Mental illness-related stigma and its associated factors among primary health care professionals in rural China
BackgroundPrimary health care professionals (PHCPs) play a key role in the workforce of community mental health services in rural China. This study aimed to explore the mental illness-related stigma and its associated factors among PHCPs in rural communities.MethodsThis study collected the data from...
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Frontiers Media S.A.
2025-05-01
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| author | Yi-Yue Yang Yi-Yue Yang Cong Wang Cong Wang Jia Cai Jia Cai Yun-Fei Mu Yun-Fei Mu Lie Zhou Lie Zhou Yi-Zhou Wang Tian-Ming Zhang Xin-Yi Zhao Ming Li Wei Luo Jian-Jun Luo Yin-Ling IreneWong Lawrence H. Yang Siu-Man Ng Mao-Sheng Ran Mao-Sheng Ran |
| author_facet | Yi-Yue Yang Yi-Yue Yang Cong Wang Cong Wang Jia Cai Jia Cai Yun-Fei Mu Yun-Fei Mu Lie Zhou Lie Zhou Yi-Zhou Wang Tian-Ming Zhang Xin-Yi Zhao Ming Li Wei Luo Jian-Jun Luo Yin-Ling IreneWong Lawrence H. Yang Siu-Man Ng Mao-Sheng Ran Mao-Sheng Ran |
| author_sort | Yi-Yue Yang |
| collection | DOAJ |
| description | BackgroundPrimary health care professionals (PHCPs) play a key role in the workforce of community mental health services in rural China. This study aimed to explore the mental illness-related stigma and its associated factors among PHCPs in rural communities.MethodsThis study collected the data from 247 PHCPs in 10 township health service centers in Xinjin District, Chengdu, Sichuan Province, China from November to December 2023. The Mental Illness: Clinicians’ Attitudes (MICA) was used to assess the mental illness-related stigma. Demographic and stigma-related psychological scales were compared between PHCPs with and without mental illness-related stigma. Correlation and binary logistic regression analyses were performed.ResultsThere were 155 PHCPs (62.8%) with mental illness-related stigma, and the mean score of MICA was 50.68 ± 8.08. PHCPs with mental illness-related stigma had significantly lower mean scores of the Mental Health Knowledge Schedule (MAKS), the Reported and Intended Behavior Scale (RIBS), the 5-item Contact Scale (CQTS), and the 5-item Contact Quality Scale (CQLS) (p=0.001, p<0.001, P=0.041, P<0.001), and higher mean scores of the Social Distance Scale (SDS) (p<0.001) than those without mental illness-related stigma. Binary logistic regression analysis showed that PHCPs’ work experience (β=0.080, 95%CI=1.002~1.170, p=0.044) and scores of SDS (β=0.169, 95%CI=1.056~1.328, p=0.004) had significantly positive impact on the mental illness-related stigma, and the scores of MAKS (β=-0.082, 95%CI=0.850~0.998, p=0.045) and RIBS (β=-0.131, 95%CI=0.783~0.983, p=0.024) had significantly negative impact on the mental illness-related stigma.ConclusionsThe PHCPs have severe mental illness-related stigma in rural China, and the associated factors include work experience, mental health knowledge, behavioral discrimination, and social distance towards people with mental illness. The results of this study are crucial for development of anti-stigma intervention among PHCPs in rural communities. |
| format | Article |
| id | doaj-art-c62a71ca0adb4d73823b33c893e48ebf |
| institution | OA Journals |
| issn | 1664-0640 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Psychiatry |
| spelling | doaj-art-c62a71ca0adb4d73823b33c893e48ebf2025-08-20T02:34:50ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402025-05-011610.3389/fpsyt.2025.15195271519527Mental illness-related stigma and its associated factors among primary health care professionals in rural ChinaYi-Yue Yang0Yi-Yue Yang1Cong Wang2Cong Wang3Jia Cai4Jia Cai5Yun-Fei Mu6Yun-Fei Mu7Lie Zhou8Lie Zhou9Yi-Zhou Wang10Tian-Ming Zhang11Xin-Yi Zhao12Ming Li13Wei Luo14Jian-Jun Luo15Yin-Ling IreneWong16Lawrence H. Yang17Siu-Man Ng18Mao-Sheng Ran19Mao-Sheng Ran20Mental Health Center, West China Hospital, Sichuan University, Chengdu, Sichuan, ChinaInstitute of Psychiatry, West China Hospital, Sichuan University, Chengdu, Sichuan, ChinaMental Health Center, West China Hospital, Sichuan University, Chengdu, Sichuan, ChinaInstitute of Psychiatry, West China Hospital, Sichuan University, Chengdu, Sichuan, ChinaMental Health Center, West China Hospital, Sichuan University, Chengdu, Sichuan, ChinaInstitute of Psychiatry, West China Hospital, Sichuan University, Chengdu, Sichuan, ChinaMental Health Center, West China Hospital, Sichuan University, Chengdu, Sichuan, ChinaInstitute of Psychiatry, West China Hospital, Sichuan University, Chengdu, Sichuan, ChinaMental Health Center, West China Hospital, Sichuan University, Chengdu, Sichuan, ChinaInstitute of Psychiatry, West China Hospital, Sichuan University, Chengdu, Sichuan, ChinaDepartment of Counselling and Psychology, Hong Kong Shue Yan University, Hong Kong, ChinaDepartment of Social Work, Shanghai University, Shanghai, ChinaSchool of Health Humanities, Peking University, Beijing, ChinaXinjin Second People’s Hospital, Chengdu, ChinaXinjin Second People’s Hospital, Chengdu, ChinaChongqing Mental Health Center, Chongqing, ChinaSchool of Social Policy & Practice, University of Pennsylvania, Philadelphia, PA, United StatesDepartment of Social and Behavioral Sciences, New York University, New York, NY, United States0Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong, ChinaMental Health Center, West China Hospital, Sichuan University, Chengdu, Sichuan, ChinaInstitute of Psychiatry, West China Hospital, Sichuan University, Chengdu, Sichuan, ChinaBackgroundPrimary health care professionals (PHCPs) play a key role in the workforce of community mental health services in rural China. This study aimed to explore the mental illness-related stigma and its associated factors among PHCPs in rural communities.MethodsThis study collected the data from 247 PHCPs in 10 township health service centers in Xinjin District, Chengdu, Sichuan Province, China from November to December 2023. The Mental Illness: Clinicians’ Attitudes (MICA) was used to assess the mental illness-related stigma. Demographic and stigma-related psychological scales were compared between PHCPs with and without mental illness-related stigma. Correlation and binary logistic regression analyses were performed.ResultsThere were 155 PHCPs (62.8%) with mental illness-related stigma, and the mean score of MICA was 50.68 ± 8.08. PHCPs with mental illness-related stigma had significantly lower mean scores of the Mental Health Knowledge Schedule (MAKS), the Reported and Intended Behavior Scale (RIBS), the 5-item Contact Scale (CQTS), and the 5-item Contact Quality Scale (CQLS) (p=0.001, p<0.001, P=0.041, P<0.001), and higher mean scores of the Social Distance Scale (SDS) (p<0.001) than those without mental illness-related stigma. Binary logistic regression analysis showed that PHCPs’ work experience (β=0.080, 95%CI=1.002~1.170, p=0.044) and scores of SDS (β=0.169, 95%CI=1.056~1.328, p=0.004) had significantly positive impact on the mental illness-related stigma, and the scores of MAKS (β=-0.082, 95%CI=0.850~0.998, p=0.045) and RIBS (β=-0.131, 95%CI=0.783~0.983, p=0.024) had significantly negative impact on the mental illness-related stigma.ConclusionsThe PHCPs have severe mental illness-related stigma in rural China, and the associated factors include work experience, mental health knowledge, behavioral discrimination, and social distance towards people with mental illness. The results of this study are crucial for development of anti-stigma intervention among PHCPs in rural communities.https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1519527/fullprimary health care professionalsmental illnessstigmainfluencing factorsrural China |
| spellingShingle | Yi-Yue Yang Yi-Yue Yang Cong Wang Cong Wang Jia Cai Jia Cai Yun-Fei Mu Yun-Fei Mu Lie Zhou Lie Zhou Yi-Zhou Wang Tian-Ming Zhang Xin-Yi Zhao Ming Li Wei Luo Jian-Jun Luo Yin-Ling IreneWong Lawrence H. Yang Siu-Man Ng Mao-Sheng Ran Mao-Sheng Ran Mental illness-related stigma and its associated factors among primary health care professionals in rural China Frontiers in Psychiatry primary health care professionals mental illness stigma influencing factors rural China |
| title | Mental illness-related stigma and its associated factors among primary health care professionals in rural China |
| title_full | Mental illness-related stigma and its associated factors among primary health care professionals in rural China |
| title_fullStr | Mental illness-related stigma and its associated factors among primary health care professionals in rural China |
| title_full_unstemmed | Mental illness-related stigma and its associated factors among primary health care professionals in rural China |
| title_short | Mental illness-related stigma and its associated factors among primary health care professionals in rural China |
| title_sort | mental illness related stigma and its associated factors among primary health care professionals in rural china |
| topic | primary health care professionals mental illness stigma influencing factors rural China |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1519527/full |
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