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Assessment of mental health literacy using a multifaceted measure among a Chinese rural population

OBJECTIVES: The present study aims to assess mental health literacy (MHL) using a standardised multifaceted 20-item instrument called Mental Health Knowledge Questionnaire (MHKQ) developed by the Chinese Ministry of Health, among a rural Chinese population. SETTING: Four villages in Liuyang county o...

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Autores principales: Yu, Yu, Liu, Zi-wei, Hu, Mi, Liu, Xi-guang, Liu, Hui-ming, Yang, Joyce P, Zhou, Liang, Xiao, Shui-yuan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4606438/
https://www.ncbi.nlm.nih.gov/pubmed/26438139
http://dx.doi.org/10.1136/bmjopen-2015-009054
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author Yu, Yu
Liu, Zi-wei
Hu, Mi
Liu, Xi-guang
Liu, Hui-ming
Yang, Joyce P
Zhou, Liang
Xiao, Shui-yuan
author_facet Yu, Yu
Liu, Zi-wei
Hu, Mi
Liu, Xi-guang
Liu, Hui-ming
Yang, Joyce P
Zhou, Liang
Xiao, Shui-yuan
author_sort Yu, Yu
collection PubMed
description OBJECTIVES: The present study aims to assess mental health literacy (MHL) using a standardised multifaceted 20-item instrument called Mental Health Knowledge Questionnaire (MHKQ) developed by the Chinese Ministry of Health, among a rural Chinese population. SETTING: Four villages in Liuyang county of Hunan province, China. PARTICIPANTS: This was a cross-sectional study. A multistage cluster-sampling method was adopted, leading to a final sampling frame of 2377 residents aged 18–60 years from four villages of Liuyang county. Included in the study were residents aged 18–60 years living in their village for at least half a year; excluded were those not living in the areas during the research period, those with difficulty in communication due to serious physical or mental illness and those who were cognitively impaired or actively psychotic. Finally, 2052 participants completed the survey. PRIMARY AND SECONDARY OUTCOME MEASURES: Primary outcome was correct response rate of the MHKQ; secondary outcome measures were association between sociodemographics and MHL, and association between MHL and health outcomes. RESULTS: Correct response rates for the 20 MHKQ items ranged from 19% to 94%, with a mean rate of 58%. Younger age (r=−0.02, p<0.01), higher education (r: 1.38–2.69, p<0.01) and higher income (r=0.41, p<0.01), were independently associated with higher MHL. MHL was independently associated with self-rated general health (r=2.31, p<0.01), depression (r=−0.09, p<0.01) and anxiety (r=−0.07, p<0.05). CONCLUSIONS: MHL in the rural areas of Liuyang is lower than that reported in urban areas of China. There is much room for improvement with regard to MHL promotion in rural areas of China. Younger age, higher education and higher income are the three robust factors related to higher MHL, so cohort-specific educational intervention efforts may be indicated.
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spelling pubmed-46064382015-10-22 Assessment of mental health literacy using a multifaceted measure among a Chinese rural population Yu, Yu Liu, Zi-wei Hu, Mi Liu, Xi-guang Liu, Hui-ming Yang, Joyce P Zhou, Liang Xiao, Shui-yuan BMJ Open Mental Health OBJECTIVES: The present study aims to assess mental health literacy (MHL) using a standardised multifaceted 20-item instrument called Mental Health Knowledge Questionnaire (MHKQ) developed by the Chinese Ministry of Health, among a rural Chinese population. SETTING: Four villages in Liuyang county of Hunan province, China. PARTICIPANTS: This was a cross-sectional study. A multistage cluster-sampling method was adopted, leading to a final sampling frame of 2377 residents aged 18–60 years from four villages of Liuyang county. Included in the study were residents aged 18–60 years living in their village for at least half a year; excluded were those not living in the areas during the research period, those with difficulty in communication due to serious physical or mental illness and those who were cognitively impaired or actively psychotic. Finally, 2052 participants completed the survey. PRIMARY AND SECONDARY OUTCOME MEASURES: Primary outcome was correct response rate of the MHKQ; secondary outcome measures were association between sociodemographics and MHL, and association between MHL and health outcomes. RESULTS: Correct response rates for the 20 MHKQ items ranged from 19% to 94%, with a mean rate of 58%. Younger age (r=−0.02, p<0.01), higher education (r: 1.38–2.69, p<0.01) and higher income (r=0.41, p<0.01), were independently associated with higher MHL. MHL was independently associated with self-rated general health (r=2.31, p<0.01), depression (r=−0.09, p<0.01) and anxiety (r=−0.07, p<0.05). CONCLUSIONS: MHL in the rural areas of Liuyang is lower than that reported in urban areas of China. There is much room for improvement with regard to MHL promotion in rural areas of China. Younger age, higher education and higher income are the three robust factors related to higher MHL, so cohort-specific educational intervention efforts may be indicated. BMJ Publishing Group 2015-10-05 /pmc/articles/PMC4606438/ /pubmed/26438139 http://dx.doi.org/10.1136/bmjopen-2015-009054 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
spellingShingle Mental Health
Yu, Yu
Liu, Zi-wei
Hu, Mi
Liu, Xi-guang
Liu, Hui-ming
Yang, Joyce P
Zhou, Liang
Xiao, Shui-yuan
Assessment of mental health literacy using a multifaceted measure among a Chinese rural population
title Assessment of mental health literacy using a multifaceted measure among a Chinese rural population
title_full Assessment of mental health literacy using a multifaceted measure among a Chinese rural population
title_fullStr Assessment of mental health literacy using a multifaceted measure among a Chinese rural population
title_full_unstemmed Assessment of mental health literacy using a multifaceted measure among a Chinese rural population
title_short Assessment of mental health literacy using a multifaceted measure among a Chinese rural population
title_sort assessment of mental health literacy using a multifaceted measure among a chinese rural population
topic Mental Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4606438/
https://www.ncbi.nlm.nih.gov/pubmed/26438139
http://dx.doi.org/10.1136/bmjopen-2015-009054
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