Mental Health Awareness and Stigma in Rural vs. Urban Communities
DOI:
https://doi.org/10.47941/ijhss.2086Keywords:
Mental Health Awareness, Stigma, Rural Communities, Urban Communities, TelehealthAbstract
Purpose: The general objective of the study was to explore mental health awareness and stigma in rural vs. urban communities.
Methodology: The study adopted a desktop research methodology. Desk research refers to secondary data or that which can be collected without fieldwork. Desk research is basically involved in collecting data from existing resources hence it is often considered a low cost technique as compared to field research, as the main cost is involved in executive’s time, telephone charges and directories. Thus, the study relied on already published studies, reports and statistics. This secondary data was easily accessed through the online journals and library.
Findings: The findings reveal that there exists a contextual and methodological gap relating to mental health awareness and stigma in rural vs. urban communities. Preliminary empirical review found significant differences in mental health perceptions and access to care between these areas. In rural communities, stigma was deeply ingrained, leading to reluctance in seeking help, exacerbated by limited access to services. Urban residents, while having better access to mental health resources and higher awareness, faced different stressors such as social isolation and pollution, contributing to high rates of mental health disorders. The study recommended tailored interventions, such as telehealth for rural areas and addressing environmental factors in urban settings, to effectively combat stigma and improve mental health outcomes. that
Unique Contribution to Theory, Practice and Policy: The Social Cognitive Theory, Labeling Theory and Theory of Planned Behaviour may be used to anchor future studies on mental health awareness and stigma in rural vs. urban communities. The study highlighted the need to refine theoretical models to account for geographical and cultural variables. It emphasized the importance of tailoring mental health interventions to the unique challenges of rural and urban settings, suggesting practical solutions like telehealth and community-based support groups. Policymakers were urged to prioritize funding and public education campaigns to reduce stigma and improve service accessibility. The study recommended integrating these findings into existing theoretical frameworks and called for future longitudinal and comparative research to further explore the relationship between community type and mental health stigma.
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References
Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50(2), 179-211. https://doi.org/10.1016/0749-5978(91)90020-T
Ando, S., Yamaguchi, S., Aoki, Y., & Thornicroft, G. (2013). Review of mental-health-related stigma in Japan. Psychiatry and Clinical Neurosciences, 67(7), 471-482. https://doi.org/10.1111/pcn.12086
Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Prentice-Hall.
Becker, H. S. (1963). Outsiders: Studies in the sociology of deviance. Free Press.
Boyd, C. P., Hayes, L., Sewell, J., & Caldwell, K. (2011). Mental health problems and help-seeking in rural adolescents. Australian Journal of Rural Health, 19(5), 218-223. https://doi.org/10.1111/j.1440-1584.2011.01220.x
Clement, S., Schauman, O., Graham, T., Maggioni, F., Evans-Lacko, S., Bezborodovs, N., ... & Thornicroft, G. (2015). What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies. Psychological Medicine, 45(1), 11-27. https://doi.org/10.1017/S0033291714000129
Corker, E., Hamilton, S., Henderson, C., Weeks, C., Pinfold, V., Rose, D., ... & Thornicroft, G. (2013). Experiences of discrimination among people using mental health services in England 2008-2011. The British Journal of Psychiatry, 202(s55), s58-s63. https://doi.org/10.1192/bjp.bp.112.112912
Corrigan, P. W., Druss, B. G., & Perlick, D. A. (2014). The impact of mental illness stigma on seeking and participating in mental health care. Psychological Science in the Public Interest, 15(2), 37-70. https://doi.org/10.1177/1529100614531398
de Jesus Mari, J., Jorge, M. R., & Bressan, R. A. (2019). Mental health in Brazil: Challenges and opportunities. International Journal of Mental Health Systems, 13(1), 22. https://doi.org/10.1186/s13033-019-0275-0
Evans-Lacko, S., Henderson, C., & Thornicroft, G. (2016). Public knowledge, attitudes and behaviour regarding people with mental illness in England 2009-2012. The British Journal of Psychiatry, 202(s55), s51-s57. https://doi.org/10.1192/bjp.bp.112.112979
Fraser, C., Judd, F., Jackson, H., Murray, G., Humphreys, J., & Hodgins, G. (2015). Does one size really fit all? Why the mental health of rural Australians requires further research and attention. Australian Journal of Rural Health, 13(5), 250-257. https://doi.org/10.1111/j.1440-1584.2015.00701.x
Gulliver, A., Griffiths, K. M., & Christensen, H. (2017). Barriers and facilitators to mental health help-seeking for young elite athletes: A qualitative study. BMC Psychiatry, 12(1), 157. https://doi.org/10.1186/1471-244X-12-157
Gureje, O., Nortje, G., Makanjuola, V., Oladeji, B., Seedat, S., & Jenkins, R. (2015). The role of global traditional and complementary systems of medicine in treating mental health disorders. The Lancet Psychiatry, 2(2), 168-177. https://doi.org/10.1016/S2215-0366(15)00013-9
Hartley, D. (2014). Rural health disparities, population health, and rural culture. American Journal of Public Health, 94(10), 1675-1678. https://doi.org/10.2105/AJPH.94.10.1675
Hartley, D., Quam, L., & Lurie, N. (2018). Urban and rural differences in health insurance and access to care. Journal of Rural Health, 8(3), 129-140. https://doi.org/10.1111/j.1748-0361.1992.tb00345.x
Henderson, C., Williams, P., Little, K., & Thornicroft, G. (2013). Mental health problems in the workplace: Changes in employers’ knowledge, attitudes and practices in England 2006-2010. The British Journal of Psychiatry, 202(s55), s70-s76. https://doi.org/10.1192/bjp.bp.112.110472
Jones, A. M., Cook, T. M., & Wang, J. (2019). Rural-urban differences in stigma against depression and agreement with health professionals about treatment. Journal of Affective Disorders, 244, 121-125. https://doi.org/10.1016/j.jad.2018.10.093
Kabunga, A., Arinaitwe, J., & Ssebunnya, J. (2016). Mental health services in Uganda: Desperate situations amid abundant mental health challenges. International Journal of Mental Health Systems, 10(1), 28. https://doi.org/10.1186/s13033-016-0066-8
Koike, S., Yamaguchi, S., Ojio, Y., Ohta, K., Shimada, T., & Watanabe, K. (2018). Mental health literacy and stigma in Japan: An update. Psychiatry and Clinical Neurosciences, 72(8), 723-731. https://doi.org/10.1111/pcn.12708
Loch, A. A. (2014). Discrimination and other barriers to access mental health care: A review of current literature. Brazilian Journal of Psychiatry, 36(4), 431-437. https://doi.org/10.1590/1516-4446-2013-1145
Mojtabai, R. (2013). Americans' attitudes toward mental health treatment seeking: 1990-2003. Psychiatric Services, 58(5), 642-651. https://doi.org/10.1176/appi.ps.58.5.642
National Rural Health Association. (2013). Mental health in rural America. Journal of Rural Health, 29(3), 227-234. https://doi.org/10.1111/jrh.12044
Patel, V., Maj, M., Flisher, A. J., De Silva, M. J., Koschorke, M., Prince, M., ... & Thornicroft, G. (2018). Reducing the treatment gap for mental disorders: A WPA survey. World Psychiatry, 9(3), 169-176. https://doi.org/10.1002/j.2051-5545.2010.tb00276.x
Peen, J., Schoevers, R. A., Beekman, A. T., & Dekker, J. (2010). The current status of urban rural differences in psychiatric disorders. Acta Psychiatrica Scandinavica, 121(2), 84-93. https://doi.org/10.1111/j.1600-0447.2009.01438.x
Probst, J. C., Barker, J. C., Enders, A., & Gardiner, P. (2018). Current state of mental health in rural America. Journal of Rural Mental Health, 42(1), 3-15. https://doi.org/10.1037/rmh0000076
Robinson, P., Turpin, M., & Elliott, K. (2020). The impact of telehealth on health care delivery in rural and urban areas: A systematic review. Journal of Telemedicine and Telecare, 26(10), 573-589. https://doi.org/10.1177/1357633X19845617
Substance Abuse and Mental Health Services Administration. (2016). 2016 National Survey on Drug Use and Health: Detailed tables. SAMHSA. Retrieved from https://www.samhsa.gov/data/sites/default/files/NSDUH-DetTabs-2016/NSDUH-DetTabs-2016.pdf
Thornicroft, G., Brohan, E., Rose, D., Sartorius, N., Leese, M., & INDIGO Study Group. (2016). Global pattern of experienced and anticipated discrimination against people with schizophrenia: A cross-sectional survey. The Lancet, 373(9661), 408-415. https://doi.org/10.1016/S0140-6736(08)61817-6
Williams, D. R., Gonzalez, H. M., Neighbors, H., Nesse, R., Abelson, J. M., Sweetman, J., & Jackson, J. S. (2018). Prevalence and distribution of major depressive disorder in African Americans, Caribbean Blacks, and Non-Hispanic Whites. Archives of General Psychiatry, 64(3), 305-315. https://doi.org/10.1001/archpsyc.64.3.305
Yellowlees, P., Odor, A., & Parish, M. (2015). The hybrid doctor-patient relationship: Telepsychiatry consultations and the use of virtual space. Telemedicine and e-Health, 21(5), 393-398. https://doi.org/10.1089/tmj.2014.0098
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