant to, LAMICs. METHODS: Conceptual overview of the relevant peer-reviewed and grey literature on stigma and discrimination related to mental illness in LAMICs are available in English, Spanish, French and Russian. RESULTS: Few intervention studies were identified related to stigma re-education in LAMICs. None of these addressed behaviour change/discrimination, and there were no long-term follow-up studies. There is therefore insufficient evidence at present to know which overall types of intervention may be effective and feasible and in LAMICs, how best to target key groups such as healthcare staff, and how far they may need to be locally customised to be acceptable for large-scale use in these settings. In particular, forms of social contacts, which have been shown to be the most effective intervention to reduce stigma among adults in HICs, have not yet been assessed sufficiently to know whether these methods are also effective in LAMICs. CONCLUSION: Generating information about effective interventions to reduce stigma and discrimination in LAMICs is now an important mental health priority worldwide.
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“that the treatment of people with mental disorders is an indivisible constituent of universal health coverage.”
From Integrated care for people with long-term mental and physical health conditions in low-income and middle-income countries (2019) · cites this paper as [102]
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“that mental disorders are in fact non-communicable diseases”
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Metadata
- Authors
- Semrau, M., Evans-Lacko, S., Koschorke, M., Ashenafi, L., & Thornicroft, G.
- Affiliations
- King's College London (GB)
- Corresponding author
- Thornicroft, G.
- Venue
- Epidemiology and Psychiatric Sciences
- Publisher
- Cambridge University Press (CUP)
- Published
- 2015-05-04
- Volume
- 24
- Issue
- 5
- Pages
- 382-394
- ISSN
- 2045-7960 (ISSN-L)
- 2045-7979
- PMC
- PMC8367357
- OpenAlex
- W1958429804
- Cited by
- 206
- References
- 67
- Citations by year
- 2026: 9 · 2025: 18 · 2024: 24 · 2023: 20 · 2022: 33 · 2021: 26 · 2020: 16 · 2019: 19 · 2018: 14 · 2017: 16 · 2016: 8 · 2015: 3
- FWCI
- 22.42
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Epidemiology and Psychiatric Sciences (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Figshare (submittedVersion, cc-by)
- Research Portal (King's College London) (submittedVersion)
- Funders
- Wellcome Trust (100714)
- Government of the United Kingdom
- National Institute for Health and Care Research (FP7/2007–2013, CL-2012-17-003)
- European Commission (2007–2013, FP7 2007-2013, FP7/2007)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
- Social Sciences › Gender Studies › Gender Roles and Identity Studies
- Keywords
- mental health stigma, discrimination against people with mental illness, low- and middle-income countries, stigma reduction interventions, clinician attitudes
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