ArticleSocial psychiatry and psychiatric epidemiology2019
Geographic distribution and determinants of mental health stigma in central Mozambique.
Article in Social psychiatry and psychiatric epidemiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 29 citations in OpenAlex.
- Providers' perspectives of barriers and facilitators to scale-up of mental health care in the public health delivery system of Mozambique: a qualitative inquiry.BMC health services research · 2024Trial
- Stratified and geographic patterns of depression and anxiety in Mozambican women: Mental health policy implications.PloS one · 2026Article
- Depression and Anxiety Among Women in Lesotho: A Multilevel Analysis of the 2023-2024 LSDHS.Depression and anxiety · 2026Article
- Intimate partner violence and the dual burden of anxiety and depression among women in Zambia: Spatial inequalities and implications for the sustainable development goals.Global mental health (Cambridge, England) · 2026Article
- Article
- Association between socioeconomic position of the household head, food insecurity and psychological health: an application of propensity score matching.BMC public health · 2024Article
- Prevalence and associated factors of common mental disorders in primary care settings in Sofala Province, Mozambique.BJPsych open · 2023Article
- Mental illness stigma in Bangladesh: Findings from a cross-sectional survey.Global mental health (Cambridge, England) · 2023Article
- Systems analysis and improvement approach to optimize outpatient mental health treatment cascades in Mozambique (SAIA-MH): study protocol for a cluster randomized trial.Implementation science : IS · 2022Article
- Post-traumatic stress disorder psychological interventions in sub-Saharan Africa: protocol for a systematic review of the literature.BMJ open · 2022Article
- Leveraging Neuroscience to Fight Stigma Around Mental Health.Frontiers in behavioral neuroscience · 2021Review
- Validity and item response theory properties of the Patient Health Questionnaire-9 for primary care depression screening in Mozambique (PHQ-9-MZ).BMC psychiatry · 2020Article
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Authors and funding
10 authors at 4 institutions in 2 countries.
Funding
Abstract
purposeThis study describes patterns of community-level stigmatizing attitudes towards mental illness (MI) in central Mozambique.
methodsData for this study come from a representative community household survey of 2933 respondents ≥ 18 years old in Manica and Sofala Provinces, Mozambique. Six MI stigma questions represented primary research outcomes. Bivariate and multivariable analyses examined the relationship between key explanatory factors and each stigma question. Spatial analyses analyzed the smoothed geographic distribution of responses to each question and explored the association between geographic location and MI stigma controlling for individual-level socio-demographic factors.
resultsStigmatizing attitudes towards MI are prevalent in central Mozambique. Analyses showed that males, people who live in urban places, divorced and widowed individuals, people aged 18-24, people with lower education, people endorsing no religion, and people in lower wealth quintiles tended to have significantly higher levels of stigmatizing attitudes towards MI. Individuals reporting depressive symptoms scored significantly higher on stigmatizing questions, potentially indicating internalized stigma. Geographic location is significantly associated with people's response to five of the stigma questions even after adjusting for individual-level factors.
conclusionStigmatizing attitudes towards MI are common in central Mozambique and concentrated amongst specific socio-demographic groups. However, geographic analyses suggest that structural factors within communities and across regions may bear a greater influence on MI stigma than individual-level factors alone. Further implementation science should consider focusing on identifying the most significant modifiable structural factors associated with MI stigma in LMICs to inform the development, testing, and optimization of multi-level stigma prevention interventions.
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