Stigmatizing attitudes toward mental illness among racial/ethnic older adults in primary care

Daniel E. Jimenez · Stephen J. Bartels · Verónica Cárdenas · Margarita M. Alegria

163 citations0/0 files storedInternational Journal of Geriatric Psychiatry

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Mental Health Treatment and Access Racial and Ethnic Identity Research Cultural Competency in Health Care

Abstract

OBJECTIVE: The current study applies the perceived stigma framework to identify differences in attitudes toward mental health and mental health treatment among various racial/ethnic minority older adults with common mental health problems including depression, anxiety disorders, or at-risk alcohol use. Specifically, this study examines to what extent race/ethnicity is associated with differences in (1) perceived stigma of mental illness and (2) perceived stigma for different mental health treatment options. METHODS: Analyses were conducted using baseline data collected from participants who completed the SAMHSA Mental Health and Alcohol Abuse Stigma Assessment, developed for the PRISM-E (Primary Care Research in Substance Abuse and Mental Health for the Elderly) study, a multisite randomized trial for older adults (65+ years) with depression, anxiety, or at-risk alcohol consumption. The final sample consisted of 1247 non-Latino Whites, 536 African-Americans, 112 Asian-Americans, and 303 Latinos. RESULTS: African-Americans and Latinos expressed greater comfort in speaking to primary care physicians or mental health professionals concerning mental illness compared with non-Latino Whites. Asian-Americans and Latinos expressed greater shame and embarrassment about having a mental illness than non-Latino Whites. Asian-Americans expressed greater difficulty in seeking or engaging in mental health treatment. CONCLUSIONS: Racial/ethnic differences exist among older adults with mental illness with respect to stigmatizing attitudes toward mental illness and mental health treatment. Results of this study could help researchers and clinicians educate racial/ethnic minority older adults about mental illness and engage them in much needed mental health services.

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References

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2016Perceived Discrimination in Health Care and Mental Health/Substance Abuse Treatment Among Blacks, Latinos, and Whites 2018Perceived and Personal Mental Health Stigma in Latino and African American College Students 2016A model for the theoretical basis of cultural competency to guide psychotherapy.2019Mental Health Literacy, Stigma, and Behavioral Health Service Use: the Case of Latinx and Non-Latinx Whites

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