Evidence map›Paper›PMID 25496296›Full record

Trial reportBMC psychiatry2014

Differential experiences of discrimination among ethnoracially diverse persons experiencing mental illness and homelessness.

Suzanne Zerger, Sarah Bacon, Simon Corneau, Anna Skosireva, Kwame McKenzie, Susan Gapka, Patricia O'Campo, Aseefa Sarang, Vicky Stergiopoulos

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC psychiatry, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Suzanne ZergerCentre for Research on Inner City Health, Li KaShing Knowledge Institute of St. Michael's Hospital, 209 Victoria Street, Toronto, Ontario, M5C 1N8, Canada. zergers@smh.ca.
Sarah BaconCentre for Research on Inner City Health, Li KaShing Knowledge Institute of St. Michael's Hospital, 209 Victoria Street, Toronto, Ontario, M5C 1N8, Canada. sarah.bacon@mail.utoronto.ca.
Simon CorneauUniversité du Québec à Montréal, 405 Rue Sainte-Catherine Est, Montréal, Québec, H2L 2C4, Canada. Simon.corneau@gmail.com.
Anna SkosirevaCentre for Research on Inner City Health, Li KaShing Knowledge Institute of St. Michael's Hospital, 209 Victoria Street, Toronto, Ontario, M5C 1N8, Canada. Skosanna@gmail.com.
Kwame McKenzieHealth Services and Health Equity Research, Centre for Addiction and Mental Health, 250 College Street, Toronto, ON, M5T 1R8, Canada. Kwame.McKenzie@camh.ca.
Susan GapkaCentre for Research on Inner City Health, Li KaShing Knowledge Institute of St. Michael's Hospital, 209 Victoria Street, Toronto, Ontario, M5C 1N8, Canada. susangapka@yahoo.ca.
Patricia O'CampoCentre for Research on Inner City Health, Li KaShing Knowledge Institute of St. Michael's Hospital, 209 Victoria Street, Toronto, Ontario, M5C 1N8, Canada. O'CampoP@smh.ca.
Aseefa SarangAcross Boundaries: An Ethno-racial Mental Health Centre, 51 Clarkson Ave, Toronto (Ontario), M6E 2T5, Canada. aseefa@acrossboundaries.ca.
Vicky StergiopoulosCentre for Research on Inner City Health, Li KaShing Knowledge Institute of St. Michael's Hospital, 209 Victoria Street, Toronto, Ontario, M5C 1N8, Canada. StergiopoulosV@smh.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis mixed methods study explored the characteristics of and experiences with perceived discrimination in an ethnically diverse urban sample of adults experiencing homelessness and mental illness.

methodsData were collected in Toronto, Ontario, as part of a 4-year national randomized field trial of the Housing First treatment model. Rates of perceived discrimination were captured from survey questions regarding perceived discrimination among 231 ethnoracially diverse participants with moderate mental health needs. The qualitative component included thirty six in-depth interviews which explored how individuals who bear these multiple identities of oppression navigate stigma and discrimination, and what affects their capacity to do so.

resultsQuantitative analysis revealed very high rates of perceived discrimination related to: homelessness/poverty (61.5%), race/ethnicity/skin colour (50.6%) and mental illness/substance use (43.7%). Immigrants and those who had been homeless three or more years reported higher perceived discrimination on all three domains. Analysis of qualitative interviews revealed three common themes related to navigating these experiences of discrimination among participants: 1) social distancing; 2) old and new labels/identities; and, 3) 'homeland' cultures.

conclusionsThese study findings underscore poverty and homelessness as major sources of perceived discrimination, and expose underlying complexities in the navigation of multiple identities in responding to stigma and discrimination.

trial registrationCurrent Controlled Trials ISRCTN42520374 . Registered 18 August 2009.

Indexed as

AdultEthnicityFemaleHumansIll-Housed PersonsMaleMental DisordersMiddle AgedOntarioPsychological DistanceRacial GroupsRacismSocial StigmaYoung Adult

Identifiers

PMID25496296
PMCPMC4275956

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.