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Social Indicators Research

, Volume 124, Issue 1, pp 127–139 | Cite as

Relationship Between Health, Experience of Discrimination, and Social Inclusion Among Mental Health Service Users in Hong Kong

  • Kara Chan
  • Sherrill Evans
  • Marcus Yu-Lung Chiu
  • Peter J. Huxley
  • Yu-Leung Ng
Article

Abstract

The study of the relationship between mental health and social inclusion has generated much interest among social services providers, policy makers, and academics (Huxley et al. in Life Day 12(3):33–35. doi: 10.1108/13666282200800029, 2008). This paper reports the subjective experience of social inclusion in various key life domains of 168 Chinese mental health services users in Hong Kong collected through a non-probability sample survey. A Chinese version of the Social and Communities Opportunities Profile (i.e. SCOPE-C) employing the same methodology as an earlier UK study was employed in the study. Face-to-face individual interviews were conducted between October 2013 and February 2014. Results indicated that participants perceived an average level of opportunities to participate in various life domains. Despite this, they were satisfied in general with the level of opportunities in these domains. Contradictory to Chan et al. (Soc Indic Res 119(1):121–137, 2014)’s findings, participation did not often encounter discrimination in their daily life. Their perceived general health was between average and good. The overall social inclusion, average satisfaction with opportunities, and average perceived opportunities had significant positive correlation with one another. These three SCOPE-C variables were positively correlated with respondents’ physical health, but not mental health. These findings are discussed.

Keywords

Social experience Community opportunities Life domains Discrimination Social exclusion Quantitative methods Social inclusion 

Notes

Acknowledgments

This project was funded by Economic & Social Research Council (Project No. ES/K005227/1). We are thankful to the NGOs that facilitate our contact with the voluntary participants who took part in the study. These NGOs include Baptist Oi Kwan Social Services, Caritas Hong Kong, Fu Hong Society, Stewards Social Services, The Mental Health Association of Hong Kong, and The Society of Rehabilitation and Crime Prevention (in alphabetical order).

References

  1. Barry, B. (2009). Social exclusion, social isolation and the distribution of income. In J. Hills, J. le Grand, & D. Piachaud (Eds.), Understanding social exclusion (pp. 13–29). Oxford: Oxford University Press.Google Scholar
  2. Chan, K., Chiu, Y. L., Evans, S., Huxley, P. J., & Ng, Y. L. (under review). Application of SCOPE-C to measure social inclusion in Hong Kong. Journal of Public Mental Health.Google Scholar
  3. Chan, K., Evans, S., Ng, Y. L., Chiu, Y. L., & Huxley, P. J. (2014). A concept mapping study on social inclusion in Hong Kong. Social Indicator Research, 119(1), 121–137.CrossRefGoogle Scholar
  4. Department of Health. (1999). National service framework for mental health. Retrieved from https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/198051/National_Service_Framework_for_Mental_Health.pdf
  5. Ember, C. R., & Ember, M. (2001). Cross-cultural research methods. Lanham, MD: AltaMira Press.Google Scholar
  6. Equal Opportunities Commission. (2013). Press releases: Seminar on mental health policy. http://www.eoc.org.hk/eoc/GraphicsFolder/ShowContent.aspx?ItemID=11325
  7. Hong Kong Census and Statistics Department (2012). 2011 Population censusmain report: Volume II. Retrieved from http://www.census2011.gov.hk/pdf/main-report-volume-II.pdf
  8. Huxley, P., Evans, S., Munroe, M., & Philpin, S. (2008). SCOPE for social inclusion? A life in the day, 12(3), 33–35. doi: 10.1108/13666282200800029.CrossRefGoogle Scholar
  9. Huxley, P., Evans, S., Madge, S., Webber, M., Burchardt, T., McDaid, D., et al. (2012). Development of a social inclusion index to capture subjective and objective life domains (phase II): Psychometric development study. Health Technology Assessment, 16(1), 1–248. doi: 10.3310/hta16010.CrossRefGoogle Scholar
  10. Huxley, P., Evans, S., Munroe, M., Webber, M., Burchardt, T., Knapp, M., et al. (2006). Development of a ‘Social Inclusion Index’ to capture subjective and objective domains (phase I): Final report to NCCRM. Retrieved from http://www.hta.ac.uk/nihrmethodology/reports/1591.pdf
  11. IBM Corporation. (2011). Client messages and application programming interface return codes. Retrieved from http://pic.dhe.ibm.com/infocenter/tsminfo/v6r3/topic/com.ibm.itsm.msgs.client.doc/b_msgs_client.pdf
  12. Krieger, N., Smith, K., Naishadham, D., Hartman, C., & Barbeau, E. M. (2005). Experiences of discrimination: Validity and reliability of a self-report measure for population health research on racism and health. Social Science and Medicine, 61(7), 1576–1596. doi: 10.1016/j.socscimed.2005.03.006.CrossRefGoogle Scholar
  13. Lam, L. K., Tse, Y. Y., & Gandek, B. (2005). Is the standard SF-12 health survey valid and equivalent for a Chinese population? Quality of Life Research, 14(2), 539–547. doi: 10.1007/s11136-004-0704-3.CrossRefGoogle Scholar
  14. Mental Health Commission. (2009). Mental health and social inclusion concepts and measurements. Retrieved from http://www.hdc.org.nz/media/199083/mental%20health%20and%20social%20inclusion%20concepts%20and%20measurements,%20june%202009.pdf
  15. Mezey, G., White, S., Thachil, A., Berg, R., Kallumparam, S., Nasiruddin, O., et al. (2012). Development and preliminary validation of a measure of social inclusion for use in people with mental health problems: The SInQUE. International Journal of Social Psychiatry, 59(5), 501–507. doi: 10.1177/0020764012443752.CrossRefGoogle Scholar
  16. Payne, S. (2006). Mental health, poverty and social exclusion. In C. Pantazis, D. Gordon, & R. Levitas (Eds.), Poverty and social exclusion in Britain: The millennium survey (pp. 285–311). Bristol: Policy Press.Google Scholar
  17. Sharac, J., Mccrone, P., Clement, S., & Thornicroft, G. (2010). The economic impact of mental health stigma and discrimination: A systematic review. Epidemiology and Psychiatric Sciences, 19(3), 223–232. doi: 10.1017/S1121189X00001159.CrossRefGoogle Scholar
  18. Social Exclusion Task Force. (2006). Reaching out: An action plan on social exclusion. London: Social Exclusion Task Force/Cabinet Office.Google Scholar
  19. Social Exclusion Unit. (1998). Prime Minister’s speech on the establishment of the social exclusion unit. Retrieved from http://www.open.gov.uk/co/seu/more.html.
  20. Social Exclusion Unit. (2004). Mental health and social exclusion. Office of the Deputy Prime Minister.Google Scholar
  21. The World Bank. (2013). Social development: Sector results profile. Retrieved from http://www.worldbank.org/en/results/2013/04/14/social-development-results-profile
  22. Tsang, W. H., Tam, K. C., Chan, F., & Chang, W. M. (2003). Sources of burdens on families of individuals with mental illness. International Journal of Rehabilitation Research, 26(2), 123–130. doi: 10.1097/00004356-200306000-00007.CrossRefGoogle Scholar
  23. Ware, J. E, Jr, Kosinski, M., & Keller, S. D. (1995). SF-12: How to score the SF-12 physical and mental health summary scales (2nd ed.). Boston, MA: The Health Institute.Google Scholar
  24. Ware, J. E, Jr, Kosinski, M., & Keller, S. D. (1996). A 12-item short-form health survey: Construction of scales and preliminary tests of reliability and validity. Medical Care, 34(3), 220–233. doi: 10.1097/00005650-199603000-00003.CrossRefGoogle Scholar
  25. Warner, R., & Mandiberg, J. (2004). Changing the environment of schizophrenia at the community level. Australasian Psychiatry, 11(s1), s58–s64. doi: 10.1046/j.1038-5282.2003.02019.x.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media Dordrecht 2014

Authors and Affiliations

  • Kara Chan
    • 1
  • Sherrill Evans
    • 2
  • Marcus Yu-Lung Chiu
    • 3
  • Peter J. Huxley
    • 2
  • Yu-Leung Ng
    • 1
  1. 1.Department of Communication StudiesHong Kong Baptist UniversityKowloon TongHong Kong
  2. 2.Centre for Mental Health and SocietyBangor UniversityGwyneddUK
  3. 3.Department of Social Work, Faculty of Social SciencesNational University of SingaporeSingaporeSingapore

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