Ronaldson Amy, Chua Kia-Chong, Hahn Jane, Henderson Claire
Health Service and Population Research Department, King's College London, Institute of Psychiatry, Psychology, and Neuroscience, London, United Kingdom.
Division of Psychiatry, University College London, London, United Kingdom.
Eur J Public Health. 2025 Apr 1;35(2):366-372. doi: 10.1093/eurpub/ckaf020.
We previously reported short-lived improvements in mental health literacy following the Every Mind Matters campaign, followed by a return to baseline levels. In this study, we aimed to examine whether either socioeconomic status or ethnicity moderated these improvements. We conducted regression analyses on a nationally representative, repeated cross-sectional dataset of nine survey waves from September 2019 to March 2022. Interaction terms (ethnicitywave, socioeconomic statuswave) were entered into regression models to assess the moderating effect of these variables. Where significant interactions emerged, we obtained marginal estimates and plotted them for ease of interpretation. We found no evidence that improvements seen in mental health literacy following the launch of Every Mind Matters were moderated by ethnicity or socioeconomic status. Over time, there was some evidence of lower scores relating to symptoms recognition, knowledge of actions to improve mental health, and desire for social distance (stigma) among adults of lower socioeconomic status, which converged again for symptom recognition. These findings suggest that while a web resource can empower people and improve mental health literacy, in relation to ethnicity and socioeconomic status, it may be that while this can avoid a widening of inequalities it is insufficient to lead to a narrowing of them.
我们之前报告称，在“关注每一颗心灵”运动之后，心理健康素养有短期改善，随后又回到了基线水平。在本研究中，我们旨在探讨社会经济地位或种族是否会调节这些改善情况。我们对2019年9月至2022年3月九个调查波次的全国代表性重复横断面数据集进行了回归分析。将交互项（种族调查波次、社会经济地位调查波次）纳入回归模型，以评估这些变量的调节作用。当出现显著交互作用时，我们获得边际估计值并绘制出来以便于解释。我们没有发现证据表明“关注每一颗心灵”运动启动后心理健康素养的改善受到种族或社会经济地位的调节。随着时间的推移，有一些证据表明，社会经济地位较低的成年人在症状识别、改善心理健康行动的知识以及社交距离渴望（污名化）方面得分较低，不过症状识别方面的得分又再次趋于一致。这些发现表明，虽然一个网络资源可以增强人们的能力并提高心理健康素养，但就种族和社会经济地位而言，虽然这可以避免不平等的扩大，但可能不足以导致不平等的缩小。
