Stigma-related mental health knowledge and attitudes among primary health workers and community health volunteers in rural Kenya

Mutiso, Victoria; Musyimi, Christine; Nayak, Sameera S.; Musau, Abednego; Rebello, Tahilia J.; Nandoya, Erick; Tele, Albert; Pike, Kathleen M.; Ndetei, David M.

doi:10.1177/0020764017716953

Cited by 31 publications

(23 citation statements)

References 43 publications

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“…However, research on care seeking behavior and public stigma around mental illness in rural communities is limited and narrow in scope (Polaha et al, 2015;Stewart et al, 2015). Several studies have been done on the topic in other countries (Maulik et al, 2017;Mutiso et al, 2017;Tam Ta et al, 2016). These studies do corroborate increased stigma among rural populations, but the implications lack generalizability in the United States.…”

Section: Rural Stigma Around Mental Illnessmentioning

confidence: 99%

The Role of Rural and Urban Geography and Gender in Community Stigma Around Mental Illness

et al. 2020

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Empirical evidence describes the negative outcomes people with mental health disorders experience due to societal stigma. The aim of this study was to examine the role of gender and rural-urban living in perceptions about mental illness. Participants completed the Day’s Mental Illness Stigma Scale, a nationally validated instrument for measuring stigma. Directors of Chambers of Commerce in North Dakota distributed the electronic survey to their members. Additionally, distribution occurred through use of social media and other snowball sampling approaches. Analysis of data gathered from 749 participants occurred through examination of the difference in perceptions based on geography and gender. The zip codes of residence were sorted to distinguish between rural and urban participants. Application of weighting measures ensured closer alignment with the general population characteristics. Findings indicate that for the majority of the seven stigma measures the Day’s Mental Illness Stigma Scale examines, the coefficient of rural–gender interactions was positive and highly significant with higher levels of stigma in rural areas. Females exhibited lower stigma perceptions than males. However, women living in rural areas held higher degrees of stigma compared to urban residing females. Implications of the study include the need to advance mental health literacy campaigns for males and people residing in rural communities. Additional empirical studies that examine the role of geography and gender in understanding stigma toward people with mental health disorders will result in improved treatment outcomes due to increased and focused educational efforts.

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Section: Rural Stigma Around Mental Illnessmentioning

confidence: 99%

The Role of Rural and Urban Geography and Gender in Community Stigma Around Mental Illness

et al. 2020

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“…For example, the collaborations with different sectors could increase the detection of mental disorders and improve the mental health care delivery. What is more, sharing similar community culture with mentally ill persons, care assistant workers can handle certain health challenges and act as additional supporters for caregivers [14,15].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of an anti-stigma training on improving attitudes and decreasing discrimination towards people with mental disorders among care assistant workers in Guangzhou, China

Fan

Zhong

et al. 2019

Int J Ment Health Syst

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Background: Care assistant workers as a new pattern of care providers in China play an important role in bridging the mental health treatment gap. Stigma and discrimination against people with mental disorders among care assistant workers is a barrier which adversely influences mental health service delivery. However, programs aimed at reducing stigma among care assistant workers are rare in China. Methods: A total of 293 care assistant workers from four districts of Guangzhou, China were randomly divided into an intervention group (n = 139) and a control group (n = 154). The intervention group received anti-stigma training and the control group received traditional mental health training. Both trainings lasted for 3 h. Participants were measured before and after training using Perceived Devaluation and Discrimination Scale (PDD), Mental illness: Clinicians' Attitudes (MICA) and Mental Health Knowledge Schedule (MAKS). Data were analyzed by descriptive statistics, t-test, Chi square test or Fisher's exact test. Multilinear regression models were performed to calculate adjusted regression coefficient of the intervention on PPD, MAKS, and MICA. Results: There were significant lower scores on PDD and MICA in the intervention group after training when compared with the control group (both P < 0.001). No significant difference was found on MAKS total score between the two groups after training (P = 0.118). Both groups had better correct identification of schizophrenia, depression and bipolar disorder before and after training. Conclusions: These findings suggest that anti-stigma training may be effective in reducing the perception of devaluation-discrimination against people with mental illness and decreasing the level of negative stigma-related mental health attitudes among care assistant workers.

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“…Most evidence suggests stigma and distrust to psychiatric treatment as the most important factors influencing the delay [ 9 ]. Studies suggest that stigma-related MH knowledge is associated with attitudes towards MH problems, so an intervention in this area could improve the access [ 10 ]. Internalized Sigma of Mental Illness (ISMI) is correlated with higher depression, lower self-esteem, and higher symptom severity [ 11 ] and initial evidence shows that stigma could be a factor contributing to suicidality [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Factors that influence access to mental health services in South-Eastern Europe

Tirintica

Andjelkovic²,

Sota³

et al. 2018

Int J Ment Health Syst

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IntroductionAccess to mental health (MH) services is unequal worldwide and changes are required in this respect.ObjectivesOur aim was to identify the delay to the first psychiatry consult and to understand patients’ characteristics and perspectives on the factors that may influence the delay, among a sample of participants from three Southeastern European Countries.Materials and methodsThe WHO Pathway Encounter Form questionnaire was applied in 400 patients “new cases” and a questionnaire on the factors influencing the access was administered to the same patients, as well as to their caretakers and MH providers.Result and discussionsThe average profile of the patient “new case” was: married female older than 40 years, with an average economic status and no MH history. The mean delay was up to 3 months and the most important factors that were influencing the delay were stigma and lack of knowledge regarding MH problems and available current treatments.ConclusionsFuture policies trying to improve the access to psychiatric care should focus on increasing awareness about MH problems in the general population.

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Stigma-related mental health knowledge and attitudes among primary health workers and community health volunteers in rural Kenya

Cited by 31 publications

References 43 publications

The Role of Rural and Urban Geography and Gender in Community Stigma Around Mental Illness

The Role of Rural and Urban Geography and Gender in Community Stigma Around Mental Illness

Effectiveness of an anti-stigma training on improving attitudes and decreasing discrimination towards people with mental disorders among care assistant workers in Guangzhou, China

Factors that influence access to mental health services in South-Eastern Europe

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