View in EDS HTML Full Text PDF Full Text

Geographic distribution and determinants of mental health stigma in central Mozambique.

Saved in:
Bibliographic Details
Title: Geographic distribution and determinants of mental health stigma in central Mozambique.
Authors: Zhang, Yue (AUTHOR), Augusto, Orvalho (AUTHOR), Ásbjörnsdóttir, Kristjana (AUTHOR), Akullian, Adam (AUTHOR), Cumbe, Vasco (AUTHOR), Rao, Deepa (AUTHOR), Gimbel, Sarah (AUTHOR), Sherr, Kenneth (AUTHOR), Wagenaar, Bradley H. (AUTHOR), with input from the INCOMAS Study Team (AUTHOR), Manuel, João Luis (AUTHOR), Hicks, Leecreesha (AUTHOR), Mahumane, Arlete (AUTHOR), Pfeiffer, James (AUTHOR), Gloyd, Stephen (AUTHOR), Cuembelo, Fatima (AUTHOR), Nhumba, Miguel (AUTHOR), Lequechane, Joaquim (AUTHOR), Covele, Alfredo (AUTHOR), Napua, Manuel (AUTHOR)
Source: Social Psychiatry & Psychiatric Epidemiology. Nov2019, Vol. 54 Issue 11, p1391-1410. 20p.
Subjects: Social stigma, Health attitudes, Mental health, Social surveys, Geographic spatial analysis, Bivariate analysis
Geographic Terms: Mozambique
Abstract: Purpose: This study describes patterns of community-level stigmatizing attitudes towards mental illness (MI) in central Mozambique.Methods: Data for this study come from a representative community household survey of 2933 respondents ≥ 18 years old in Manica and Sofala Provinces, Mozambique. Six MI stigma questions represented primary research outcomes. Bivariate and multivariable analyses examined the relationship between key explanatory factors and each stigma question. Spatial analyses analyzed the smoothed geographic distribution of responses to each question and explored the association between geographic location and MI stigma controlling for individual-level socio-demographic factors.Results: Stigmatizing attitudes towards MI are prevalent in central Mozambique. Analyses showed that males, people who live in urban places, divorced and widowed individuals, people aged 18-24, people with lower education, people endorsing no religion, and people in lower wealth quintiles tended to have significantly higher levels of stigmatizing attitudes towards MI. Individuals reporting depressive symptoms scored significantly higher on stigmatizing questions, potentially indicating internalized stigma. Geographic location is significantly associated with people's response to five of the stigma questions even after adjusting for individual-level factors.Conclusion: Stigmatizing attitudes towards MI are common in central Mozambique and concentrated amongst specific socio-demographic groups. However, geographic analyses suggest that structural factors within communities and across regions may bear a greater influence on MI stigma than individual-level factors alone. Further implementation science should consider focusing on identifying the most significant modifiable structural factors associated with MI stigma in LMICs to inform the development, testing, and optimization of multi-level stigma prevention interventions. [ABSTRACT FROM AUTHOR]
Copyright of Social Psychiatry & Psychiatric Epidemiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 139654976
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Geographic distribution and determinants of mental health stigma in central Mozambique.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Zhang%2C+Yue%22">Zhang, Yue</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Augusto%2C+Orvalho%22">Augusto, Orvalho</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ásbjörnsdóttir%2C+Kristjana%22">Ásbjörnsdóttir, Kristjana</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Akullian%2C+Adam%22">Akullian, Adam</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Cumbe%2C+Vasco%22">Cumbe, Vasco</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rao%2C+Deepa%22">Rao, Deepa</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gimbel%2C+Sarah%22">Gimbel, Sarah</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Sherr%2C+Kenneth%22">Sherr, Kenneth</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wagenaar%2C+Bradley+H%2E%22">Wagenaar, Bradley H.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22with+input+from+the+INCOMAS+Study+Team%22">with input from the INCOMAS Study Team</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Manuel%2C+João+Luis%22">Manuel, João Luis</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hicks%2C+Leecreesha%22">Hicks, Leecreesha</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mahumane%2C+Arlete%22">Mahumane, Arlete</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Pfeiffer%2C+James%22">Pfeiffer, James</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gloyd%2C+Stephen%22">Gloyd, Stephen</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Cuembelo%2C+Fatima%22">Cuembelo, Fatima</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Nhumba%2C+Miguel%22">Nhumba, Miguel</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lequechane%2C+Joaquim%22">Lequechane, Joaquim</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Covele%2C+Alfredo%22">Covele, Alfredo</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Napua%2C+Manuel%22">Napua, Manuel</searchLink> (AUTHOR)
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22Social+Psychiatry+%26+Psychiatric+Epidemiology%22">Social Psychiatry & Psychiatric Epidemiology</searchLink>. Nov2019, Vol. 54 Issue 11, p1391-1410. 20p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Social+stigma%22">Social stigma</searchLink><br /><searchLink fieldCode="DE" term="%22Health+attitudes%22">Health attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health%22">Mental health</searchLink><br /><searchLink fieldCode="DE" term="%22Social+surveys%22">Social surveys</searchLink><br /><searchLink fieldCode="DE" term="%22Geographic+spatial+analysis%22">Geographic spatial analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Bivariate+analysis%22">Bivariate analysis</searchLink>
– Name: SubjectGeographic
  Label: Geographic Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Mozambique%22">Mozambique</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: <bold>Purpose: </bold>This study describes patterns of community-level stigmatizing attitudes towards mental illness (MI) in central Mozambique.<bold>Methods: </bold>Data for this study come from a representative community household survey of 2933 respondents ≥ 18 years old in Manica and Sofala Provinces, Mozambique. Six MI stigma questions represented primary research outcomes. Bivariate and multivariable analyses examined the relationship between key explanatory factors and each stigma question. Spatial analyses analyzed the smoothed geographic distribution of responses to each question and explored the association between geographic location and MI stigma controlling for individual-level socio-demographic factors.<bold>Results: </bold>Stigmatizing attitudes towards MI are prevalent in central Mozambique. Analyses showed that males, people who live in urban places, divorced and widowed individuals, people aged 18-24, people with lower education, people endorsing no religion, and people in lower wealth quintiles tended to have significantly higher levels of stigmatizing attitudes towards MI. Individuals reporting depressive symptoms scored significantly higher on stigmatizing questions, potentially indicating internalized stigma. Geographic location is significantly associated with people's response to five of the stigma questions even after adjusting for individual-level factors.<bold>Conclusion: </bold>Stigmatizing attitudes towards MI are common in central Mozambique and concentrated amongst specific socio-demographic groups. However, geographic analyses suggest that structural factors within communities and across regions may bear a greater influence on MI stigma than individual-level factors alone. Further implementation science should consider focusing on identifying the most significant modifiable structural factors associated with MI stigma in LMICs to inform the development, testing, and optimization of multi-level stigma prevention interventions. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Social Psychiatry & Psychiatric Epidemiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=139654976
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1007/s00127-019-01708-8
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 20
        StartPage: 1391
    Subjects:
      – SubjectFull: Social stigma
        Type: general
      – SubjectFull: Health attitudes
        Type: general
      – SubjectFull: Mental health
        Type: general
      – SubjectFull: Social surveys
        Type: general
      – SubjectFull: Geographic spatial analysis
        Type: general
      – SubjectFull: Bivariate analysis
        Type: general
      – SubjectFull: Mozambique
        Type: general
    Titles:
      – TitleFull: Geographic distribution and determinants of mental health stigma in central Mozambique.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Zhang, Yue
      – PersonEntity:
          Name:
            NameFull: Augusto, Orvalho
      – PersonEntity:
          Name:
            NameFull: Ásbjörnsdóttir, Kristjana
      – PersonEntity:
          Name:
            NameFull: Akullian, Adam
      – PersonEntity:
          Name:
            NameFull: Cumbe, Vasco
      – PersonEntity:
          Name:
            NameFull: Rao, Deepa
      – PersonEntity:
          Name:
            NameFull: Gimbel, Sarah
      – PersonEntity:
          Name:
            NameFull: Sherr, Kenneth
      – PersonEntity:
          Name:
            NameFull: Wagenaar, Bradley H.
      – PersonEntity:
          Name:
            NameFull: with input from the INCOMAS Study Team
      – PersonEntity:
          Name:
            NameFull: Manuel, João Luis
      – PersonEntity:
          Name:
            NameFull: Hicks, Leecreesha
      – PersonEntity:
          Name:
            NameFull: Mahumane, Arlete
      – PersonEntity:
          Name:
            NameFull: Pfeiffer, James
      – PersonEntity:
          Name:
            NameFull: Gloyd, Stephen
      – PersonEntity:
          Name:
            NameFull: Cuembelo, Fatima
      – PersonEntity:
          Name:
            NameFull: Nhumba, Miguel
      – PersonEntity:
          Name:
            NameFull: Lequechane, Joaquim
      – PersonEntity:
          Name:
            NameFull: Covele, Alfredo
      – PersonEntity:
          Name:
            NameFull: Napua, Manuel
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 11
              Text: Nov2019
              Type: published
              Y: 2019
          Identifiers:
            – Type: issn-print
              Value: 09337954
          Numbering:
            – Type: volume
              Value: 54
            – Type: issue
              Value: 11
          Titles:
            – TitleFull: Social Psychiatry & Psychiatric Epidemiology
              Type: main
ResultId 1