Estigma hacia problemas de salud mental entre profesionales de la salud en adiestramiento en Puerto Rico.

Frontera, Norka Polanco; Vargas, Isabel Cajigas; Rivera-Segarra, Eliut; Díaz, Nelson; –Figueroa, Axel Santos; Hernández, Ernesto Rosario

doi:10.22199/s07187475.2013.0003.00003

Cited by 8 publications

(13 citation statements)

References 34 publications

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“…To assess mental health stigma, a validated Spanish translation of the anonymous Mental Health Stigma Scale (MHSS) Appendix A was used, composed of 12 Likert-type questions, which students scored on a Likert scale, from 1 (strongly disagree) to 5 (strongly agree) [40]. The MHSS tool was validated, obtaining Cronbach’s alpha values between 0.67 and 0.74, with a positive correlation with another mental health and stigma scale ( r = 0.58, p < 0.01) [41].…”

Section: Methodsmentioning

confidence: 99%

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Level of Stigma among Spanish Nursing Students toward Mental Illness and Associated Factors: A Mixed-Methods Study

Rodríguez‐Almagro

Hernández‐Martínez

Rodríguez-Almagro

et al. 2019

IJERPH

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Mental health problems have been identified by the World Health Organization as a global development priority. Negative attitudes toward mental health patients have been documented in multiple health professionals. The aim of this study was to determine the level of stigma and associated factors toward people with mental health problems among students doing their degree in nursing. An explanatory sequential mixed-methods approach. A cross-sectional descriptive observational study was carried out on a sample of 359 students doing their degree in nursing. Students had to be enrolled in any of the four years of study of the degree at the time the questionnaire was done. We explored the perception and experience of students doing their degree in nursing regarding the level of stigma, through in-depth interviews (n = 30). The mean overall Mental Health Stigma Scale (MHSS) score was 30.7 points (SD = 4.52); 29.5% (n = 106) scored low for stigma, 49.9% (n = 179) showed moderate stigma, and 20.6% (n = 74) scored high. The multivariate analysis showed that 4th-year students had an OR of 0.41 (CI95%: 0.20–0.84) for high/moderate stigma and that 3rd-year students had an OR of 0.49 for high/moderate stigma compared with 1st-year students. We also observed that students with family members with mental health problems had an OR of 2.05 (CI95%: 1.19–3.56) for high/moderate stigma compared with students who did not have family members with mental health problems. The following categories emerged: fear and lack of knowledge, breaking the silence, and integration into society. The levels of mental health stigma in our sample of nursing students were moderate. Stigma levels were lower in 3rd- and 4th-year students (i.e., after having received training in mental health), and in students with family members with mental health problems.

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Section: Methodsmentioning

confidence: 99%

“…The following criteria were used to calculate the sample size: Prevalence of high stigma: 15% [40], confidence level of 95%, precision (absolute error) of 3% and a population of 425 enrolled students. Based on these criteria, a minimum of 239 students was needed.…”

Section: Methodsmentioning

confidence: 99%

Level of Stigma among Spanish Nursing Students toward Mental Illness and Associated Factors: A Mixed-Methods Study

Rodríguez‐Almagro

Hernández‐Martínez

Rodríguez-Almagro

et al. 2019

IJERPH

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“…If PWSMI's main avenue for entering the pipeline of care becomes a breeding ground for stigmatizing attitudes and behaviors, the quality of the healthcare services they receive can become negatively affected or in some instances completely ignored. Alarmingly, recent research in the Puerto Rican context has also found stigmatizing attitudes towards PWSMI, including drug abuse and suicide among healthcare professionals in training, particularly among physicians in training [62,67,70]. However, in order to develop culturally sensitive stigma reduction interventions, there is still a need to understand how stigma attitudes towards PWSMI are manifested from the perspective of healthcare professionals who are currently in the field within the Puerto Rican context.…”

Section: Mental Illness Stigma and Healthcare Professionalsmentioning

confidence: 99%

“…Providers in the study were not in charge of patient's routine mental healthcare, but rather were focused on addressing physical healthcare. The selection of physicians and nurses was informed by recent literature suggesting high levels of stigma among these two specific professions [70,73]. All participants were practicing their profession in Puerto Rico and providing services in inpatient and outpatient medical institutions located in the metropolitan areas of the Island.…”

Section: Participantsmentioning

confidence: 99%

“That’s all Fake”: Health professionals stigma and physical healthcare of people living with Serious Mental Illness

2019

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Background People living with a Serious Mental Illness (SMI) die earlier than the general population due to preventable medical conditions. Latinos living with SMI are a particularly vulnerable population with higher prevalence of chronic medical conditions. Stigma has been identified as a factor that fosters health inequities for Latinos/as with SMI, particularly Puerto Ricans. Although personal and social consequences of stigmatization have been well documented, research regarding the role of cultural factors on healthcare interactions is scarce. Furthermore, little research has focused on addressing stigma from the perspective of healthcare professionals. Methods We investigated this process through a qualitative design using semi-structured individual interviews with 11 healthcare professionals (8 physicians and 3 nurses) in Puerto Rico. We conducted a thematic analysis to analyze the data. Results Following a thematic analysis, we found three main themes and nine sub-themes related to the stigmatization process. Some participants reported perceptions of dangerousness and uneasiness, social distance and inadequate care. Participants also emphasized a lack of medical training regarding SMI within the Puerto Rican context. Conclusions These findings support the need to develop culturally appropriate public health interventions targeting healthcare professionals in order to address stigma and eliminate health disparities among Latinos/as with SMI.

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“…El mismo está institucionalizado y legitimado mediante políticas públicas (Varas-Díaz, Malavé-Rivera, & Cintrón Bou, 2008) y afecta especialmente a sectores que han sido identificados como "no gratos" socialmente como son las personas de las comunidades LGBTT, con VIH, con uso problemático de sustancias, inmigrantes, trabajadoras sexuales, entre otros. En Puerto Rico existen estudios que documentan altos niveles de estigma en profesionales de la salud (Polanco-Fronteras et al 2013;Varas-Díaz, Malavé-Rivera, & Cintrón-Bou, 2008;Varas-Díaz, Santiago-Negrón, Neilands, Cintrón-Bou, & Malavé-Rivera, 2010). Lo anterior puede apuntar a la falta de adiestramiento e intervenciones dirigidas al manejo de estigma entre profesionales de la salud.…”

Section: Discussionunclassified

Percepciones y experiencias sobre los determinantes sociales de la salud en una muestra de profesionales y estudiantes de psicología y educación para la salud en Puerto Rico.

et al. 2014

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ALÍXIDA RAMOS-PIBERNUS; ELIUT RIVERA-SEGARRA; JOSÉ COLÓN-BURGOS; OSVALDO GONZÁLEZ-SEPÚLVEDA; CARLOS E. RODRÍGUEZ-DÍAZ; SHEILLA RODRÍGUEZ-MADERA (UNIVERSIDAD DE PUERTO RICO, Recinto de Ciencias Médicas, Puerto Rico) RESUMEN Introducción: Los Determinantes Sociales de la Salud (DSS) son una prioridad para la reducción de las inequidades en salud. La Psicología y la Educación para la Salud son disciplinas cuyo enfoque principal es el mejoramiento de la salud de las personas. No obstante su quehacer tradicionalmente se ha enfocado en el trabajo con los individuos, obviando la atención a los aspectos estructurales. Objetivos: documentar la percepción sobre los DSS en las profesiones de Psicología y en Educación para la Salud en Puerto Rico e identificar experiencias en sus respectivas prácticas con los DSS. Método: Se administró la Encuesta de Percepción sobre Factores Socio-estructurales a 124 profesionales y estudiantes de Psicología y Educación para la salud en Puerto Rico. Para el análisis se utilizaron estadísticas descriptivas. Resultados: se observa un mayor desconocimiento sobre los efectos de DSS como la pobreza, el estigma, el apoyo social y la clase social. Asimismo, la mayor parte de los/as encuestados/as manifestaron que su rol como promotores de la salud se ha centrado a nivel individual fomentando el cambio conductual. Conclusiones: Estos resultados resaltan la importancia de reflexionar críticamente sobre nuestro quehacer y los discursos dominantes en los que nos hemos formado como profesionales de la salud. Se incluyen recomendaciones para trabajar con algunos hallazgos del estudio. PALABRAS CLAVE: Eventos no-epilépticos, disociación somatoforme, inducción de convulsiones, experiencias de abuso infantil, epilepsia. Determinantes Sociales de la Salud, Psicología, Educación para la Salud, formación. ABSTRACT Social Determinants of Health (SDH) have been identified as a priority in the reduction of health inequities. Psychology and Health Education are disciplines that aim to improve the health of people. However, their work has traditionally focused at an individual level, neglecting structural aspects that impact health. The objectives of this study where: (1) document the perception about SDH among Psychology and Health Education professionals in Puerto Rico and (2) identify their experiences in their practices with SDH. The Survey on the Perception about Socio-structural Factors was administered to 124 participants. Descriptive statistics were used for the analysis. Results reflect a greater lack of knowledge on the effects of DSS as poverty, stigma, social support and social class. Also, most of the participants manifested that their role as health professionals has focused at an individual level promoting people to change their behaviors. This results emphasize the importance of critically reflect on our practices and the dominant discourses embedded in us as health professionals. Recommendations for working with the study findings are included and discussed.

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Estigma hacia problemas de salud mental entre profesionales de la salud en adiestramiento en Puerto Rico.

Cited by 8 publications

References 34 publications

Level of Stigma among Spanish Nursing Students toward Mental Illness and Associated Factors: A Mixed-Methods Study

Level of Stigma among Spanish Nursing Students toward Mental Illness and Associated Factors: A Mixed-Methods Study

“That’s all Fake”: Health professionals stigma and physical healthcare of people living with Serious Mental Illness

Percepciones y experiencias sobre los determinantes sociales de la salud en una muestra de profesionales y estudiantes de psicología y educación para la salud en Puerto Rico.

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