title: Patient Perceptions of Prejudice and Discrimination by Health Care Providers and its Relationship with Mental Disorders: Results from the 2012 Canadian Community Health-Mental Health Survey Data.
abstract: Using data from a nationally representative survey, the Canadian Community Health Survey-Mental Health, this secondary analysis aimed to determine the prevalence of perceived prejudice by health care providers (HCPs) and its relationship with mental disorders. Respondents accessing HCPs in the prior year were asked if they experienced HCP prejudice. A hypothesis driven multivariable logistic regression analysis was conducted to determine the relationship between type of mental disorders and HCP prejudice. Among the 3006 respondents, 10.9 % perceived HCP prejudice, 62.4 % of whom reported a mental disorder. The adjusted odds of prejudice was highest for respondents with anxiety (OR 3.12; 95 % CI 1.60, 6.07), concurrent mood or anxiety and substance disorders (OR 3.08; 95 % CI 1.59, 5.95) and co-occurring mood and anxiety disorders (OR 2.89; 95 % CI 1.68, 4.97) compared to respondents without any mental disorders. These findings are timely for informing discussions regarding policies to address HCP prejudice towards people with mental disorders.
authors.affiliation: Centre for Health Evaluation and Outcome Sciences, Providence Health Care, St. Paul's Hospital, 588B-1081 Burrard St., Vancouver, BC, V6Z 1Y6, Canada. kmarchand@cheos.ubc.ca.|School of Population and Public Health, University of British Columbia, 2206 East Mall, Vancouver, BC, V6T 1Z3, Canada. kmarchand@cheos.ubc.ca.
authors.forename: Kirsten
authors.identifier: http://orcid.org/0000-0001-8433-7222
authors.initials: K
authors.lastname: Marchand
authors.affiliation: Centre for Health Evaluation and Outcome Sciences, Providence Health Care, St. Paul's Hospital, 588B-1081 Burrard St., Vancouver, BC, V6Z 1Y6, Canada.|School of Population and Public Health, University of British Columbia, 2206 East Mall, Vancouver, BC, V6T 1Z3, Canada.
authors.forename: Heather
authors.initials: H
authors.lastname: Palis
authors.affiliation: Centre for Health Evaluation and Outcome Sciences, Providence Health Care, St. Paul's Hospital, 588B-1081 Burrard St., Vancouver, BC, V6Z 1Y6, Canada.|School of Population and Public Health, University of British Columbia, 2206 East Mall, Vancouver, BC, V6T 1Z3, Canada.
authors.forename: Eugenia
authors.initials: E
authors.lastname: Oviedo-Joekes
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001291:Attitude of Health Personnel; D002170:Canada; D003430:Cross-Sectional Studies; D005260:Female; D006306:Health Surveys; D006801:Humans; D016015:Logistic Models; D008297:Male; D001523:Mental Disorders / Q000523:psychology*; D008875:Middle Aged; D016017:Odds Ratio; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D011287:Prejudice / Q000706:statistics & numerical data*; D063508:Social Discrimination / Q000706:statistics & numerical data*; D012938:Social Perception; D055815:Young Adult
keywords: Health care provider prejudice; Mental disorders; Patient experiences