Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
Department of Human Development and Family Sciences, University of Delaware, Newark, Delaware.
J Nerv Ment Dis. 2023 Feb 1;211(2):115-124. doi: 10.1097/NMD.0000000000001576. Epub 2022 Sep 3.
Stigma about mental illness is a known barrier to engagement in mental health services. We conducted an online cross-sectional study, aiming to estimate the associations between religiosity and mental illness stigma among Black adults ( n = 269, ages 18-65 years) in the United States. After adjusting for demographic factors (age, education, and ethnicity), respondents with higher attendance at religious services or greater engagement in religious activities ( e.g. , prayer, meditation, or Bible study) reported greater proximity to people living with mental health problems (rate ratio [RR], 1.72; 95% confidence interval [CI], 1.14-2.59 and RR, 1.82; 95% CI, 1.18-2.79, respectively). Despite reporting greater past or current social proximity, respondents with higher religiosity indices also reported greater future intended stigmatizing behavior (or lower future intended social proximity) (RR, 0.92-0.98). Focusing specifically on future intended stigmatizing behavior and the respondent's level of religiosity, age, and ethnicity may be critical for designing effective stigma-reducing interventions for Black adults.
精神疾病污名是参与精神卫生服务的已知障碍。我们进行了一项在线横断面研究，旨在估计宗教信仰与美国黑人成年人（ n = 269，年龄 18-65 岁）的精神疾病污名之间的关联。在调整人口统计学因素（年龄、教育和种族）后，参加宗教仪式或更多参与宗教活动（例如祈祷、冥想或圣经研究）的受访者报告与精神健康问题患者的距离更近（相对比率 [RR]，1.72；95%置信区间 [CI]，1.14-2.59 和 RR，1.82；95%CI，1.18-2.79）。尽管报告了过去或现在更大的社会接近度，但宗教信仰指数较高的受访者也报告了未来预期的污名化行为（或更低的未来预期社会接近度）（RR，0.92-0.98）。专门关注未来预期的污名化行为以及受访者的宗教信仰程度、年龄和种族，对于为黑人成年人设计有效的减少污名化干预措施可能至关重要。
