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BMC Public Health. 2016 Feb 9;16:127. doi: 10.1186/s12889-016-2815-5.

Attitudes and intended behaviour to mental disorders and associated factors in catalan population, Spain: cross-sectional population-based survey.

Author information

1
Teaching, Research & Innovation Unit, Fundació Sant Joan de Déu, Esplugues de Llobregat, Spain. i.aznar@pssjd.org.
2
Primary Care Prevention and Health Promotion Research Network (redIAPP), Barcelona, Spain. i.aznar@pssjd.org.
3
Teaching, Research & Innovation Unit, Fundació Sant Joan de Déu, Esplugues de Llobregat, Spain. aserrano@pssjd.org.
4
Primary Care Prevention and Health Promotion Research Network (redIAPP), Barcelona, Spain. aserrano@pssjd.org.
5
Primary Care Prevention and Health Promotion Research Network (redIAPP), Barcelona, Spain. ana.fernandez@sydney.edu.au.
6
Mental Health Policy Unit, The Brain and Mind Research Institute; and Centre for Disability Research and Policy, Faculty of Health Sciences, University of Sydney, Sydney, Australia. ana.fernandez@sydney.edu.au.
7
Teaching, Research & Innovation Unit, Fundació Sant Joan de Déu, Esplugues de Llobregat, Spain. jvluciano@pssjd.org.
8
Primary Care Prevention and Health Promotion Research Network (redIAPP), Barcelona, Spain. jvluciano@pssjd.org.
9
Teaching, Research & Innovation Unit, Fundació Sant Joan de Déu, Esplugues de Llobregat, Spain. mrubio@pssjd.org.
10
Primary Care Prevention and Health Promotion Research Network (redIAPP), Barcelona, Spain. mrubio@pssjd.org.
11
School of Pharmacy, University of Barcelona, Barcelona, Spain. mrubio@pssjd.org.

Abstract

BACKGROUND:

Mental disorders have a huge impact on the European population. Two of the main causes of this impact are stigma and discrimination. The aim of this paper is to assess the stigma regarding mental disorder in Catalonia and to explore factors associated with stigma.

METHODS:

Cross-sectional population-based survey of a representative sample of non-institutionalized adult population (n = 1872). We evaluated attitudes (CAMI: Authoritarianism, Benevolence and Support to Community Mental Health care) and intended behaviour (RIBS) regarding mental disorder and experience of discrimination. Higher scores showed more favourable attitudes and intended behavior. Mean values and percentiles of the scales were calculated. Multivariable regression models were used to assess factors associated with stigma.

RESULTS:

Mean authoritarianism, benevolence and support to community mental health scores corresponded to the 66th, 90th and 78th percentile, respectively. Mean RIBS score corresponded to the 76th percentile. More favourable attitudes were associated with being male, younger, having a higher education, being Spanish, having suffered a mental disorder and having contact with a person with a mental disorder.Similarly, more favourable intended behaviour was associated with being younger, having secondary education, having Spanish nationality, belonging to a higher social class and having contact with a person with a mental disorder. People with depression or anxiety showed lower discrimination experiences than people with other mental disorders.

CONCLUSIONS:

The levels of stigma were generally low among the Catalan population. However, efforts should be made to decrease stigma related to authoritarianism. Interventions addressed to reducing stigma should take into account other mental disorders apart from depression or anxiety. They should be focused on older, immigrant population, people with lower educational attainment and people who have not had contact with someone with a mental disorder.

PMID:
26861632
PMCID:
PMC4746776
DOI:
10.1186/s12889-016-2815-5
[Indexed for MEDLINE]
Free PMC Article

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