Predictors of internalised stigma among people with mental illness attending a psychiatry outpatient clinic in Ethiopia: Institution based cross sectional study

में बचाया:
ग्रंथसूची विवरण
में प्रकाशित:PLoS One vol. 20, no. 3 (Mar 2025), p. e0319458
मुख्य लेखक: Wondale Getinet Alemu
अन्य लेखक: Mwanri, Lillian, Due, Clemence, Azale, Telake, Ziersch, Anna
प्रकाशित:
Public Library of Science
विषय:
ऑनलाइन पहुंच:Citation/Abstract
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Full Text - PDF
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LEADER 00000nab a2200000uu 4500
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022 |a 1932-6203 
024 7 |a 10.1371/journal.pone.0319458  |2 doi 
035 |a 3178693092 
045 2 |b d20250301  |b d20250331 
084 |a 174835  |2 nlm 
100 1 |a Wondale Getinet Alemu 
245 1 |a Predictors of internalised stigma among people with mental illness attending a psychiatry outpatient clinic in Ethiopia: Institution based cross sectional study 
260 |b Public Library of Science  |c Mar 2025 
513 |a Journal Article 
520 3 |a BackgroundDespite initiatives to increase access to mental health care and improve the quality of life for individuals living with mental illness, there is limited information on internalized stigma and its impact on these individuals. This study aimed to determine the prevalence of internalised stigma and identify associated factors (sociodemographic, clinical, and substance use) among people with mental illness attending an outpatient clinic in Ethiopia.MethodInstitution-based cross-sectional study was conducted with patients with mental illness at the University of Gondar Hospital clinic. We recruited 638 participants from the clinic using systematic random sampling with an interval of three applied. Internalised stigma was measured using the nine-item (ISMI-9) Internalised stigma of Mental Illness Scale. Variables were coded and entered into SPSS-28 software for further analysis. To analyze the data, we used descriptive and multivariate logistic regression analysis. Adjusted odds ratio (AOR) with 95% confidence interval (CI) and p-value less than 0.05 were considered significant.ResultsPrevalence of internalised stigma among study participants was 49.1% (95% CI: 45, 52). The following attributes were associated with a greater likelihood of high internalised stigma, participants with no formal education (AOR=2.19, 95% CI:1.33, 3.61); patients with fair self-reported health (AOR=3.12, 95% CI:1.28, 7.59), patients with poor self-reported health (AOR= 9.11, 95% CI: 2.89, 28.73), patients with suicidal ideation (AOR=1.95, 95% CI:1.37, 2.79), alcohol users (AOR= 1.89, 95% CI:1.24,2.91), patient with low self-esteem (AOR=1.55, 95% CI:1.09, 2.21), patient with poor drug adherence (AOR=2.2, 95% CI:1.30,3.71), patients with family history of substance use (AOR= 2.46, 95% CI:1.54,3.93).ConclusionsThe prevalence of high internalised stigma among patients with mental illness in was high. Therefore, anti-stigma activities, early outpatient support, drug adherence information, and reduction of suicidal behaviors are all necessary to reduce stigma in patients with mental illnesses. 
610 4 |a University of Gondar 
651 4 |a Ethiopia 
653 |a Outpatient care facilities 
653 |a Sampling techniques 
653 |a Mental health care 
653 |a Patients 
653 |a Mental disorders 
653 |a Patient compliance 
653 |a Questionnaires 
653 |a Stigma 
653 |a Regression analysis 
653 |a Medication adherence 
653 |a Measurement techniques 
653 |a Random sampling 
653 |a Statistical analysis 
653 |a Supervisors 
653 |a Quality of life 
653 |a Sample size 
653 |a Schizophrenia 
653 |a Psychiatry 
653 |a Substance use 
653 |a Confidence intervals 
653 |a Statistical sampling 
653 |a Illnesses 
653 |a Genetics 
653 |a Hospitals 
653 |a Data collection 
653 |a Self esteem 
653 |a Health services 
653 |a Cross-sectional studies 
653 |a Social 
700 1 |a Mwanri, Lillian 
700 1 |a Due, Clemence 
700 1 |a Azale, Telake 
700 1 |a Ziersch, Anna 
773 0 |t PLoS One  |g vol. 20, no. 3 (Mar 2025), p. e0319458 
786 0 |d ProQuest  |t Health & Medical Collection 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3178693092/abstract/embedded/L8HZQI7Z43R0LA5T?source=fedsrch 
856 4 0 |3 Full Text  |u https://www.proquest.com/docview/3178693092/fulltext/embedded/L8HZQI7Z43R0LA5T?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3178693092/fulltextPDF/embedded/L8HZQI7Z43R0LA5T?source=fedsrch