The Influence of Stigma Perceptions on Employees’ Claims Experiences for Psychological Injuries: Re-Examination of a Cross-Sectional Survey among Australian Police and Emergency Service Personnel
Abstract
:1. Introduction
2. Method
2.1. Overview
2.2. Participants and Procedures
2.3. Measures
2.3.1. Compensation Claims Experiences
2.3.2. Stigmatising Mental Health Attitudes
2.4. Analysis Plan
3. Results
3.1. Sample Characteristics
3.2. Multiple Regression Models
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Employees Who Did Not Indicate Previous Claim (N = 13,013) | Employees with Claim History (1 or More) (N = 1855) | ||||||
---|---|---|---|---|---|---|---|
Variable | M/n | SD/% | M/n | SD/% | F/χ2 | p | w/g |
Age group (years, n, %) | 196.16 | <0.001 | 0.81 | ||||
<35 | 2883 | 22.2 | 176 | 9.5 | - | - | - |
35–44 | 3590 | 27.6 | 475 | 25.6 | - | - | - |
45–54 | 4369 | 33.6 | 795 | 42.9 | - | - | - |
≥55 | 2171 | 16.7 | 409 | 22.0 | - | - | - |
Gender (n, %) | 34.14 | <0.001 | 0.58 | ||||
Female | 5294 | 40.7 | 623 | 33.6 | - | - | - |
Male | 7719 | 59.3 | 1232 | 66.4 | - | - | - |
Sector (n, %) | 100.99 | <0.001 | 0.58 | ||||
Ambulance | 3050 | 23.4 | 423 | 22.8 | - | - | - |
Fire and Rescue | 2745 | 21.1 | 230 | 12.4 | - | - | - |
Police | 6911 | 53.1 | 1177 | 63.5 | - | - | - |
State Emergency Services | 307 | 2.4 | 25 | 1.3 | - | - | - |
Mental Health History (n, %) | |||||||
Previous diagnosis | 4496 | 34.6 | 1369 | 73.8 | 338.96 | <0.001 | 1.84 |
Condition currently present | 2412 | 18.5 | 941 | 50.7 | 103.80 | <0.001 | 0.72 |
Ever taken work stress leave | 3593 | 27.6 | 1410 | 76.0 | 1703.48 | <0.001 | 4.13 |
Self-stigma ◌ | |||||||
Shame | 0.27 | 1.05 | 0.29 | 1.07 | 0.32 | 0.571 | 0.02 |
Burden | 0.01 | 1.08 | 0.24 | 1.08 | 50.78 | <0.001 | 0.21 |
Experiences with others | −0.58 | 1.07 | −0.25 | 1.12 | 106.54 | <0.001 | 0.31 |
Personal Stigma | |||||||
Ignorance | −1.26 | 0.67 | −1.36 | 0.67 | 32.30 | <0.001 | 0.14 |
Perceived burden | −0.81 | 0.84 | −0.88 | 0.88 | 12.58 | <0.001 | 0.09 |
Workplace Stigma | |||||||
Perceived stigma | 0.25 | 0.79 | 0.54 | 0.82 | 223.23 | <0.001 | 0.37 |
Structural stigma | −1.39 | 0.88 | −1.46 | 0.91 | 10.74 | 0.001 | 0.08 |
Organisational commitment | 0.24 | 0.73 | −0.06 | 0.80 | 278.80 | <0.001 | 0.41 |
Employees with a Mental Health Condition (N = 4496) | Employees with Claim History (1 or More) (N = 1855) | ||||||
---|---|---|---|---|---|---|---|
Variable | M/n | SD/% | M/n | SD/% | F/χ2 | p | w/g |
Age group (years, n, %) | 140.40 | <0.001 | 0.68 | ||||
<35 | 894 | 19.9 | 176 | 9.5 | - | - | - |
35–44 | 1308 | 29.1 | 475 | 25.6 | - | - | - |
45–54 | 1592 | 35.4 | 795 | 42.9 | - | - | - |
≥55 | 702 | 15.6 | 409 | 22.0 | - | - | - |
Gender (n, %) | 121.40 | <0.001 | 1.10 | ||||
Female | 2189 | 48.7 | 623 | 33.6 | - | - | - |
Male | 2307 | 51.3 | 1232 | 66.4 | - | - | - |
Sector (n, %) | 99.42 | <0.001 | 0.58 | ||||
Ambulance | 1073 | 23.9 | 423 | 22.8 | - | - | - |
Fire and Rescue | 958 | 21.3 | 230 | 12.4 | - | - | - |
Police | 2338 | 52.0 | 1177 | 63.5 | - | - | - |
State Emergency Services | 127 | 2.8 | 25 | 1.3 | - | - | - |
Mental Health History (n, %) | |||||||
Previous diagnosis | 4496 | 100 | 1369 | 73.8 | 527.54 | <0.001 | 2.30 |
Condition currently present | 2412 | 53.6 | 941 | 50.7 | 97.58 | <0.001 | 0.99 |
Ever taken work stress leave | 2132 | 47.4 | 1410 | 76.0 | 435.18 | <0.001 | 2.09 |
Self-stigma ◌ | |||||||
Shame | 0.19 | 1.05 | 0.29 | 1.07 | 9.19 | 0.002 | 0.09 |
Burden | 0.04 | 1.08 | 0.24 | 1.08 | 40.12 | <0.001 | 0.19 |
Experiences with others | −0.51 | 1.07 | −0.25 | 1.12 | 64.85 | <0.001 | 0.25 |
Personal Stigma | |||||||
Ignorance | −1.43 | 0.62 | −1.36 | 0.67 | 15.20 | <0.001 | 0.11 |
Perceived burden | −1.01 | 0.82 | −0.88 | 0.88 | 29.88 | <0.001 | 0.15 |
Workplace Stigma | |||||||
Perceived stigma | 0.36 | 0.80 | 0.54 | 0.82 | 68.33 | <0.001 | 0.23 |
Structural stigma | −1.46 | 0.88 | −1.46 | 0.91 | 0.02 | 0.881 | 0.00 |
Organisational commitment | 0.14 | 0.75 | −0.06 | 0.80 | 88.18 | <0.001 | 0.26 |
Model | b | SE-b | Beta | Pearson r | sr | rs2 | p |
---|---|---|---|---|---|---|---|
Constant | 3.07 | 0.09 | |||||
Self-stigma—shame | −0.01 | 0.04 | −0.01 | 0.16 | −0.01 | 0.15 | 0.802 |
Self-stigma—burden | 0.08 | 0.04 | 0.06 | 0.23 | 0.05 | 0.30 | 0.063 |
Self-stigma—experiences with others ** | 0.12 | 0.04 | 0.10 | 00.28 | 0.08 | 0.45 | 0.002 |
Personal Stigma—ignorance | −0.10 | 0.06 | −0.05 | −0.08 | −0.04 | 0.03 | 0.130 |
Personal Stigma—perceived burden | −0.08 | 0.04 | −0.06 | −0.04 | −0.05 | 0.01 | 0.065 |
Workplace Stigma—perceived stigma *** | 0.20 | 0.05 | 0.13 | 0.29 | 0.12 | 0.48 | <0.001 |
Workplace Stigma—structural stigma | −0.05 | 0.04 | −0.03 | −0.09 | −0.04 | 0.04 | 0.181 |
Organisational Commitment *** | −0.40 | 0.05 | −0.25 | −0.36 | −0.23 | 0.73 | <0.001 |
Model | b | SE-b | Beta | Pearson r | sr | rs2 | p |
---|---|---|---|---|---|---|---|
Constant | 3.41 | 0.09 | |||||
Self-stigma—shame | 0.02 | 0.04 | 0.02 | 0.17 | 0.02 | 0.17 | 0.523 |
Self-stigma—burden | 0.05 | 0.04 | 0.04 | 0.22 | 0.03 | 0.26 | 0.226 |
Self-stigma—experiences with others ** | 0.10 | 0.04 | 0.09 | 0.26 | 0.07 | 0.39 | 0.008 |
Personal Stigma—ignorance * | −0.14 | 0.06 | −0.07 | −0.08 | −0.06 | 0.03 | 0.022 |
Personal Stigma—perceived burden | −0.03 | 0.04 | −0.02 | −0.01 | −0.02 | 0.01 | 0.529 |
Workplace Stigma—perceived stigma ** | 0.13 | 0.05 | 0.08 | 0.27 | 0.08 | 0.40 | 0.005 |
Workplace Stigma—structural stigma | −0.04 | 0.04 | −0.02 | −0.08 | −0.03 | 0.03 | 0.333 |
Organisational Commitment *** | −0.47 | 0.04 | −0.30 | −0.39 | −0.27 | 0.83 | <0.001 |
Model | b | SE-b | Beta | Pearson r | sr | rs2 | p |
---|---|---|---|---|---|---|---|
Constant | 1.94 | 0.05 | |||||
Self-stigma—shame | 0.01 | 0.02 | 0.02 | −0.14 | 0.01 | 0.10 | 0.619 |
Self-stigma—burden | 0.01 | 0.02 | 0.01 | −0.17 | 0.01 | 0.14 | 0.673 |
Self-stigma—experiences with others ** | −0.07 | 0.02 | −0.10 | −0.25 | −0.08 | 0.32 | 0.002 |
Personal Stigma—ignorance | 0.04 | 0.04 | 0.03 | 0.02 | 0.03 | 0.00 | 0.294 |
Personal Stigma—perceived burden | −0.01 | 0.03 | −0.01 | −0.04 | −0.01 | 0.01 | 0.816 |
Workplace Stigma—perceived stigma | −0.04 | 0.03 | −0.04 | −0.25 | −0.04 | 0.30 | 0.151 |
Workplace Stigma—structural stigma | −0.02 | 0.02 | −0.02 | 0.03 | −0.02 | 0.00 | 0.430 |
Organisational Commitment *** | 0.36 | 0.03 | 0.39 | 0.43 | 0.35 | 0.95 | <0.001 |
Model | b | SE-b | Beta | Pearson r | sr | rs2 | p |
---|---|---|---|---|---|---|---|
Constant | 2.20 | 0.08 | |||||
Self-stigma—shame | −0.00 | 0.03 | −0.00 | −0.14 | −0.00 | 0.12 | 0.974 |
Self-stigma—burden | −0.00 | 0.03 | −0.00 | −0.17 | −0.00 | 0.16 | 0.980 |
Self-stigma—experiences with others * | −0.08 | 0.03 | −0.08 | −0.24 | −0.07 | 0.31 | 0.014 |
Personal Stigma—ignorance | 0.08 | 0.05 | 0.04 | 0.02 | 0.04 | 0.00 | 0.166 |
Personal Stigma—perceived burden | −0.05 | 0.04 | −0.04 | −0.05 | −0.03 | 0.01 | 0.206 |
Workplace Stigma—perceived stigma | −0.03 | 0.04 | −0.02 | −0.22 | −0.02 | 0.28 | 0.413 |
Workplace Stigma—structural stigma | 0.04 | 0.03 | 0.03 | 0.07 | 0.03 | 0.03 | 0.249 |
Organisational Commitment *** | 0.51 | 0.04 | 0.36 | 0.41 | 0.33 | 0.94 | <0.001 |
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Sanatkar, S.; Bartlett, J.; Harvey, S.; Counson, I.; Lawrence, D. The Influence of Stigma Perceptions on Employees’ Claims Experiences for Psychological Injuries: Re-Examination of a Cross-Sectional Survey among Australian Police and Emergency Service Personnel. Int. J. Environ. Res. Public Health 2022, 19, 12438. https://doi.org/10.3390/ijerph191912438
Sanatkar S, Bartlett J, Harvey S, Counson I, Lawrence D. The Influence of Stigma Perceptions on Employees’ Claims Experiences for Psychological Injuries: Re-Examination of a Cross-Sectional Survey among Australian Police and Emergency Service Personnel. International Journal of Environmental Research and Public Health. 2022; 19(19):12438. https://doi.org/10.3390/ijerph191912438
Chicago/Turabian StyleSanatkar, Samineh, Jenn Bartlett, Samuel Harvey, Isabelle Counson, and David Lawrence. 2022. "The Influence of Stigma Perceptions on Employees’ Claims Experiences for Psychological Injuries: Re-Examination of a Cross-Sectional Survey among Australian Police and Emergency Service Personnel" International Journal of Environmental Research and Public Health 19, no. 19: 12438. https://doi.org/10.3390/ijerph191912438