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Social Psychiatry and Psychiatric Epidemiology
Published in: Social Psychiatry and Psychiatric Epidemiology 12/2020

01-12-2020 | Schizophrenia | Original Paper

Schizophrenia, social support, caregiving burden and household poverty in rural China

Authors: Yue-Hui Yu, Man-Man Peng, Xue Bai, Wei Luo, Xin Yang, Jun Li, Bo Liu, Graham Thornicroft, Cecilia Lai Wan Chan, Mao-Sheng Ran

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 12/2020

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Abstract

Purpose

Household poverty associated with schizophrenia has been long described. However, the mechanisms by which schizophrenia may have influenced the economic status of a household in rural communities are still unclear. This study aimed to test an integrated model of schizophrenia, social support and caregiving burden on household poverty in a rural community in China.

Methods

A mental health survey using identical methods and ICD-10 was conducted in six townships of Xinjin County (population ≥ 15 years old, n = 152,776), Chengdu, China in 2015. Identified persons with schizophrenia (n = 661) and their caregivers completed a joint questionnaire of sociodemographic information, illness conditions, social support and caregiving burden. Descriptive analysis was applied first to give an overview of the dataset. Then, multivariable regression analyses were conducted to examine the associative factors of social support, caregiving burden and household income. Then, structural equation modeling (SEM) was used to estimate the integrated model of schizophrenia, social support, caregiving burden and household income.

Results

Households with patient being female, married, able to work and having better social function were better off. Larger household size, higher social support and lower caregiving burden also had salient association with higher household income. The relationship between schizophrenia and household poverty appeared to be mediated by the impacts of schizophrenia on social support and caregiving burden.

Conclusion

There was a strong association between schizophrenia and household poverty, in which social support and caregiving burden may had played significant roles on mediating it. More precise poverty alleviation policies and interventions should focus on supporting recovery for persons with schizophrenia, as well as on increasing social support and on reducing family caregiving burden.
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Metadata
Title
Schizophrenia, social support, caregiving burden and household poverty in rural China
Authors
Yue-Hui Yu
Man-Man Peng
Xue Bai
Wei Luo
Xin Yang
Jun Li
Bo Liu
Graham Thornicroft
Cecilia Lai Wan Chan
Mao-Sheng Ran
Publication date
01-12-2020
Publisher
Springer Berlin Heidelberg
Keyword
Schizophrenia
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 12/2020
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-020-01864-2

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