ArticleEuropean journal of public health2020
Mental illness stigma after a decade of Time to Change England: inequalities as targets for further improvement.
Article in European journal of public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 4 of them syntheses that pooled it.
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Who cites it
49 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Prevalence of Depression, Anxiety, Stress, and Suicidal Ideation Among Pharmacy Students: An Updated Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2026Pooled it
- Mental health related stigma in Romania: systematic review and narrative synthesis.BMC psychiatry · 2023Pooled it
- Mental illness and help-seeking behaviours among Middle Eastern cultures: A systematic review and meta-synthesis of qualitative data.PloS one · 2023Pooled it
- Pooled it
- Public Perceptions of Gambling in the UK Armed Forces: Understanding Stigma Via a Vignette Experiment.Journal of gambling studies · 2026Trial
- "Courtesy stigma": associative stigma experienced by Indonesian mental health nurses working in a psychiatric setting: a qualitative study.International journal of qualitative studies on health and well-being · 2026Article
- Beyond awareness: 25 years of population data on the impact of Australia's Beyond Blue.Epidemiology and psychiatric sciences · 2026Article
- Compassion as Compass: Navigating 50 Years of Change and Challenge in Mental Health Nursing.Journal of advanced nursing · 2026Article
- One year later: tracking the continued growth of mental illness stigma in England.BJPsych open · 2026Article
- Stigma is on the rise.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2026Article
- Cultural Biases and Clinical Variation.Clinics and practice · 2025Article
- Quality of life of generations X, Y, and Z in Saudi Arabia: a cross-sectional comparative analysis.BMC public health · 2025Article
- Changes in mental health stigma and well-being: knowledge, attitudes and behavioural intentions among Hong Kong residents between 2021 and 2023.BJPsych open · 2025Article
- The Cost of Dying Exhibition: public, professional and political reactions to a visual exhibition depicting experiences of poverty at the end of life.Medical humanities · 2025Article
- The Effectiveness of Social Media Campaigns in Improving Knowledge and Attitudes Toward Mental Health and Help-Seeking in High-Income Countries: Scoping Review.Journal of medical Internet research · 2025Article
- Responsiveness of European countries to the population mental health needs: A cross-national comparison study.European psychiatry : the journal of the Association of European Psychiatrists · 2025Article
- Indigenous people display lower mental illness stigma in Aotearoa.The Australian and New Zealand journal of psychiatry · 2025Article
- Navigating challenges and shaping futures through mental health nursing in the United Kingdom.Journal of psychiatric and mental health nursing · 2025Article
- Article
- Mental health stigma in Ukraine over time: A cross-sectional study.Global mental health (Cambridge, England) · 2025Article
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Funding
Abstract
backgroundEngland's Time to Change programme to reduce mental health-related stigma and discrimination included a social marketing campaign using traditional and social media, and targeted middle-income groups aged 25-45 between 2009 and 2016. From 2017, the same age group on low to middle incomes were targeted, and the content focused on men's mental health, by changing the advertising and adapting the 'key messages'. This study investigates changes in stigma-related public knowledge, attitudes and desire for social distance in England since Time to Change began in 2008-19 and for 2017-19.
methodsUsing data from a face-to-face survey of a nationally representative quota sample of adults for England, we evaluated longitudinal trends in outcomes with regression analyses and made assumptions based on a simple random sample. The pre-existing survey used a measure of attitudes; measures of knowledge and desire for social distance were added in 2009.
resultsReported in standard deviation units (95% CI), the improvement for knowledge for 2009-19 was 0.25 (0.19, 0.32); for attitudes, 2008-19, 0.32 (0.26, 0.39) and for desire for social distance, 2009-19 0.29 (0.23, 0.36). Significant interactions between year and both region and age suggest greater improvements in London, where stigma is higher, and narrowing of age differences. There were significant improvements between 2017 and 2019 in knowledge [0.09 (0.02, 0.16)] and attitudes [0.08 (0.02, 0.14)] but not social distance.
conclusionThe positive changes support the effectiveness of Time to Change but cannot be definitively attributed to it. Inequalities in stigma by demographic characteristics present targets for research and intervention.
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