Stigmatizing attitudes toward mental illness among racial/ethnic older adults in primary care
Article first published online: 29 JAN 2013
Copyright © 2013 John Wiley & Sons, Ltd.
International Journal of Geriatric Psychiatry
Volume 28, Issue 10, pages 1061–1068, October 2013
How to Cite
Jimenez, D. E., Bartels, S. J., Cardenas, V. and Alegría, M. (2013), Stigmatizing attitudes toward mental illness among racial/ethnic older adults in primary care. Int. J. Geriat. Psychiatry, 28: 1061–1068. doi: 10.1002/gps.3928
- Issue published online: 4 SEP 2013
- Article first published online: 29 JAN 2013
- Manuscript Accepted: 13 DEC 2012
- Manuscript Received: 23 MAY 2012
- National Institute of Mental Health. Grant Number: R01 MH078052-S1
- Substance Abuse and Mental Health Services Administration (SAMHSA)
- older adults
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.
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.
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.
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. Copyright © 2013 John Wiley & Sons, Ltd.