Abstract

This study aimed to assess among Ukrainian adults: (1) knowledge of mental disorders; (2) attitudes towards people with mental health disorders, and to the delivery of mental health treatment within the community; and (3) behaviours towards people with mental disorders. A cross-sectional survey of Ukrainian adults aged 18-60 was conducted. Stigma-related mental health knowledge was measured using the mental health knowledge schedule. Attitude towards people with mental health disorders was assessed using the Community Attitudes towards Mental Illness scale. The Reported and Intended Behaviour scale was used to assess past and future intended behaviour towards people with mental health disorders. Associations between gender, age, and educational level and the knowledge and attitudes measures were identified. There was evidence of a positive association between being male and positive intended behaviours towards people with mental health disorders [mean difference (MD) = 0.509, 95% confidence interval (CI) 0.021-0.998]. Older age was negatively associated with positive intended behaviours towards people with mental health disorders (MD = -0.017, 95% CI 0.0733 to -0.001). Higher education was positively associated with stigma-related mental health knowledge (MD = 0.438, 95% CI 0.090-0.786), and negatively associated with authoritarian (MD = 0.755, 95% CI 0.295-1.215) attitudes towards people with mental health problems. Overall, the findings indicate a degree of awareness of, and compassion towards, people with mental illness among Ukrainian adults, although this differed according to gender, region, and education level. Results indicate a need for the adoption and scaling-up of anti-stigma interventions that have been demonstrated to be effective.

Highlights

  • Stigma refers to the process by which characteristics are assigned to a person or phenomena, leading to the negative perception and discrediting of an individual or phenomenon (Goffman, 2009)

  • In terms of knowledge about specific mental health disorders, 91% of respondents agreed that schizophrenia is a type of mental illness, 63% of respondents agreed that drug addiction was a mental illness, and 45% of respondents consider depression to be a type of mental illness

  • Older age was negatively associated with positive intended behaviours towards people with mental health disorders (MD = −0.017, 95% confidence interval (CI) −0.0733 to −0.001)

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Summary

Introduction

Stigma refers to the process by which characteristics are assigned to a person or phenomena, leading to the negative perception and discrediting of an individual or phenomenon (Goffman, 2009). Attitude towards people with mental health disorders was assessed using the Community Attitudes towards Mental Illness scale. There was evidence of a positive association between being male and positive intended behaviours towards people with mental health disorders [mean difference (MD) = 0.509, 95% confidence interval (CI) 0.021–0.998]. Older age was negatively associated with positive intended behaviours towards people with mental health disorders (MD = −0.017, 95% CI 0.0733 to −0.001). Higher education was positively associated with stigma-related mental health knowledge (MD = 0.438, 95% CI 0.090–0.786), and negatively associated with authoritarian (MD = 0.755, 95% CI 0.295–1.215) attitudes towards people with mental health problems. The findings indicate a degree of awareness of, and compassion towards, people with mental illness among Ukrainian adults, this differed according to gender, region, and education level. Results indicate a need for the adoption and scaling-up of anti-stigma interventions that have been demonstrated to be effective

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