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Racial-Ethnic Differences in Mental Health Stigma and Changes Over the Course of a Statewide Campaign
Eunice C Wong1, Rebecca L Collins1, Ryan K McBain1
1RAND Corporation, Santa Monica, California (Wong, Collins, Burnam, Cefalu, Roth); Boston (McBain); and Pittsburgh (Breslau).
Psychiatric Services (Washington, D.C.)
|March 11, 2021
Summary
Racial-ethnic disparities in mental health stigma persisted despite an antistigma campaign. Latino and Asian individuals showed higher stigma levels, with some improvements but persistent disparities in mental health care.
Area of Science:
- Public Health
- Mental Health Disparities
- Social Psychology
Background:
- Mental health stigma impacts diverse populations differently.
- Understanding racial-ethnic variations in stigma is crucial for effective public health interventions.
Purpose of the Study:
- To examine shifts in mental health stigma across racial-ethnic groups during a California antistigma campaign.
- To assess the presence and persistence of racial-ethnic disparities in stigma.
Main Methods:
- Longitudinal telephone survey (California Statewide Surveys, 2013-2014) of 1,285 California adults.
- Surveys administered in multiple languages to capture diverse respondent preferences.
- Analysis of stigma levels across racial-ethnic groups (White, Latino, Asian) and language preferences.
Main Results:
- Latino and Asian respondents preferring native language surveys reported higher mental health stigma than Whites in 2013.
- These disparities persisted in 2014, indicating limited impact of the campaign on reducing them.
- While social distance decreased for Latino-Spanish speakers, perceptions of dangerousness increased.
Conclusions:
- Antistigma campaigns may not effectively reduce disparities across all racial-ethnic groups.
- Further research is needed to tailor interventions for minority groups.
- Persistent and growing disparities highlight the need for targeted mental health care efforts.
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