Health professionals' stigmatizing attitudes towards people with mental illness: A cross-sectional study in a referral hospital in Uganda.

<h4>Background</h4>Health professionals in primary care settings show stigmatizing attitudes towards people with mental illness (PMI), leading to undermined quality of care delivered. However, information is sparse on stigmatizing attitudes of health professionals towards PMI in Uganda....

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Main Authors: Joan Abaatyo, Novatus Nyemara, Scholastic Ashaba
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2024-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0313153
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author Joan Abaatyo
Novatus Nyemara
Scholastic Ashaba
author_facet Joan Abaatyo
Novatus Nyemara
Scholastic Ashaba
author_sort Joan Abaatyo
collection DOAJ
description <h4>Background</h4>Health professionals in primary care settings show stigmatizing attitudes towards people with mental illness (PMI), leading to undermined quality of care delivered. However, information is sparse on stigmatizing attitudes of health professionals towards PMI in Uganda. This study aimed to discover the levels of stigmatizing attitudes towards PMI and associated factors among health professionals in Uganda.<h4>Method</h4>We enrolled 254 health professionals at Mbarara Regional Referral Hospital in a cross-sectional study. Community attitude towards mental illness-2 (CAMI-2) scale was used to assess stigmatizing for attitudes. Linear regression was used to determine factors associated with level of stigmatizing attitudes.<h4>Results</h4>The average overall CAMI score for all participants was 91.1±16.6. Nurses/midwives compared to doctors had significantly higher total CAMI score (p<0.001), and higher malevolent (p = 0.01) and non-acceptance attitudes (p = 0.02) than doctors. Doctors had significantly lower authoritarian attitudes than clinical officers, (p = 0.004). Being male (aCoef: -4.86; p = 0.02), increase in compassion satisfaction (aCoef: -0.44; p = 0.02), and increased mental health knowledge (aCoef: -2.90; p = <0.001), increased likelihood of having lower levels of stigmatizing attitudes, while being a non-psychiatric health professional was associated with higher levels of stigmatizing attitudes (aCoef: 12.08; p = 0.01).<h4>Conclusion</h4>Health professionals exhibit moderate levels of stigmatizing attitudes towards PMI and stigmatizing attitudes are more among nurses/midwives. Various steps including providing education and training on mental illness, promoting community integration and social inclusion, and advocating for policies, should be taken to reduce stigmatizing attitudes of health professionals towards PMI.
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spelling doaj-art-228787ed3bba436c85a7c873ba09fd4a2025-08-20T03:13:45ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-011912e031315310.1371/journal.pone.0313153Health professionals' stigmatizing attitudes towards people with mental illness: A cross-sectional study in a referral hospital in Uganda.Joan AbaatyoNovatus NyemaraScholastic Ashaba<h4>Background</h4>Health professionals in primary care settings show stigmatizing attitudes towards people with mental illness (PMI), leading to undermined quality of care delivered. However, information is sparse on stigmatizing attitudes of health professionals towards PMI in Uganda. This study aimed to discover the levels of stigmatizing attitudes towards PMI and associated factors among health professionals in Uganda.<h4>Method</h4>We enrolled 254 health professionals at Mbarara Regional Referral Hospital in a cross-sectional study. Community attitude towards mental illness-2 (CAMI-2) scale was used to assess stigmatizing for attitudes. Linear regression was used to determine factors associated with level of stigmatizing attitudes.<h4>Results</h4>The average overall CAMI score for all participants was 91.1±16.6. Nurses/midwives compared to doctors had significantly higher total CAMI score (p<0.001), and higher malevolent (p = 0.01) and non-acceptance attitudes (p = 0.02) than doctors. Doctors had significantly lower authoritarian attitudes than clinical officers, (p = 0.004). Being male (aCoef: -4.86; p = 0.02), increase in compassion satisfaction (aCoef: -0.44; p = 0.02), and increased mental health knowledge (aCoef: -2.90; p = <0.001), increased likelihood of having lower levels of stigmatizing attitudes, while being a non-psychiatric health professional was associated with higher levels of stigmatizing attitudes (aCoef: 12.08; p = 0.01).<h4>Conclusion</h4>Health professionals exhibit moderate levels of stigmatizing attitudes towards PMI and stigmatizing attitudes are more among nurses/midwives. Various steps including providing education and training on mental illness, promoting community integration and social inclusion, and advocating for policies, should be taken to reduce stigmatizing attitudes of health professionals towards PMI.https://doi.org/10.1371/journal.pone.0313153
spellingShingle Joan Abaatyo
Novatus Nyemara
Scholastic Ashaba
Health professionals' stigmatizing attitudes towards people with mental illness: A cross-sectional study in a referral hospital in Uganda.
PLoS ONE
title Health professionals' stigmatizing attitudes towards people with mental illness: A cross-sectional study in a referral hospital in Uganda.
title_full Health professionals' stigmatizing attitudes towards people with mental illness: A cross-sectional study in a referral hospital in Uganda.
title_fullStr Health professionals' stigmatizing attitudes towards people with mental illness: A cross-sectional study in a referral hospital in Uganda.
title_full_unstemmed Health professionals' stigmatizing attitudes towards people with mental illness: A cross-sectional study in a referral hospital in Uganda.
title_short Health professionals' stigmatizing attitudes towards people with mental illness: A cross-sectional study in a referral hospital in Uganda.
title_sort health professionals stigmatizing attitudes towards people with mental illness a cross sectional study in a referral hospital in uganda
url https://doi.org/10.1371/journal.pone.0313153
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