Assessment of mental health literacy using a multifaceted measure among a Chinese rural population

Yu, Yu; Liu, Ziwei; Mi, Hu; Liu, Xiguang; Liu, Huiming; Yang, Joyce P.; Zhou, Liang; Xiao, Shuiyuan

doi:10.1136/bmjopen-2015-009054

Cited by 57 publications

(69 citation statements)

References 36 publications

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“…These finding contrasts with the finding of studies in other parts of the world, where increasing parental education levels have been significantly associated with higher mental health literacy levels [ 24 ]. The differences in the finding of the current study may be related to the differences in the parental education levels between the sample populations.…”

Section: Discussioncontrasting

confidence: 99%

Mental health literacy in adolescents: ability to recognise problems, helpful interventions and outcomes

Attygalle

Perera

Jayamanne

2017

Child Adolesc Psychiatry Ment Health

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BackgroundAlthough mental health literacy has been widely studied in adults, there are still relatively few studies on adolescent populations. In Sri Lanka, adolescents account for about one fifth of the population. Current evidence shows that most mental health problems diagnosed in adulthood begin in adolescence. There is also growing evidence that the trajectories of these disorders can be altered through early recognition and intervention. Although, help-seeking for mental health problems is known to be poor in adolescents, mental health literacy improves help-seeking. It is also known that adolescents may act as agents of change regarding mental health in their wider communities. Thus, mental health literacy in adolescents is an important aspect of community mental health initiatives. The objective of this study was to describe aspects of mental health literacy in terms of ability to recognise problems, helpful interventions, helpful referral options and outcomes in a target adolescent population in Sri Lanka. The association between socio economic variables and recognition of mental health problems was also examined.MethodsThis descriptive cross sectional study used a pretested questionnaire on 1002 adolescents aged between 13 and 16, where mental health literacy was assessed using 4 case vignettes. The vignettes represented depression with suicidal ideation, social phobia, psychosis and diabetes, where the last was for comparison.ResultsThe response rates for recognition as a mental health problem was 82.2% (n = 824) for the vignette depicting depression, 68.7% (n = 689) for the psychosis vignette and 62.3% (n = 623) for the social phobia vignette. “Talking to the person”, was responded to as helpful by 49.9% (n = 500), for the depression vignette followed by 49.8% (n = 499) for social phobia, 39.5% (n = 396) for psychosis and 19.5% (n = 195) for the diabetes vignette. The response rate for exercise being a helpful intervention was 25% (n = 251) for the diabetes vignette, followed by 21% (n = 210) for social phobia, 18.7% (n = 187) for psychosis vignette and 18.4% (n = 184) for the depression vignette. While 70.2% (n = 704) responded that there would be benefit in seeing a doctor for the diabetes vignette, the response rates for psychosis was 48.5% (n = 486), and for both depression and social phobia it was 48.2% (n = 483). The responses for the persons in the vignettes becoming better with treatment was 81.4% (n = 816) for the diabetes, 79.5% (n = 797) for depression, 75.6% (n = 758) for psychosis and 63.4% (n = 636) for the social phobia vignette. A statistically significant association was found between the income level of the family and appropriate recognition as mental health problems, for all the 3 mental health related vignettes.ConclusionsThe ability to recognise mental health problems, helpful interventions and outcomes in this population was comparable to those of adolescent populations in other countries, with some exceptions. The main differences were in relation to the identification and inter...

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Section: Discussioncontrasting

confidence: 99%

Mental health literacy in adolescents: ability to recognise problems, helpful interventions and outcomes

Attygalle

Perera

Jayamanne

2017

Child Adolesc Psychiatry Ment Health

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“…One possible explanation for these findings is that the individuals with personal or family history of mental disorders may be psychologicallyminded, and emotionally aware. Similar to the findings of this study, several studies showed that education is consistently associated with mental health literacy (23,24,26,27).…”

Section: Discussionsupporting

confidence: 91%

The Mediator Role of Mental Health Literacy in the Relationship Between Demographic Variables and Health-Promoting Behaviours

Noroozi

Khademolhosseini

Lari

et al. 2018

Iran J Psychiatry Behav Sci

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Background: An understanding of the relationships between mental health literacy and health promotion behaviours is essential for the development of community-based interventions in the prevention of mental disorder. Objectives: The aim of this study was to examine the relationships between mental health literacy and health-promoting behaviours and to assess the contributions of mental health literacy through mediation to demographic characteristic in healthpromoting behaviours. Methods: This cross-sectional study was performed on 378 participants by convenience method in public places of Bushehr city from January to March 2016. The data collection tool included demographic variables section, mental health literacy scale, and health-promoting lifestyle profile. Assessment of the potential mediation effect of MHL was assessed using the three criteria. The association of the demographic characteristic with the MHL must be significant, the association of the demographic characteristic with health-promoting behaviours must be significant, and MHL must be significantly associated with the health-promoting behaviours controlling the demographic characteristics. The analysis was done by SPSS software version 20.0. Results: Findings indicated that there is a significant association between the education level (P < 0.001) and history of mental disorder (P = 0.004) with MHL score. There is a significant association between education (P < 0.001), employment status (P = 0.028), marital status (P = 0.013), and history of mental disorder (P = 0.035) with HPLP score. The hierarchical multiple regression analysis indicated that the education tended to have both direct and indirect effect in HPLP. Conclusions: MHL is a significant predictor and mediator to all the health-promoting behaviours. MHL is predictor of healthrelated behaviours, and, it also mediates the effect of the academic education on these behaviours.

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“…The excess of the total energy intake and macronutrients is known to have a negative impact on a population’s health and can lead to an increased risk of NCD [36]. Apart from the influence of rapid nutrition transition, the rural populations are also at a higher risk of NCDs because of low health literacy, compared to the urban population [41,42]. Currently, some food programs have been pursued by the Chinese government, which target the rural population and aim to improve their dietary quality and promote the development of better eating habits.…”

Section: Discussionmentioning

confidence: 99%

Temporal Trends in Dietary Macronutrient Intakes among Adults in Rural China from 1991 to 2011: Findings from the CHNS

Zhao

et al. 2017

Nutrients

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Few studies have examined nutrition transitions among the rural population of China, even though half of the Chinese population (about 700 million) is living in rural China. To fill this research gap, we examined temporal trends in dietary macronutrient intakes in members of the Chinese rural population aged 18–60 years. The analysis used data from consecutive three-day dietary recalls, collected from the China Health and Nutrition Surveys (CHNS). Mixed-effect models were constructed to obtain adjusted means and to examine temporal trends after adjusting for intra-class correlation within clusters and covariates, including age, sex, geographical region, urbanicity, and income. From 1991 to 2011, a downward trend in daily energy, protein, and carbohydrate intakes was seen in all categories, with a significant reduction among all rural people (p < 0.0001). In contrast, a significant increment in daily fat intake, the proportion of energy from fat, and the proportion of rural people consuming a diet with more than 30% of energy from fat, were observed in the present study (p < 0.0001). These results suggest that adults in rural China have been undergoing a rapid nutrition transition towards a high-fat diet. Therefore, more emphasis should be placed on the quality of fat and maintaining a balanced diet during the process of nutritional education.

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Assessment of mental health literacy using a multifaceted measure among a Chinese rural population

Cited by 57 publications

References 36 publications

Mental health literacy in adolescents: ability to recognise problems, helpful interventions and outcomes

Mental health literacy in adolescents: ability to recognise problems, helpful interventions and outcomes

The Mediator Role of Mental Health Literacy in the Relationship Between Demographic Variables and Health-Promoting Behaviours

Temporal Trends in Dietary Macronutrient Intakes among Adults in Rural China from 1991 to 2011: Findings from the CHNS

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