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
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.
KeywordsHealth care provider prejudice Patient experiences Mental disorders
The authors wish to acknowledge Dr. Mieke Koehoorn from the University of British Columbia for her contributions to the development of the manuscript. Author support was also received by The Western Regional Training Centre for Health Services Research (KM), Canadian Institutes of Health Research (EOJ) and Michael Smith Foundation for Health Research (EOJ).
All authors take public responsibility for the content and have made substantial contributions to the manuscript. KM, HP and EOJ contributed to the conception and interpretation of the data. KM led data acquisition and analysis and drafted the manuscript. All authors revised the manuscript for intellectual content and approved the final version.
Compliance with Ethical Standards
Conflict of interest
The authors have no conflicts of interest to declare.
- Brener, L., Horwitz, R., von Hippel, C., Bryant, J., & Treloar, C. (2014). Discrimination by health care workers versus discrimination by others: Countervailing forces on HCV treatment intentions. Psychology, Health & Medicine, 20, 1–6.Google Scholar
- Burgess, D. J., Ding, Y., Hargreaves, M., van Ryn, M., & Phelan, S. (2008). The association between perceived discrimination and underutilization of needed medical and mental health care in a multi-ethnic community sample. Journal of Health Care for the Poor and Underserved, 19(3), 894–911.CrossRefPubMedGoogle Scholar
- Mental Health Commission of Canada. (2014). Opening minds initiative. Retrieved December 5, 2014 from http://www.mentalhealthcommission.ca/English/initiatives-and-projects/opening-minds.
- SAS. (2012). SAS 9.4 (Version 9.4). NC, USA: SAS.Google Scholar
- Statistics Canada. (2013, 2013-09-10). Canadian Community Health Survey-Mental health. Retrieved October 10, 2014 from http://www23.statcan.gc.ca/imdb/p2SV.pl?Function=getSurvey&SDDS=5015.
- University of British Columbia. (2012, June 2012). Research involving human participants. Retrieved 12-Oct-2014 from http://universitycounsel.ubc.ca/files/2012/06/policy89.pdf.
- van Boekel, L. C., Brouwers, E. P., van Weeghel, J., & Garretsen, H. F. (2014). Healthcare professionals’ regard towards working with patients with substance use disorders: comparison of primary care, general psychiatry and specialist addiction services. Drug and Alcohol Dependence, 134, 92–98.CrossRefPubMedGoogle Scholar