Cover: Differential Association of Stigma with Perceived Need and Mental Health Service Use

Differential Association of Stigma with Perceived Need and Mental Health Service Use

Published in: The Journal of Nervous and Mental Disease, Volume 206, Issue 6 (June 2018), Pages 461-468. doi: 10.1097/NMD.000000000000083

Posted on Jun 13, 2018

by Eunice C. Wong, Rebecca L. Collins, Joshua Breslau, M. Audrey Burnam, Matthew Cefalu, Elizabeth Roth

This study examined the role of stigma at two stages of the treatment-seeking process by assessing associations between various types of stigma and perceived need for mental health treatment as well as actual treatment use. We analyzed cross-sectional data from the 2014 and 2016 California Well-Being Survey, a telephone survey with a representative sample of 1954 California residents with probable mental illness. Multivariable logistic regression indicated that perceived need was associated with less negative beliefs about mental illness (odds ratio [OR] = 0.72; 95% confidence interval [CI] = 0.54, 0.95) and greater intentions to conceal a mental illness (OR = 1.47; 95% CI = 1.12-1.92). Among respondents with perceived need, treatment use was associated with greater mental health knowledge/advocacy (OR = 1.63; 95% CI = 1.03-2.56) and less negative treatment attitudes (OR = 0.66; 95% CI = 0.43-1.00). Understanding which aspects of stigma are related to different stages of the help-seeking process is essential to guiding policy and program initiatives aimed at ensuring individuals with mental illness obtain needed mental health services.

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