ArticleBMJ open2015
Mental illness, poverty and stigma in India: a case-control study.
Article in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.
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Who cites it
34 citing papers in PubMed, 1 synthesis or guideline pooled it, 109 citations in OpenAlex.
- A Systematic Review of Access to General Healthcare Services for People with Disabilities in Low and Middle Income Countries.International journal of environmental research and public health · 2018Pooled it
- Training sensory signal-to-noise resolution in children with ADHD in a global mental health setting.Translational psychiatry · 2016Trial
- Social inclusion of people with severe mental illness: a review of current practices, evidence and unmet needs, and future directions.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2026Article
- Change in Stigma Severity Following Psychiatric Hospitalisation: A Study of Associated Clinical Factors in an Indian Setting.Indian journal of psychological medicine · 2026Article
- The Population Neuroscience-Dementia Syndemics Framework to better understand global sex and gender-based risk in low- and middle-income countries.Nature aging · 2026Review
- Mental health literacy and preferences of health care for common mental disorders using case vignette, among adults residing in Puducherry, southern India: Community-based explanatory mixed-method study.Indian journal of psychiatry · 2025Article
- The effect of expanded access to mental health care on economic status of households with a person with a mental disorder in rural Ethiopia: a controlled before-after study.International journal of mental health systems · 2025Article
- Complex medical conditions and health risk behaviors among homeless males with schizophrenia.Narra J · 2025Article
- Internet chat based intervention as a mode for therapy and counselling.Global mental health (Cambridge, England) · 2025Article
- Examining risk and protective factors for mental health among school-going tribal adolescents in Meghalaya, India: Insights from the communities that care youth survey [CTC-YS].Indian journal of psychiatry · 2024Article
- Prevalence of common mental disorders and perspective toward mental health in an urban resettlement colony of Delhi, India: A mixed-method study.Journal of education and health promotion · 2024Article
- Quality of life, social support, and pathways of care among persons with psychiatric disorders-A cross-sectional study.Industrial psychiatry journal · 2023Article
- Article
- Exploring Community Mental Health Systems - A Participatory Health Needs and Assets Assessment in the Yamuna Valley, North India.International journal of health policy and management · 2022Article
- Multidimensional and intergenerational impact of Severe Mental Disorders.EClinicalMedicine · 2021Article
- The prevalence and independent influencing factors of obesity and underweight in patients with schizophrenia: a multicentre cross-sectional study.Eating and weight disorders : EWD · 2021Article
- Mental health in India: Neglected component of wellbeing in COVID-19 era.Asian journal of psychiatry · 2020Article
- Household poverty in people with severe mental illness in rural China: 1994-2015.BJPsych open · 2020Article
- A Qualitative Study Exploring the Lived Experience of Unemployment Among People with Severe Mental Illness.Indian journal of psychological medicine · 2020Article
- Effects of sedative-hypnotics on sleep quality among patients with insomnia: evidence from an observational, pre-post study in India.Health and quality of life outcomes · 2020Observational
Corrections and comments
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Authors and funding
9 authors at 5 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess the effect of experienced stigma on depth of multidimensional poverty of persons with severe mental illness (PSMI) in Delhi, India, controlling for gender, age and caste.
designMatching case (hospital)-control (population) study.
settingUniversity Hospital (cases) and National Capital Region (controls), India.
participantsA case-control study was conducted from November 2011 to June 2012. 647 cases diagnosed with schizophrenia or affective disorders were recruited and 647 individuals of same age, sex and location of residence were matched as controls at a ratio of 1:2:1. Individuals who refused consent or provided incomplete interview were excluded.
main outcome measuresHigher risk of poverty due to stigma among PSMI.
results38.5% of PSMI compared with 22.2% of controls were found poor on six dimensions or more. The difference in multidimensional poverty index was 69% between groups with employment and income of the main contributors. Multidimensional poverty was strongly associated with stigma (OR 2.60, 95% CI 1.27 to 5.31), scheduled castes/scheduled tribes/other backward castes (2.39, 1.39 to 4.08), mental illness (2.07, 1.25 to 3.41) and female gender (1.87, 1.36 to 2.58). A significant interaction between stigma, mental illness and gender or caste indicates female PSMI or PSMI from 'lower castes' were more likely to be poor due to stigma than male controls (p<0.001) or controls from other castes (p<0.001).
conclusionsPublic stigma and multidimensional poverty linked to SMI are pervasive and intertwined. In particular for low caste and women, it is a strong predictor of poverty. Exclusion from employment linked to negative attitudes and lack of income are the highest contributors to multidimensional poverty, increasing the burden for the family. Mental health professionals need to be aware of and address these issues.
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