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Affiliate stigma of mental illness in family caregivers of persons with mental illness in Hong Kong

Author

Listed:
  • Xu-Hong Li
  • Shu-Yu Deng
  • Tian-Ming Zhang
  • Yi-Zhou Wang
  • Dan-Nuo Wei
  • Irene Yin Ling Wong
  • Cecilia Lai-Wan Chan
  • Mao-Sheng Ran

Abstract

Background: Affiliate stigma of family caregivers may severely influence family caregiving, early treatment, and recovery of people with mental illness (PMI), and it may be impacted by the knowledge of mental illness and contact with PMI. However, little is known about the correlation between affiliate stigma of family caregivers of PMI and contact in Hong Kong. Aims: This study aimed to investigate affiliate stigma and its influencing factors among family caregivers of PMI in Hong Kong. Methods: A total of 106 family caregivers in Hong Kong participated in the study. The measurements included affiliate stigma, contacts (quantity, quality, and level), knowledge, prejudice, and discriminatory behaviors. Multiple regression analyses were employed. Results: The mean score of affiliate stigma scale (ASS) in family caregivers was 2.17 ( SD  = 0.65). In regression analyses, the results showed that contact quantity and contact level were significantly associated with higher affiliate stigma and its cognitive domain, while contact quality (e.g. positive contact) were significantly associated with lower affiliate stigma and its all domains among family caregivers. The positive relationship between prejudicial attitudes and affiliate stigma was also found. Conclusions: Affiliate stigma is severe among family caregivers of PMI in Hong Kong. The results of this study indicate that contact, especially positive contact, contributes to reducing affiliate stigma among family caregivers of PMI. The results of this study are important for development of health policy on reducing stigma in family caregivers of PMI. The effectiveness of Enhancing Contact Model (ECM) should be examined in future anti-stigma interventions.

Suggested Citation

  • Xu-Hong Li & Shu-Yu Deng & Tian-Ming Zhang & Yi-Zhou Wang & Dan-Nuo Wei & Irene Yin Ling Wong & Cecilia Lai-Wan Chan & Mao-Sheng Ran, 2022. "Affiliate stigma of mental illness in family caregivers of persons with mental illness in Hong Kong," International Journal of Social Psychiatry, , vol. 68(8), pages 1698-1707, December.
    • Handle: RePEc:sae:socpsy:v:68:y:2022:i:8:p:1698-1707
    DOI: 10.1177/00207640211057723
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    4. Carmen K. M. Ng & Stephen H. F. Lam & Sally T. K. Tsang & Cheong M. C. Yuen & Chi-Wen Chien, 2020. "The Relationship between Affiliate Stigma in Parents of Children with Autism Spectrum Disorder and Their Children’s Activity Participation," IJERPH, MDPI, vol. 17(5), pages 1-13, March.
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    1. Lihua Wang & Huijie Lu & Yihua Jiang & Dianming Zhu & Ping Sun & Haiming Sun & Lanlan Wang & Wenhui Jiang & Yanru Wu & Zeping Xiao, 2025. "Implementation of the modified NAVIGATE program for early schizophrenia in Shanghai through the specialized hospital and community integration: A comparative study," International Journal of Social Psychiatry, , vol. 71(6), pages 1127-1140, September.
    2. Yi-Zhou Wang & Xian-Dong Meng & Tian-Ming Zhang & Xue Weng & Ming Li & Wei Luo & Yi Huang & Graham Thornicroft & Mao-Sheng Ran, 2023. "Affiliate stigma and caregiving burden among family caregivers of persons with schizophrenia in rural China," International Journal of Social Psychiatry, , vol. 69(4), pages 1024-1032, June.

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