The Relationship Between Health Literacy and Mental Health Attitudes and Beliefs.
The Relationship Between Health Literacy and Mental Health Attitudes and Beliefs.
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DOI：
10.3928/24748307-20221018-01
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发表时间：
2022-10
影响因子：
--
通讯作者：
Angeles J
中科院分区：
文献类型：
--
作者：
Fleary SA;Joseph PL;Gonçalves C;Somogie J;Angeles J
心理健康急救计划在减少耻辱感和增加寻求帮助方面显示出希望。然而，这些和其他心理健康干预措施的成功可能会受到健康素养的影响。然而，健康素养在心理健康文献中研究不足，很少在心理健康干预措施中考虑。本研究探讨健康素养与心理健康污名、心理健康求助厌恶、与精神疾病患者互动意愿的关系。成人（N = 601，平均年龄= 45.64）完成了他们的健康素养和心理健康的态度和信念的在线调查。分层线性回归模型估计，以探讨健康素养和心理健康的态度和信念之间的关系。路径模型估计，以确定是否耻辱介导的健康素养和（1）厌恶寻求帮助和（2）愿意与精神疾病患者互动之间的关系。功能性健康素养和沟通性健康素养较高的成年人心理健康污名和心理健康求助厌恶程度较低。具有较高沟通健康素养和赋权的成年人更愿意与精神疾病患者互动。心理健康污名部分介导的沟通健康素养和厌恶心理健康求助和愿意与精神疾病患者互动之间的关系。心理健康污名完全介导功能性健康素养与心理健康求助的厌恶和与精神疾病患者互动的意愿之间的关系。结果支持在心理健康干预措施中包括健康知识普及，并重申在社区和临床环境中解决耻辱问题。[HLRP健康素养研究与实践。2022;6（4）：e270-e279.]许多有心理健康问题的成年人因为对心理健康的消极信念而得不到帮助。我们发现，在获取、理解和使用健康信息方面有更多技能的成年人，负面意见更少，更愿意与有心理健康问题的人互动。提高这些技能可以减少对心理健康和寻求帮助的负面看法。
Mental health first aid programs show promise in reducing stigma and increasing help-seeking. However, the success of these and other mental health interventions are likely affected by health literacy. Yet, health literacy is understudied in the mental health literature and rarely considered in mental health interventions. This study explored the relationship between health literacy and mental health stigma, aversion to mental health help-seeking, and willingness to interact with individuals with mental illnesses. Adults (N = 601, mean age = 45.64) completed online surveys of their health literacy and mental health attitudes and beliefs. Hierarchal linear regression models were estimated to examine the relationship between health literacy and mental health attitudes and beliefs. Path models were estimated to determine if stigma mediated the relationship between health literacy and (1) aversion to help-seeking and (2) willingness to interact with individuals with mental illnesses. Adults with higher functional and communicative health literacy had lower mental health stigma and aversion to mental health help-seeking. Adults with higher communicative health literacy and empowerment were more willing to interact with individuals with mental illnesses. Mental health stigma partially mediated the relationships between communicative health literacy and aversion to mental health help-seeking and willingness to interact with individuals with mental illnesses. Mental health stigma fully mediated the relationships between functional health literacy and aversion to mental health help-seeking and willingness to interact with individuals with mental illnesses. Results support including health literacy in mental health interventions and reiterate addressing stigma in community and clinical settings. [HLRP: Health Literacy Research and Practice. 2022;6(4):e270–e279.] Many adults with mental health problems do not get help because of negative beliefs about mental health. We found that adults with more skills for accessing, understanding, and using health information had fewer negative opinions and were more willing to interact with others with mental health problems. Improving those skills may reduce negative opinions about mental health and seeking help.