Mental health literacy in spanish adolescents and its relationship with sociodemographic characteristics

e202403018

Authors

  • Isaac Daniel Amado-Rodríguez Doctorando en el programa de Metodología de la Investigación Biomédica y Salud Pública; Universitat Autónoma de Barcelona. Barcelona. España.
  • Rocío Casañas Departamento de Investigación; Associació Centre d’Higiene Mental Les Corts. Barcelona. España.
  • Laia Mas-Expósito Departamento de Investigación; Associació Centre d’Higiene Mental Les Corts. Barcelona. España.
  • Lluís Lalucat-Jo Departamento de Investigación; Associació Centre d’Higiene Mental Les Corts. Barcelona. España.
  • Juan Francisco Roldan-Merino Campus Docente; Escuela de Enfermería; Sant Joan de Déu-Fundació Privada. Barcelona. España.
  • Mª Isabel Fernandez-San-Martín Unitat Docent Multiprofessional; Gerència Territorial Barcelona; Institut Català de la Salut. Barcelona. España.

Keywords:

Literacy programs, Stigma, Help-seeking, Adolescent

Abstract

BACKGROUND // Different studies identify mental health literacy as a protective factor for developing a mental health problem. The aim of this paper was to determine the degree of mental health literacy of the adolescent population of Barcelona, and its relationship with socio-demographic and educational variables.
METHODS // A cross-sectional study was carried out in Barcelona during the 2017-2018 academic year. A total of 1,032 young people between thirteen and seventeen years of age participated. The following variables were collected: sex, age, nationality, socioeconomic status (RDHpc) and average school grade. The aim was to determine the degree of mental health literacy (knowledge, stigma and help-seeking) of the adolescent population of Barcelona, and its relationship with socio-demographic and educational variables. Multiple linear regression analysis was performed adjusting for the effect of sociodemographic variables on the score of each scale.
RESULTS // The mean score (standard deviation) of the EMHL test was 7.28 (1.27) and 4.24 (1.14) respectively, with higher scores obtained by girls, high RDHpc, excellent score and Spanish nationality. The greatest difference in EMHL scores, adjusting for the rest of the variables, corresponded to adolescents with an excellent mean score and a high RDHpc index (with respect to the baseline category, beta=0.72 and 0.52 respectively). The mean stigma score was 27.6 (4.47) for CAMI and 8.83 (3.36) for RIBS. The variables related to a greater difference in score with respect to the baseline category and adjusted for the rest of the variables were: gender (boy=1.54) and academic grade (excellent=-2.38) for CAMI, and nationality (foreign=0.82) and academic grade (excellent=-1.30) for RIBS. The mean RIBS score was 8.83 (3.36) with the largest difference in score from baseline being foreign nationality (beta=0.82) and having a grade of excellent (1.30). Help-seeking was higher in parents and friends, with differences according to gender and nationality.
CONCLUSIONS // The level of mental health literacy is medium-low. While gender, nationality and educational attainment are the factors that are related to knowledge and stigma, socio-economic status is only related to mental health literacy.

Downloads

Download data is not yet available.

References

Instituto de Sanimetría y Evaluación Sanitaria. Global Health Data Exchange (GHDx) [Internet]. 2019 [consultado 15 ene 2024]. Disponible en: https://vizhub.healthdata.org/gbd-results/

Solmi M, Radua J, Olivola M, Croce E, Soardo L, Salazar de Pablo G et al. Age at onset of mental disorders worldwide: large-scale meta-analysis of 192 epidemiological studies. Vol. 27, Molecular Psychiatry. Springer Nature; 2022. p. 281-295.

Organización Mundial de la Salud. Salud mental del adolescente [Internet]. [Consultado 30 ene 2023]. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/adolescent-mental-health

Instituto Nacional de Estadística, Oficina Europea de Estadística (Eurostat), Ministerio de Sanidad de España. Encuesta Europea de Salud en España (EESE) 2020. Web INE [Internet]. 2021 [consultado 12 ene 2022]; Disponible en: https://www.sanidad.gob.es/estadEstudios/estadisticas/EncuestaEuropea/EncuestaEuropea2020/EESE2020_inf_evol_princip_result.pdf

Instituto Nacional de Estadística, Ministerio de Sanidad de España. Encuesta Nacional de Salud (ENSE), España 2017. Serie informes monográficos. Salud mental [Internet]. España; 2018 [consultado 12 ene 2022]. Disponible en: https://www.sanidad.gob.es/estadEstudios/estadisticas/encuestaNacional/encuestaNac2017/SALUD_MENTAL.pdf

Agencia de Salut Pública de Barcelona. La salut i els seus determinants en adolescents de Barcelona. 2022 [consultado 27 oct 2022]; Disponible en: https://www.aspb.cat/arees/la-salut-en-xifres/enquesta-fresc/

Lund C, Brooke-Sumner C, Baingana F, Baron EC, Breuer E, Chandra P et al. Social determinants of mental disorders and the Sustainable Development Goals: a systematic review of reviews. The Lancet Psychiatry [Internet]. 2018;5(4):357-369. Disponible en: http://dx.doi.org/10.1016/S2215-0366(18)30060-9

Oliva J, López-Varcárcel BG, Pérez PB, Peña-Longobardo LM, Garrido RMU, González NZ. El impacto de la Gran Recesión en la salud mental en España. Informe SESPAS 2020. Gac Sanit. 2020;34:48-53.

Thornicroft G, Chatterji S, Evans-Lacko S, Gruber M, Sampson N, Aguilar-Gaxiola S et al. Undertreatment of people with major depressive disorder in 21 countries. Br J Psychiatry [Internet]. 1 feb 2017 [consultado 26 may 2022];210(2):119. Disponible en: /pmc/articles/PMC5288082/

Kusaka S, Yamaguchi S, Foo JC, Togo F, Sasaki T. Mental Health Literacy Programs for Parents of Adolescents: A Systematic Review. Front Psychiatry [Internet]. 2 may 2022 [Consultado 15 ene 2024];13:816508. Disponible en: /pmc/articles/PMC9108239/

Amado-Rodríguez ID, Casañas R, Mas-Expósito L, Castellví P, Roldan-Merino JF, Casas I et al. Effectiveness of Mental Health Literacy Programs in Primary and Secondary Schools: A Systematic Review with Meta-Analysis. Children. 2022;9(4).

Jorm AF, Korten AE, Jacomb PA, Christensen H, Rodgers B, Pollitt P. “Mental health literacy”: a survey of the public’s ability to recognise mental disorders and their beliefs about the effectiveness of treatment. Med J Aust [Internet]. 1 feb 1997 [consultado 23 dic 2021];166(4):182-186. Disponible en: https://onlinelibrary.wiley.com/doi/full/10.5694/j.1326-5377.1997.tb140071.x

Jorm AF. Mental health literacy: empowering the community to take action for better mental health. Am Psychol [Internet]. 2012 [consultado 12 ene 2022];67(3):231-243. Disponible en: https://pubmed.ncbi.nlm.nih.gov/22040221/

Kutcher S, Wei Y, Coniglio C. Mental Health Literacy: Past, Present, and Future. Can J Psychiatry [Internet]. 1 mar 2016 [consultado 12 ene 2022];61(3):154. Disponible en: /pmc/articles/PMC4813415/

Kutcher S, Bagnell A, Wei Y. Mental Health Literacy in Secondary Schools: A Canadian Approach. Child Adolesc Psychiatr Clin N Am. 2015 Apr 1;24(2):233-244.

Casañas R, Mas-Expósito L, Teixidó M, Lalucat-Jo L. Programas de alfabetización para la promoción de la salud mental en el ámbito escolar. Informe SESPAS 2020. Gac Sanit. 2020;34:39-47.

Ochoa S, Martínez-Zambrano F, Vila-Badia R, Arenas O, Casas-Anguera E, García-Morales E et al. Validación al castellano de la escala de estigma social: Community Attitudes towards Mental Illness en población adolescente. Rev Psiquiatr y Salud Ment - J Psychiatry Ment Heal [Internet]. 1 jul 2016 [consultado 12 ene 2022];9(3):150-157. Disponible en: https://www.elsevier.es/es-revista-revista-psiquiatria-salud-mental--286-articulo-validacion-al-castellano-escala-estigma-S1888989115000476

Casañas R, Arfuch VM, Castellví P, Gil JJ, Torres M, Pujol A et al. “EspaiJove.net”- A school-based intervention programme to promote mental health and eradicate stigma in the adolescent population: study protocol for a cluster randomised controlled trial. BMC Public Health [Internet]. 31 jul 2018 [consultado 23 dic 2021];18(1):1-10. Disponible en: https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-018-5855-1

Castellvi P, Casañas R, Arfuch VM, Moreno JJG, Torres MT, García-Forero C et al. Development and Validation of the EspaiJove.net Mental Health Literacy (EMHL) Test for Spanish Adolescents. Int J Environ Res Public Health [Internet]. 1 ene 2019 [consultado 2022 Jan 12];17(1). Disponible en: https://pubmed.ncbi.nlm.nih.gov/31861841/

Instituto de Estadística de Cataluña. Idescat. Renda familiar disponible bruta territorial [Internet]. Web Idescat. 2021 [consultado 12 ene 2022]. Disponible en: https://www.idescat.cat/pub/?id=rfdbc&n=6444

Ayuntamiento de Barcelona. Renta Disponible de los Hogares per cápita por distrito Barcelona [Internet]. Web Ayuntamiento de Barcelona. 2021 [consultado 12 ene 2022]. Disponible en: https://ajuntament.barcelona.cat/estadistica/castella/Estadistiques_per_temes/Economia/Renda_i_tributs/Renda_disponible_llars/T011.htm

Evans-Lacko S, Rose D, Little K, Flach C, Rhydderch D, Henderson C et al. Development and psychometric properties of the reported and intended behaviour scale (RIBS): a stigma-related behaviour measure. Epidemiol Psychiatr Sci [Internet]. 2011 Sep [Consultado 12 ene 2022];20(3):263-271. Disponible en: https://pubmed.ncbi.nlm.nih.gov/21922969/

Taylor SM, Dear MJ. Scaling community attitudes toward the mentally ill. Schizophr Bull [Internet]. 1981 [consultado 12 ene 2022];7(2):225-240. Disponible en: https://pubmed.ncbi.nlm.nih.gov/7280561/

Elgar FJ, Pförtner TK, Moor I, De Clercq B, Stevens GWJM, Currie C. Socioeconomic inequalities in adolescent health 2002-2010: a time-series analysis of 34 countries participating in the Health Behaviour in School-aged Children study. Lancet (London, England) [Internet]. 23 may 2015 [consultado 12 ene 2022];385(9982):2088-2095. Disponible en: https://pubmed.ncbi.nlm.nih.gov/25659283/

Rickwood DJ. The effectiveness of seeking help for coping with personal problems in late adolescence. J Youth Adolesc [Internet]. 1 dic 1995 [consultado 12 ene 2022];24(6):685-703. Disponible en: https://researchprofiles.canberra.edu.au/en/publications/the-effectiveness-of-seeking-help-for-coping-with-personal-proble

Rickwood D, Thomas K. Conceptual measurement framework for help-seeking for mental health problems. Psychol Res Behav Manag [Internet]. 2012 [consultado 12 ene 2022];5:173. Disponible en: /pmc/articles/PMC3520462/

Swami V. Mental health literacy of depression: gender differences and attitudinal antecedents in a representative British sample. PLoS One [Internet]. 2012 Nov 14 [consultado 26 may 2022];7(11). Disponible en: https://pubmed.ncbi.nlm.nih.gov/23166769/

Holman D. Exploring the relationship between social class, mental illness stigma and mental health literacy using British national survey data. Heal (United Kingdom) [Internet]. 8 jul 2015 [consultado 26 may 2022];19(4):413-429. Disponible en: https://journals.sagepub.com/doi/10.1177/1363459314554316?url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org&rfr_dat=cr_pub++0pubmed

Furnham A, Annis J, Cleridou K. Gender differences in the mental health literacy of young people. Int J Adolesc Med Health [Internet]. 1 may 2014 [consultado 26 may 2022];26(2):283-292. Disponible en: /record/2014-15892-017

Renwick L, Pedley R, Johnson I, Bell V, Lovell K, Bee Penny et al. Mental health literacy in children and adolescents in low- and middle-income countries: a mixed studies systematic review and narrative synthesis. Eur Child Adolesc Psychiatry 2022 [Internet]. 15 may 2022 [consultado 26 may 2022];1:1-25. Disponible en: https://link.springer.com/article/10.1007/s00787-022-01997-6

Campos L, Dias P, Duarte A, Veiga E, Dias CC, Palha F. Is It Possible to “Find Space for Mental Health” in Young People? Effectiveness of a School-Based Mental Health Literacy Promotion Program. Int J Environ Res Public Health [Internet]. 6 jul 2018 [consultado 23 dic 2021];15(7):1426. Disponible en: /pmc/articles/PMC6069495/

Chisholm K, Patterson P, Torgerson C, Turner E, Jenkinson D, Birchwood M. Impact of contact on adolescents’ mental health literacy and stigma: the SchoolSpace cluster randomised controlled trial. BMJ Open [Internet]. 2016;6:9435. Disponible en: http://bmjopen.bmj.com/

Lindow JC, Hughes JL, South C, Minhajuddin A, Gutierrez L, Bannister E et al. The Youth Aware of Mental Health Intervention: Impact on Help Seeking, Mental Health Knowledge, and Stigma in U.S. Adolescents. J Adolesc Health [Internet]. 1 jul 2020 [consultado 23 dic 2021];67(1):101-107. Disponible en: https://pubmed.ncbi.nlm.nih.gov/32115325/

Angermeyer MC, Dietrich S. Public beliefs about and attitudes towards people with mental illness: a review of population studies. Acta Psychiatr Scand [Internet]. 1 mar 2006 [consultado 26 may 2022];113(3):163-179. Disponible en: https://onlinelibrary.wiley.com/doi/full/10.1111/j.1600-0447.2005.00699.x

Evans-Lacko S, Brohan E, Mojtabai R, Thornicroft G. Association between public views of mental illness and self-stigma among individuals with mental illness in 14 European countries. Psychol Med [Internet]. Ago 2012 [consultado 26 may 2022];42(8):1741-1752. Disponible en: https://pubmed.ncbi.nlm.nih.gov/22085422/

Olivari C, Mellado C, Casañas R, Espinosa-Díaz N, Fuster-Villaseca J. Preferred sources of help for mental health problems among Chilean adolescents: a descriptive study. 2020 [consultado 22 nov 2022]; Disponible en: www.bmhim.com

Hollingshead AB, Redlich FC. Social Class and Mental Illness: A Community Study. Am J Public Health [Internet]. 2007 [consultado 26 may 2022];97(10):1756. Disponible en: /pmc/articles/PMC1994199/

Pinto-Foltz MD, Logsdon MC, Myers JA. Feasibility, Acceptability, and Initial Efficacy of a Knowledge-Contact Program to Reduce Mental Illness Stigma and Improve Mental Health Literacy in Adolescents. Soc Sci Med [Internet]. Jun 2011 [consultado 23 dic 2021];72(12):2011. Disponible en: /pmc/articles/PMC3117936/

Published

2024-03-06

How to Cite

1.
Amado-Rodríguez ID, Casañas R, Mas-Expósito L, Lalucat-Jo L, Roldan-Merino JF, Fernandez-San-Martín MI. Mental health literacy in spanish adolescents and its relationship with sociodemographic characteristics: e202403018. Rev Esp Salud Pública [Internet]. 2024 Mar. 6 [cited 2024 May 20];98:26 páginas. Available from: https://ojs.sanidad.gob.es/index.php/resp/article/view/329