ArticleArchives of public health = Archives belges de sante publique2024
How gender and low mental health literacy are related to unmet need for mental healthcare: a cross-sectional population-based study in Sweden.
Article in Archives of public health = Archives belges de sante publique, 2024. 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, 16 citations in OpenAlex.
- Impact of mobile health interventions for mental health literacy: A systematic review and meta-analysis of randomized controlled trials.PLOS digital health · 2026Article
- Community Street Play Versus Facility-based Screening for Mental Health Literacy in Rural India: A Mixed-methods Quasi-experimental Study.Indian journal of psychological medicine · 2026Article
- Mental health disparities by sex: unravelling determinants and changes in the refugee resettlement process over a decade.Epidemiology and psychiatric sciences · 2026Article
- Factors Associated with Mental Health Literacy Among Undergraduate Health Students in Portuguese Higher Education: The Role of Psychological Well-Being.Nursing reports (Pavia, Italy) · 2026Article
- A pre-treatment comparison of referral pathways to guided ICBT for depression and anxiety disorders - A naturalistic study in routine clinical care.Frontiers in digital health · 2026Article
- The Impact of Mobile Health Interventions on Mental Health Literacy: Protocol for a Systematic Review and Meta-Analysis of Randomized Controlled Trials.Journal of evaluation in clinical practice · 2025Article
- Digital Motion Graphics and Animated Media in Health Communication: A Systematic Review of Strategies for Sexual Health Messaging.Healthcare (Basel, Switzerland) · 2025Review
- Assessing Mental Health Literacy Among Undergraduate Nursing Students in South Africa.Nursing reports (Pavia, Italy) · 2025Article
- Needs and Preferences of Swedish Young Adults for a Digital App Promoting Mental Health Literacy, Occupational Balance, and Peer Support: Qualitative Interview Study.JMIR formative research · 2025Article
- Self-reported help-seeking behavior in the event of mental disorders among adults in Poland.Frontiers in public health · 2025Article
- Exploring Mental Health Literacy and Quality of Life in Multiple Sclerosis: A Cross-Sectional Study.The Journal of neuroscience nursing : journal of the American Association of Neuroscience NursesArticle
- Association Between Self-Reported Psychiatric Diseases and Oral Health Among Older Adults.Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric DentistryArticle
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMen are more likely to have unmet need for mental healthcare than women. However, an under-investigated aspect of the gender difference is the role of mental health literacy. This study investigated how combinations of gender and mental health literacy were related to two indicators of unmet need: not perceiving a need for mental healthcare despite poor mental health, and refraining from seeking mental healthcare.
methodsThis cross-sectional study was based on a questionnaire sent to a general population sample, aged 16-84 years, in Stockholm County, Sweden, in 2019. Of the 1863 respondents (38%), 1563 were included (≥18 years). The sample was stratified into four groups, men and women with low or high mental health literacy, using the third quartile of the Mental Health Knowledge Schedule. The likelihood of not perceiving a need for mental healthcare and refraining from seeking mental healthcare, at any time in life, were investigated by calculating odds ratios with 95% confidence intervals.
resultsMen with low mental health literacy were most likely to not perceive a need for mental healthcare, also when adjusting for age, education, and poor mental health (OR 5.3, 95% CI 3.6-7.7), and to refrain from seeking mental healthcare, also when adjusting for age and education (OR 3.3, 95% CI 1.7-6.4), followed by men with high mental health literacy (OR 1.9, 95% CI 1.5-2.4, and OR 1.5, 95% CI 1.0-2.2) and women with low mental health literacy (OR 1.9, 95% CI 1.2-2.9, and OR 2.1, 95% CI 1.1-3.9). Women with high mental health literacy were least likely (reference group).
conclusionThe results show differences in the likelihood of unmet need for mental healthcare based on combinations of gender and mental health literacy level, with men having low mental health literacy being most at risk, and women with high mental health literacy being least at risk. This challenges generalisations of a gender difference in unmet need by showing heterogeneity among men and women based on mental health literacy. Men with low mental health literacy may be particularly in need of targeted interventions to reduce potential individual and societal consequences of their unmet need.
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