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Changes in knowledge and attitudes towards mental disorders in a Chinese sample population-a web-based approach
Juan Li1,2,3,4, Yan-Na Kou1,3, Meng-Meng Zhang1,2
1The Second Affiliated Hospital of Xinxiang Medical University, Xinxiang, China.
BMC Public Health
|December 24, 2025
Summary
Public mental health knowledge and attitudes have improved, with women and educated individuals showing better understanding. Targeted anti-stigma campaigns are still needed for rural and older populations.
Area of Science:
- Mental Health Research
- Public Health
- Sociology
Background:
- Global initiatives highlight the ongoing need to address mental illness stigma.
- Previous research assessed mental health knowledge and attitudes in China.
- A follow-up study was conducted to re-evaluate current public perceptions and literacy.
Purpose of the Study:
- To reassess public perceptions of mental health in China.
- To evaluate current levels of mental illness literacy within the community.
- To compare current findings with a 2017 survey.
Main Methods:
- A cross-sectional survey was administered via WeChat from March to September 2024.
- The Mental Health Knowledge Questionnaire (MHKQ) and Perceived Devaluation and Discrimination Scale (PDDS) were utilized.
- Study protocol approved by the Research Ethics Committee of the Second Affiliated Hospital of Xinxiang Medical University.
Main Results:
- 1061 respondents participated, showing significantly higher adjusted mean scores for PDDS and MHKQ compared to 2017.
- Females exhibited more positive attitudes towards mental illness than males.
- Higher MHKQ scores were associated with females, higher education, personal experience with mental illness (self or others), younger age (<45), and urban residency.
Conclusions:
- Positive shifts in mental health knowledge and attitudes indicate improved literacy.
- Continued anti-stigma campaigns are recommended, with a focus on rural and older demographics.
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