Evidence map›Paper›PMID 26438139›Full record

ArticleBMJ open2015

Assessment of mental health literacy using a multifaceted measure among a Chinese rural population.

Yu Yu, Zi-wei Liu, Mi Hu, Xi-guang Liu, Hui-ming Liu, Joyce P Yang, Liang Zhou, Shui-yuan Xiao

Abstract read
In one paragraph

Article in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Mental health literacy among nurses at community health centers in rural Rwanda.International journal of mental health systems · 2026
    Article
  3. Article
  4. [Latent profile analysis of mental health literacy among nurses in tertiary general hospitals in Chongqing, China].Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2026
    Article
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  15. Article
  16. Mental Health Literacy and Positive Mental Health in Adolescents: A Correlational Study.International journal of environmental research and public health · 2022
    Article
  17. Article
  18. The Determinants of Mental Health Literacy among Young Adolescents in Malaysia.International journal of environmental research and public health · 2022
    Article
  19. Article
  20. Community mental health literacy in Tshwane region 1: A quantitative study.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Yu YuDepartment of Social Medicine and Health Management, School of Public Health, Central South University, Changsha, Hunan, China.
Zi-wei LiuDepartment of Social Medicine and Health Management, School of Public Health, Central South University, Changsha, Hunan, China.
Mi HuDepartment of Social Medicine and Health Management, School of Public Health, Central South University, Changsha, Hunan, China.
Xi-guang LiuDepartment of Social Medicine and Health Management, School of Public Health, Central South University, Changsha, Hunan, China.
Hui-ming LiuDepartment of Social Medicine and Health Management, School of Public Health, Central South University, Changsha, Hunan, China.
Joyce P YangDepartment of Psychology, University of Washington, Seattle, Washington, USA.
Liang ZhouDepartment of Social Medicine and Health Management, School of Public Health, Central South University, Changsha, Hunan, China.
Shui-yuan XiaoDepartment of Social Medicine and Health Management, School of Public Health, Central South University, Changsha, Hunan, China.ORCID http://orcid.org/0000-0002-2046-5564

Funding

CSRD VA I01 CX002015
6 · The paper itself

Abstract

objectivesThe present study aims to assess mental health literacy (MHL) using a standardised multifaceted 20-item instrument called Mental Health Knowledge Questionnaire (MHKQ) developed by the Chinese Ministry of Health, among a rural Chinese population.

settingFour villages in Liuyang county of Hunan province, China.

participantsThis was a cross-sectional study. A multistage cluster-sampling method was adopted, leading to a final sampling frame of 2377 residents aged 18-60 years from four villages of Liuyang county. Included in the study were residents aged 18-60 years living in their village for at least half a year; excluded were those not living in the areas during the research period, those with difficulty in communication due to serious physical or mental illness and those who were cognitively impaired or actively psychotic. Finally, 2052 participants completed the survey. PRIMARY AND SECONDARY OUTCOME MEASURES: Primary outcome was correct response rate of the MHKQ; secondary outcome measures were association between sociodemographics and MHL, and association between MHL and health outcomes.

resultsCorrect response rates for the 20 MHKQ items ranged from 19% to 94%, with a mean rate of 58%. Younger age (r=-0.02, p<0.01), higher education (r: 1.38-2.69, p<0.01) and higher income (r=0.41, p<0.01), were independently associated with higher MHL. MHL was independently associated with self-rated general health (r=2.31, p<0.01), depression (r=-0.09, p<0.01) and anxiety (r=-0.07, p<0.05).

conclusionsMHL in the rural areas of Liuyang is lower than that reported in urban areas of China. There is much room for improvement with regard to MHL promotion in rural areas of China. Younger age, higher education and higher income are the three robust factors related to higher MHL, so cohort-specific educational intervention efforts may be indicated.

Indexed as

Mental HealthQuality ImprovementRural PopulationAdolescentAdultChinaCross-Sectional StudiesDepressive DisorderFemaleHealth LiteracyHumansMaleMiddle AgedMorbidityRetrospective StudiesSurveys and QuestionnairesMENTAL HEALTHPUBLIC HEALTH

Identifiers

PMID26438139
PMCPMC4606438

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.