Mental Health Literacy, Stigma, and Behavioral Health Service Use: the Case of Latinx and Non-Latinx Whites

Benuto, Lorraine T.; González, Frances; Reinosa-Segovia, Francisco; Duckworth, Melanie P.

doi:10.1007/s40615-019-00614-8

Cited by 54 publications

(42 citation statements)

References 51 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It is also possible that there were cultural differences in how each group of older adults interpreted these internal attribution items, in that Mexican-origin individuals possibly used a fatalismo lens ( Rosales & Calvo, 2017 ), whereas the non-Latinx individuals ascribed to western behaviorist/environmental beliefs ( Bignall et al, 2015 ). An alternative explanation would be that mental health literacy or stigma influences the ways in which Latinx and non-Latinx individuals view their mental health symptoms and seek treatment ( Benuto et al., 2019 ; Carpenter-Song et al, 2010 ; Lopez et al, 2018 ). Additionally, research has shown that primary clinicians approach mental health treatment and referral differently for racial/ethnic minority adults ( Jones et al, 2018 ).…”

Section: Discussionmentioning

confidence: 99%

Mental Health Attribution for Mexican-Origin Latinx and Non-Latinx Older Adults: A Latent Class Analysis

Mendez

Mendez-Luck

Nylund‐Gibson

et al. 2020

Innovation in Aging

View full text Add to dashboard Cite

Background and Objectives Providing appropriate and culturally sensitive care to the rapidly growing number of U.S. Latinx older adults with psychiatric conditions presents a major public health challenge. We know little about older Latinx adults’ perceived causes of mental health problems, offering clinicians limited insight to guide successful and culturally congruent treatment. Moreover, there is a paucity of mental health research examining heterogeneity in how Latinx individuals may attribute mental health symptoms. The present study sought to identify how Latinx and non-Latinx older adults attributed the sources of their mental health problems and how these types of attributions differ by ethnicity. Research Design and Methods This study analyzed data collected from a retrospective chart review and survey of 673 adults aged 55-95 (430 Mexican origin, 244 non-Latinx) from a rural psychiatric outpatient clinic near the California-Mexico border. We conducted stratified latent class analysis (LCA) by race/ethnicity to explore the mental health attribution beliefs of Mexican-origin and non-Latinx clinic patients. Results Different LCA patterns for Mexican-origin Latinx vs. non-Latinx groups. For non-Latinx adults, there was a class who attributed their mental health issues to social and financial problems. For Mexican-origin adults, there was a class who attributed their mental health issues to spiritual and/or supernatural factors, unaffected by acculturation level, depressive symptom severity, and time spent in the U.S., but differing by gender. We found within-group heterogeneity: Not all Mexican-origin or non-Latinx older adults were alike in how they conceptualized their mental health. Discussion and Implications Mexican-origin Latinx and non-Latinx older adults attributed their mental health issues to different causes. More Mexican-origin older adults attributed their symptoms to spiritual causes, even after controlling for contextual factors. Further research is needed to determine whether attribution beliefs are impacted by specific mental health diagnoses and other cultural factors not measured in this study.

show abstract

Section: Discussionmentioning

confidence: 99%

Mental Health Attribution for Mexican-Origin Latinx and Non-Latinx Older Adults: A Latent Class Analysis

Mendez

Mendez-Luck

Nylund‐Gibson

et al. 2020

Innovation in Aging

View full text Add to dashboard Cite

show abstract

“…Latinx adults are three times as likely compared with NLWs to be diagnosed with psychotic disorders, and minors twice as likely (Schwartz & Blankenship, 2014). There is an increasing rate of mental health concerns among Latinx populations, whereby Latinx persons report lower mental health literacy, greater stigma, and overall lower lifetime prevalence rates of behavioural health service compared to NLWs (Benuto et al, 2019; Diaz & Fenning, ). These challenges and barriers are further impacted by self‐stigma (one's own attitudes and believes towards mental health; Benuto et al, 2019).…”

Section: Chr Label and Psychosis‐related Stigmamentioning

confidence: 99%

Stigma and coping experiences in Latinx individuals at clinical high‐risk for psychosis

Ruiz

Ceccolini

Shah

et al. 2021

Early Intervention Psych

View full text Add to dashboard Cite

Aim The experiences of culturally diverse individuals at clinical high‐risk for psychosis (CHR) is not well studied. Exploratory research needs to examine whether differences exist between racial/ethnic groups within the CHR population. Understanding experiences of Latinx patients is of importance, as the Latinx population represents the most rapidly growing paediatric population in the United States and they face significant barriers to mental health treatment. Because Latinx persons experience high rates of mental illness‐based stigma and discrimination in their communities, they may face additional stigma‐based barriers to CHR treatment. Method Twenty‐six participants (15 Latinx, 11 non‐Latinx white/NLW) who met CHR criteria based on the Structured Interview for Psychosis‐Risk Syndromes (SIPS) were interviewed regarding stigma associated with CHR identification and symptoms. Using a consensus‐based open‐coding thematic analysis approach, data were analysed for stigma, discrimination, and coping responses. Results Instances of internalization of stereotypes appeared to be more salient to NLW participants than Latinx participants, and Latinx participants reported seemingly more anticipated rejection from stereotypes than NLW participants. Experiences of discrimination also appeared to be more salient to Latinx participants than NLW participants. Moreover, Latinx participants reported evidently greater instances of discrimination across anticipated, individual, and structural discrimination. Finally, while covering strategies appeared to be more salient to NLW's, Latinx clients more often described using secrecy as well as a greater range of coping responses, including empowerment. Conclusion While the experience of anticipated rejection appeared to be more salient to Latinx CHR participants and they seemingly report more secrecy than NLW, they also engaged in empowerment‐related coping strategies. Future research should continue to explore the roles of cultural values in influencing coping strategies among CHR individuals.

show abstract

“…It is also important to note that this study was conducted with a very specific sample of outpatients (i.e., victims of sexual crime) and it is unknown whether the findings generalize to other types of outpatient populations. Finally, this study did not account for socioeconomic and other factors that could contribute to underutilization of services and/or clinical outcomes, that is, lack of child care, cultural factors including the presence or absence of familial support, characteristics, and stigma (which has been noted to mediate the relationship between ethnicity and utilization of services; Benuto, Gonzalez, & Reinosa Segovia, 2019).…”

Section: Limitationsmentioning

confidence: 99%

Treatment Outcomes for Latinos and Non-Hispanic White Victims of Crime: An Effectiveness Study

Benuto

O’Donohue

Bennett

et al. 2019

Hispanic Journal of Behavioral Sciences

Self Cite

View full text Add to dashboard Cite

This was a record review study. Data from all cases seen ( N = 121) at the Victims of Crime Treatment Center over a 7-year period were examined to collect demographic information and determine diagnoses, the intervention that was used, and whether or not the client successfully completed treatment. Results from a logistic regression revealed that ethnicity was not a predictor of treatment success in this sample. Treatment outcomes for empirically supported treatments were comparable for Latinx and non-Latinx White (NLW) victims of interpersonal violence (with 77% of Latinxs successfully completing treatment compared to 69% of NLWs). The results from this study indicate promising treatment implications for Latinx victims of interpersonal violence.

show abstract

Mental Health Literacy, Stigma, and Behavioral Health Service Use: the Case of Latinx and Non-Latinx Whites

Cited by 54 publications

References 51 publications

Mental Health Attribution for Mexican-Origin Latinx and Non-Latinx Older Adults: A Latent Class Analysis

Mental Health Attribution for Mexican-Origin Latinx and Non-Latinx Older Adults: A Latent Class Analysis

Stigma and coping experiences in Latinx individuals at clinical high‐risk for psychosis

Treatment Outcomes for Latinos and Non-Hispanic White Victims of Crime: An Effectiveness Study

Contact Info

Product

Resources

About