Effects of contact-based mental illness stigma reduction programs: age, gender, and Asian, Latino, and White American differences

Soc Psychiatry Psychiatr Epidemiol. 2018 Mar;53(3):299-308. doi: 10.1007/s00127-017-1459-9. Epub 2017 Dec 2.

Abstract

Purpose: Mental illness stigma disproportionately affects help seeking among youth, men, and ethnic minorities. As part of a comprehensive statewide initiative to reduce mental illness stigma and discrimination in California, a broad set of contact-based educational programs were widely disseminated. This study examined whether the effects of contact-based educational programs varied depending on the age, gender, and race-ethnicity of participants.

Methods: Participants (N = 4122) attended a contact-based educational program that was delivered as part of the statewide initiative to reduce mental illness stigma and discrimination. Self-administered surveys assessing beliefs, attitudes, and intentions toward mental illnesses and treatment were conducted immediately before and after participation in contact-based educational programs.

Results: Participant age, gender, and race-ethnicity significantly moderated pre-post changes in mental illness stigma. Although all groups exhibited significant pre-post changes across most of the stigma domains assessed, young adults, females, and Asian and Latino American participants reported larger improvements compared to older adults, males, and Whites, respectively.

Conclusions: Findings suggest that contact-based educational programs can achieve immediate reductions in mental illness stigma across a variety of sociodemographic groups and may particularly benefit young adults and racial-ethnic minorities. Further research is needed to assess whether contact-based educational programs can sustain longer-term changes and aid in the reduction of disparities in mental illness stigma and treatment.

Keywords: Contact-based educational program; Ethnicity; Gender; Mental illness stigma; Race.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Age Factors
  • Aged
  • Asian / education*
  • Asian / psychology
  • Ethnicity / education*
  • Ethnicity / psychology
  • Female
  • Health Education / methods
  • Health Education / statistics & numerical data*
  • Hispanic or Latino / education*
  • Hispanic or Latino / psychology
  • Humans
  • Male
  • Mental Disorders / ethnology
  • Mental Disorders / psychology*
  • Program Evaluation
  • Sex Factors
  • Social Stigma*
  • Surveys and Questionnaires
  • United States
  • White People / education*
  • White People / psychology
  • Young Adult