The DOI matches its Crossref record; 45 of the 45 references it cites were found in a registry or an index.
Negative attitudes toward help seeking for mental illness in 2 population-based surveys from the United States and Canada
Open accessAbstract
OBJECTIVES: To determine the prevalence and sociodemographic correlates of negative attitudes toward help seeking for mental illness among the general population in the United States and Ontario. METHODS: Two contemporaneous population-based surveys (aged 15 to 54 years) were analyzed: the US National Comorbidity Survey (NCS) (n = 5877) and the Ontario Health Survey (OHS) (n = 6902). Multiple logistic regression analyses were used to examine the correlates of a derived negative attitudes composite variable obtained from questions assessing probability, comfort, and embarrassment related to help seeking for mental illness. RESULTS: Negative attitudes toward help seeking for mental illness were prevalent in both countries. Fifteen percent of OHS and 20% of NCS respondents stated they probably or definitely would not seek treatment if they had serious emotional problems. Almost one-half of recipients in both surveys stated they would be embarrassed if their friends knew about their use of mental health services. Negative attitudes toward help seeking were highest among socioeconomically challenged young, single, lesser-educated men in Ontario and the United States. In both countries, substance abuse or dependence and antisocial personality disorder were associated with greater negative attitudes, as was not having sought treatment in the past. CONCLUSIONS: Negative attitudes toward mental health service use are prevalent in Ontario and the United States. They are most common in young adults, especially those with lower education and socioeconomic resources, and those with substance abuse or dependence problems. This information can be used to target educational efforts aimed at improving willingness to seek care for mental health problems.
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“Recent studies suggest that mental health awareness and attitudes toward mental illness are slowly improving in the population (26).”
From An Ecological Study of a Universal Employee Depression Awareness and Stigma Reduction Intervention: “Right Direction” (2021) · cites this paper as [26]
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Cites
Kessler, R. C. (1994) · Archives of General Psychiatry · doi:10.1001/archpsyc.1994.03950010008002 · Cited by 12,370 · cited 3×
“Weights supplied with the NCS dataset were used to compensate for any imbalances owing to nonresponse, selection bias, and demographic variations.(29)”
MethodRevisiting the Behavioral Model and Access to Medical Care: Does it Matter?
Andersen, R. M. (1995) · Journal of Health and Social Behavior · doi:10.2307/2137284 · Cited by 9,831
Kessler, R. C., Berglund, P., Demler, O., Jin, R., Koretz, D., Merikangas, K. R., Rush, A. J., Walters, E. E., & Wang, P. S. (2003) · JAMA · doi:10.1001/jama.289.23.3095 · Cited by 7,988
Combat Duty in Iraq and Afghanistan, Mental Health Problems, and Barriers to Care
Hoge, C. W., Castro, C. A., Messer, S. C., McGurk, D., Cotting, D. I., & Koffman, R. L. (2004) · New England Journal of Medicine · doi:10.1056/nejmoa040603 · Cited by 4,778 · cited 2×
“A similar finding was noted in a large survey of US soldiers returning from Iraq.43 Findings implied that there is a need for outreach to help anyone suffering with mental illness.”
Result(2004) · JAMA · doi:10.1001/jama.291.21.2581 · Cited by 3,448 · cited 6×
“As mentioned earlier, the determinants of attitudes toward help seeking are complex but certain sociodemographics have proven to be consistently associated with negative attitudes toward help seeking.(2,21,23,36)”
BackgroundResultInfluentialWittchen, H.-U. (1994) · Journal of Psychiatric Research · doi:10.1016/0022-3956(94)90036-1 · Cited by 2,348 · cited 1×
“The University of Michigan CIDI is a modification of the CIDI format endorsed by the World Health Organization and verified for use by lay interviewers.(24,34) The modular CIDI questionnaire is adaptable to research needs and generates comprehensive diagnoses encompassing both DSM-III-R and International Classificatio…”
MethodPrevalence and Treatment of Mental Disorders, 1990 to 2003
Kessler, R. C., Demler, O., Frank, R. G., Olfson, M., Pincus, H. A., Walters, E. E., Wang, P., Wells, K. B., & Zaslavsky, A. M. (2005) · New England Journal of Medicine · doi:10.1056/nejmsa043266 · Cited by 1,910
Stigmatisation of people with mental illnesses
Crisp, A. H., Gelder, M. G., Rix, S., Meltzer, H. I., & Rowlands, O. J. (2000) · British Journal of Psychiatry · doi:10.1192/bjp.177.1.4 · Cited by 1,457
When and how do young people seek professional help for mental health problems?
Rickwood, D. J., Deane, F. P., & Wilson, C. J. (2007) · Medical Journal of Australia · doi:10.5694/j.1326-5377.2007.tb01334.x · Cited by 1,195
Mackenzie, C. S., Gekoski, W. L., & Knox, V. J. (2006) · Aging & Mental Health · doi:10.1080/13607860600641200 · Cited by 878 · cited 3×
“We selected sociodemographics for analysis that had been previously cited as significantly impacting mental health services: age, sex, marital status, education, and income.(7,18,19,22,32,33) For the NCS, health insurance was selected as an additional variable.”
BackgroundMethodResult
Research works printed but not linked: 8
- Murray CJL, 1996, The global burden of disease—a comprehensive assessment of mortality and disability from diseases, injuries, and risk factors in 1990 and projected to 2020; summary. 1st ed
- Esters IG, 1998, Adolescence, 33, 469
- National Comorbidity Survey (NCS) Data Access, 2004, Substance abuse and mental health data archive (SAMHDA) [Internet]
- Shah BV, 1995, SUDAAN user's manual: Software for analysis of correlated data. Release 6.40 ed
- Katz SJ, 1997, Inquiry, 34, 38
- Rickwood DJ, 2007, Med J Aust, 187, S35
- Biddle L, 2006, Br J Gen Pract, 56, 924
- The Mental Health Commission of Canada, 2009, The Mental Health Commission of Canada (MHCC) [Internet]
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Sorted by citations
Barriers to mental health treatment: results from the WHO World Mental Health surveys
Andrade, L. H., Alonso, J., Mneimneh, Z., Wells, J. E., Al-Hamzawi, A., Borges, G., Bromet, E., Bruffaerts, R., de Girolamo, G., de Graaf, R., et al. (2014) · Psychological Medicine · doi:10.1017/s0033291713001943 · Cited by 1,289
“Attitudinal barriers to treatment are the ones most commonly reported in these studies (Sareen et al. 2007; Jagdeo et al. 2009), mainly due to negative health beliefs (Prins et al.”
BackgroundByrow, Y., Pajak, R., Specker, P., & Nickerson, A. (2020) · Clinical Psychology Review · doi:10.1016/j.cpr.2019.101812 · Cited by 345
Bonabi, H., Müller, M., Ajdacic-Gross, V., Eisele, J., Rodgers, S., Seifritz, E., Rössler, W., & Rüsch, N. (2016) · Journal of Nervous & Mental Disease · doi:10.1097/nmd.0000000000000488 · Cited by 308
“Because attitudes toward mental health services in 2 population-based samples in Canada and the United States were particularly negative among young people with lower education and low socioeconomic status (Jagdeo et al., 2009), interventions could target these groups.”
BackgroundHolzinger, A., Floris, F., Schomerus, G., Carta, M. G., & Angermeyer, M. C. (2011) · Epidemiology and Psychiatric Sciences · doi:10.1017/s2045796011000552 · Cited by 173
Karaffa, K. M., & Koch, J. M. (2016) · Criminal Justice and Behavior · doi:10.1177/0093854815613103 · Cited by 150
Metadata
- Authors
- Jagdeo, A., Cox, B. J., Stein, M. B., & Sareen, J.
- Affiliations
- University of Manitoba (CA)
- Canada Research Chair in Mood and Anxiety Disorders and Professor, Departments of Psychiatry, Psychology and Community Health Sciences, Winnipeg, Manitoba
- University of California San Diego (US)
- Health Sciences Centre (CA)
- Corresponding author
- Sareen, Jitender
- Venue
- The Canadian Journal of Psychiatry
- Publisher
- SAGE Publications
- Published
- 2009-11
- Volume
- 54
- Issue
- 11
- Pages
- 757-766
- ISSN
- 0706-7437 (ISSN-L)
- 1497-0015
- OpenAlex
- W177164319
- Cited by
- 110
- References
- 45
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 3 · 2023: 6 · 2022: 3 · 2021: 7 · 2020: 8 · 2019: 9 · 2018: 11 · 2017: 6 · 2016: 13 · 2015: 6 · 2014: 9 · 2013: 9 · 2012: 5
- FWCI
- 6.45
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- The Canadian Journal of Psychiatry (publishedVersion, public-domain)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health
- Canadian Institutes of Health Research (152348)
- National Institute of Mental Health (K24MH064122)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Social Sciences › Gender Studies › Gender Roles and Identity Studies
- Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
- Keywords
- help-seeking, mental illness, negative attitudes, stigma, embarrassment, help-seeking barriers, substance abuse, antisocial personality disorder, socioeconomic status, young adults, mental health service utilization, sociodemographic correlates, United States, Ontario
- MeSH terms
- Adolescent, Adult, Age Factors, Attitude to Health, Mental Disorders, Canada, Educational Status, Female, Humans, Male, Mental Health Services, Middle Aged, Ontario, Sex Factors, Socioeconomic Factors, United States, Health Care Surveys, Young Adult
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