A - cross-cultural study of employers' concerns about hiring people with psychotic disorder : - implications for recovery

Submitted by James Miller on Sun, 02/22/2009 - 13:33
James Miller's picture
TitleA - cross-cultural study of employers' concerns about hiring people with psychotic disorder : - implications for recovery
Publication TypeJournal Article
Year of Publication2007
AuthorsTsang, H. W. H.(1), Angell B., Corrigan P. W.(3), Lee Y. - T.(4), Shi K., Lam C. S.(3), Jin S., & Fung K. M. T.(1)
JournalSocial psychiatry and psychiatric epidemiology (Print)
Volume42
Pagination723
Date Published2007
PublisherSpringer
ISBN Number0933-7954
KeywordsActitud, America, America del norte, Analyse qualitative, Anlisis cualitativo, Asia, Attitude, Belief, China, Chine, Contexto cultural, Contexto social, Contratacin personal, Creencia, cross-cultural differences, Crosscultural study, Croyance, Cultural environment, Discriminacin, Discrimination, Embauche, Empleo, Emploi, Employeur, Employment, Environnement social, Estados Unidos, Estigma, Estudio multicntrico, Estudio transcultural, Etats Unis, Etude multicentrique, Etude transculturelle, French:: - Asie, Hiring, Hombre, Homme, Human, lay theory, Mental health, Milieu culturel, Multicenter study, North America, Psicosis, Psychose, Psychosis, psychotic disorder, Public health, Qualitative analysis, recovery, Remisin, Remission, Rmission, Salud mental, Salud pblica, Sant mentale, Sant publique, Social environment, Spanish:: - Asia, Stigma, Stigmate, Thorie profane, United States
Abstract

Introduction Employment discrimination is considered as a major impediment to community integration for people with serious mental illness, yet little is known about how the problem manifests differently across western and non-western societies. We developed a lay model based on Chinese beliefs and values in terms of Confucianism, Taoism, Buddhism, and folk religions which may be used to explain cross-cultural variation in mental illness stigma, particularly in the arena of employment discrimination. In this study, we tested this lay approach by comparing employers' concerns about hiring people with psychotic disorder for entry-level jobs in US - and China. Method One hundred employers (40 from Chicago, 30 from Hong Kong, and 30 from Beijing) were randomly recruited from small size firms and interviewed by certified interviewers using a semi-structured interview guide designed for this study. Content analysis was used to derive themes, which in turn were compared across the three sites using chi-square tests. Results Analyses reveal that employers express a range of concerns about hiring an employee with mental illness. Although some concerns were raised with equal frequency across sites, comparisons showed that, relative to US - employers, Chinese employers were significantly more likely to perceive that people with mental illness would exhibit a weaker work ethic and less loyalty to the company. Comparison of themes also suggests that employers in China were more people-oriented while employers in US - were more task-oriented. Conclusion Cultural differences existed among employers which supported the lay theory of mental illness.