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Regional differences in mental health stigma—Analysis of nationally representative data from the Health Survey for England, 2014

BACKGROUND: Mental health stigma persists despite coordinated and widely-evaluated interventions. Socioeconomic, structural, and regional context may be important in shaping attitudes to mental illness, and response to stigma interventions. Regional differences in attitudes towards mental illness co...

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Autores principales: Bhavsar, Vishal, Schofield, Peter, Das-Munshi, Jayati, Henderson, Claire
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6342445/
https://www.ncbi.nlm.nih.gov/pubmed/30668597
http://dx.doi.org/10.1371/journal.pone.0210834
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author Bhavsar, Vishal
Schofield, Peter
Das-Munshi, Jayati
Henderson, Claire
author_facet Bhavsar, Vishal
Schofield, Peter
Das-Munshi, Jayati
Henderson, Claire
author_sort Bhavsar, Vishal
collection PubMed
description BACKGROUND: Mental health stigma persists despite coordinated and widely-evaluated interventions. Socioeconomic, structural, and regional context may be important in shaping attitudes to mental illness, and response to stigma interventions. Regional differences in attitudes towards mental illness could be relevant for intervention, but have not been systematically explored. We evaluated regional variation in mental health stigma using nationally representative data from England, the Health Survey for England (HSE), from 2014. METHODS: A previously derived scale for mental health-related attitudes with 2 factors (i. tolerance and support, ii. prejudice and exclusion), and overall attitudes, were outcomes. Weighted linear regressions estimated contribution of individual characteristics and region of residence to inter-individual variability in mental health-related attitudes. RESULTS: London and southern regions tended to have more negative mental health-related attitudes. These differences were not fully or consistently explained by individual sociodemographic characteristics, or personal familiarity with mental illness. CONCLUSIONS: Stigma policies could require refinements based on geographic setting. Regions may be in particular need of stigma interventions, or be more resistant to them. Regional differences might be related to media coverage of mental illness, funding differences, service availability, or accessibility of educational opportunities. Greater geographic detail is necessary to examine reasons for regional variation in stigmatizing attitudes towards people with mental illness, for example through multilevel analysis.
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spelling pubmed-63424452019-02-01 Regional differences in mental health stigma—Analysis of nationally representative data from the Health Survey for England, 2014 Bhavsar, Vishal Schofield, Peter Das-Munshi, Jayati Henderson, Claire PLoS One Research Article BACKGROUND: Mental health stigma persists despite coordinated and widely-evaluated interventions. Socioeconomic, structural, and regional context may be important in shaping attitudes to mental illness, and response to stigma interventions. Regional differences in attitudes towards mental illness could be relevant for intervention, but have not been systematically explored. We evaluated regional variation in mental health stigma using nationally representative data from England, the Health Survey for England (HSE), from 2014. METHODS: A previously derived scale for mental health-related attitudes with 2 factors (i. tolerance and support, ii. prejudice and exclusion), and overall attitudes, were outcomes. Weighted linear regressions estimated contribution of individual characteristics and region of residence to inter-individual variability in mental health-related attitudes. RESULTS: London and southern regions tended to have more negative mental health-related attitudes. These differences were not fully or consistently explained by individual sociodemographic characteristics, or personal familiarity with mental illness. CONCLUSIONS: Stigma policies could require refinements based on geographic setting. Regions may be in particular need of stigma interventions, or be more resistant to them. Regional differences might be related to media coverage of mental illness, funding differences, service availability, or accessibility of educational opportunities. Greater geographic detail is necessary to examine reasons for regional variation in stigmatizing attitudes towards people with mental illness, for example through multilevel analysis. Public Library of Science 2019-01-22 /pmc/articles/PMC6342445/ /pubmed/30668597 http://dx.doi.org/10.1371/journal.pone.0210834 Text en © 2019 Bhavsar et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Bhavsar, Vishal
Schofield, Peter
Das-Munshi, Jayati
Henderson, Claire
Regional differences in mental health stigma—Analysis of nationally representative data from the Health Survey for England, 2014
title Regional differences in mental health stigma—Analysis of nationally representative data from the Health Survey for England, 2014
title_full Regional differences in mental health stigma—Analysis of nationally representative data from the Health Survey for England, 2014
title_fullStr Regional differences in mental health stigma—Analysis of nationally representative data from the Health Survey for England, 2014
title_full_unstemmed Regional differences in mental health stigma—Analysis of nationally representative data from the Health Survey for England, 2014
title_short Regional differences in mental health stigma—Analysis of nationally representative data from the Health Survey for England, 2014
title_sort regional differences in mental health stigma—analysis of nationally representative data from the health survey for england, 2014
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6342445/
https://www.ncbi.nlm.nih.gov/pubmed/30668597
http://dx.doi.org/10.1371/journal.pone.0210834
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