Self-Stigma vs. Perceived Public Stigma Toward Mental Illness in Rural Adults

Introduction: Mental illness is a clinically significant disturbance in an individual's cognition, emotion regulation, or behavior. Stigma toward mental health comes in two primary forms: Self-stigma and perceived public stigma. Purpose: The objective of this study is to quantify the amount o...

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Main Authors: Brent McCreary, Robin Danek, Ellen Ireland, Eric Reyes
Format: Article
Language:English
Published: University of Minnesota Libraries Publishing 2024-10-01
Series:Journal of Regional Medical Campuses
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Online Access:https://pubs.lib.umn.edu/index.php/jrmc/article/view/5938
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author Brent McCreary
Robin Danek
Ellen Ireland
Eric Reyes
author_facet Brent McCreary
Robin Danek
Ellen Ireland
Eric Reyes
author_sort Brent McCreary
collection DOAJ
description Introduction: Mental illness is a clinically significant disturbance in an individual's cognition, emotion regulation, or behavior. Stigma toward mental health comes in two primary forms: Self-stigma and perceived public stigma. Purpose: The objective of this study is to quantify the amount of stigma toward mental illness in rural adults and analyze differences in stigma across demographic groups. Methods: Adults were offered a 14-item questionnaire at five different sites from January 2023 to April 2023. Rural distinctions were made based on participants' reported county of residence following the Indiana Office of Community and Rural Affairs (OCRA) definition of rurality. Demographic information such as age, gender, marital status, total household income, and highest level of education were also obtained. Results: Rural adults experience mild amounts of self-stigma (14.52 +/- 5.0) and moderate amounts of perceived public stigma (18.4 +/- 4.3). Adults aged 46-65 experience more significant levels of perceived public stigma when compared to those of younger participants. An inverse relationship exists between the highest level of education and self-stigma towards mental illness. Seventy two percent of respondents agreed or strongly agreed with the statement, “In general, others believe that having a mental illness is a sign of personal weakness or inadequacy.” Conclusions: This study demonstrates that perceived public stigma toward mental illness presents a significant barrier to care for mental illness. Adults aged 46-65 are especially vulnerable to the perceived public stigma toward mental illness. To provide the largest benefit to rural populations, anti-stigma campaigns should focus on perceived public stigma among adults aged 46-65.
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spelling doaj-art-56c33e898be84f56b5ea2bc8601178632025-08-20T01:47:49ZengUniversity of Minnesota Libraries PublishingJournal of Regional Medical Campuses2576-55582024-10-017310.24926/jrmc.v7i3.5938Self-Stigma vs. Perceived Public Stigma Toward Mental Illness in Rural AdultsBrent McCreary0Robin Danek1Ellen Ireland2Eric Reyes3Indiana University School of MedicineIndiana University School of MedicineIndiana University School of MedicineRose-Hulman Introduction: Mental illness is a clinically significant disturbance in an individual's cognition, emotion regulation, or behavior. Stigma toward mental health comes in two primary forms: Self-stigma and perceived public stigma. Purpose: The objective of this study is to quantify the amount of stigma toward mental illness in rural adults and analyze differences in stigma across demographic groups. Methods: Adults were offered a 14-item questionnaire at five different sites from January 2023 to April 2023. Rural distinctions were made based on participants' reported county of residence following the Indiana Office of Community and Rural Affairs (OCRA) definition of rurality. Demographic information such as age, gender, marital status, total household income, and highest level of education were also obtained. Results: Rural adults experience mild amounts of self-stigma (14.52 +/- 5.0) and moderate amounts of perceived public stigma (18.4 +/- 4.3). Adults aged 46-65 experience more significant levels of perceived public stigma when compared to those of younger participants. An inverse relationship exists between the highest level of education and self-stigma towards mental illness. Seventy two percent of respondents agreed or strongly agreed with the statement, “In general, others believe that having a mental illness is a sign of personal weakness or inadequacy.” Conclusions: This study demonstrates that perceived public stigma toward mental illness presents a significant barrier to care for mental illness. Adults aged 46-65 are especially vulnerable to the perceived public stigma toward mental illness. To provide the largest benefit to rural populations, anti-stigma campaigns should focus on perceived public stigma among adults aged 46-65. https://pubs.lib.umn.edu/index.php/jrmc/article/view/5938RuralMental IllnessSelf-StigmaPerceived Public StigmaSocial DisparitiesBarrier to care
spellingShingle Brent McCreary
Robin Danek
Ellen Ireland
Eric Reyes
Self-Stigma vs. Perceived Public Stigma Toward Mental Illness in Rural Adults
Journal of Regional Medical Campuses
Rural
Mental Illness
Self-Stigma
Perceived Public Stigma
Social Disparities
Barrier to care
title Self-Stigma vs. Perceived Public Stigma Toward Mental Illness in Rural Adults
title_full Self-Stigma vs. Perceived Public Stigma Toward Mental Illness in Rural Adults
title_fullStr Self-Stigma vs. Perceived Public Stigma Toward Mental Illness in Rural Adults
title_full_unstemmed Self-Stigma vs. Perceived Public Stigma Toward Mental Illness in Rural Adults
title_short Self-Stigma vs. Perceived Public Stigma Toward Mental Illness in Rural Adults
title_sort self stigma vs perceived public stigma toward mental illness in rural adults
topic Rural
Mental Illness
Self-Stigma
Perceived Public Stigma
Social Disparities
Barrier to care
url https://pubs.lib.umn.edu/index.php/jrmc/article/view/5938
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