Daniel E Jimenez1, Stephen J Bartels, Veronica Cardenas, Margarita Alegría. 1. Dartmouth Centers for Health and Aging, Geisel School of Medicine at Dartmouth, Lebanon, NH, USA; Center for Multicultural Mental Health Research, Cambridge Health Alliance, Somerville, MA, USA.
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.
RCT Entities:
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.
Authors: Nori Graham; James Lindesay; Cornelius Katona; José Manoel Bertolote; Vincent Camus; John R M Copeland; Carlos A de Mendonça Lima; Michel Gaillard; Marie Christine Gély Nargeot; John Gray; Lars Jacobsson; Mireille Kingma; Nicolas Kühne; Anne O'Loughlin; Wolfgang Rutz; Benedetto Saraceno; Zebulon Taintor; Johannes Wancata Journal: Int J Geriatr Psychiatry Date: 2003-08 Impact factor: 3.485
Authors: Joseph J Gallo; Cynthia Zubritsky; James Maxwell; Michael Nazar; Hillary R Bogner; Louise M Quijano; Heidi J Syropoulos; Karen L Cheal; Hongtu Chen; Herman Sanchez; John Dodson; Sue E Levkoff Journal: Ann Fam Med Date: 2004 Jul-Aug Impact factor: 5.166
Authors: Sue E Levkoff; Hongtu Chen; Eugenie Coakley; Elizabeth C McDonel Herr; David W Oslin; Ira Katz; Stephen J Bartels; James Maxwell; Edwin Olsen; Keith M Miles; Giuseppe Constantino; James H Ware Journal: J Aging Health Date: 2004-02
Authors: D V Jeste; G S Alexopoulos; S J Bartels; J L Cummings; J J Gallo; G L Gottlieb; M C Halpain; B W Palmer; T L Patterson; C F Reynolds; B D Lebowitz Journal: Arch Gen Psychiatry Date: 1999-09
Authors: Stephen J Bartels; Eugenie H Coakley; Cynthia Zubritsky; James H Ware; Keith M Miles; Patricia A Areán; Hongtu Chen; David W Oslin; Maria D Llorente; Giuseppe Costantino; Louise Quijano; Jack S McIntyre; Karen W Linkins; Thomas E Oxman; James Maxwell; Sue E Levkoff Journal: Am J Psychiatry Date: 2004-08 Impact factor: 18.112
Authors: Trina E Chang; Charlotte D Brill; Lara Traeger; C Andres Bedoya; Aya Inamori; Patrick N Hagan; Katherine Flaherty; Katherine Hails; Albert Yeung; Nhi-Ha Trinh Journal: J Immigr Minor Health Date: 2015-12
Authors: Benjamin N Breyer; Alan W Shindel; Bradley A Erickson; Sarah D Blaschko; William D Steers; Raymond C Rosen Journal: J Urol Date: 2013-05-13 Impact factor: 7.450
Authors: Neda Laiteerapong; Andrew J Karter; Priya M John; Dean Schillinger; Howard H Moffet; Jennifer Y Liu; Nancy Adler; Marshall H Chin; Elbert S Huang Journal: J Am Geriatr Soc Date: 2013-06-24 Impact factor: 5.562