Evidence map›Paper›PMID 41661749›Full record

ArticlePLOS mental health2024

Community perspectives on adolescent mental health stigma in American Samoa.

Vanessa Blas, Emma J Mew, Julia Winschel, Leiema Hunt, Si'itia Soliai Lemusu, Sarah R Lowe, Joshua Naseri, Robert L M Toelupe, Nicola L Hawley, Jueta McCutchan-Tofaeono

Abstract read
In one paragraph

Article in PLOS mental health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. 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

10 authors.

Vanessa BlasDepartment of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, Connecticut, United States of America.ORCID https://orcid.org/0000-0001-7981-0230
Emma J MewDepartment of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, Connecticut, United States of America.ORCID https://orcid.org/0000-0002-5667-1394
Julia WinschelDepartment of Social and Behavioral Sciences, Yale School of Public Health, New Haven, Connecticut, United States of America.
Leiema HuntDepartment of Health, American Samoa Government, Pago Pago, American Samoa.
Si'itia Soliai LemusuDepartment of Health, American Samoa Government, Pago Pago, American Samoa.
Sarah R LoweDepartment of Social and Behavioral Sciences, Yale School of Public Health, New Haven, Connecticut, United States of America.
Joshua NaseriObesity, Lifestyle, And Genetic Adaptations Study Group, Pago Pago, American Samoa.
Robert L M ToelupeDepartment of Veterans Affairs, Pago Pago, American Samoa.
Nicola L HawleyDepartment of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, Connecticut, United States of America.ORCID https://orcid.org/0000-0002-2601-3454
Jueta McCutchan-TofaeonoEmpowering Pacific Island Communities (EPIC), Pago Pago, American Samoa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite reports of mental health concerns among adolescents in American Samoa, little is known about the current mental health burden. Furthermore, previous literature has identified mental illness-related stigma as a significant global barrier to mental health care access and treatment. By gathering various perspectives from adult stakeholders and adolescent participants, this community-partnered qualitative study aimed to describe the perceived stigmatization of mental health in American Samoa. Employing the Pacific-specific Fa'afaletui research framework, 28 adult informants of differing professions, ages, and genders participated in semi-structured, in-depth virtual interviews from October 2020 to February 2021. In June 2022, 35 adolescents took part in five online focus groups to validate themes generated from the adult interviews. After duplicate coding of the transcripts, the research team adopted a deductive approach to identify levels of mental health stigmatization before mapping them on to a socio-ecological model. Participants described multiple levels of mental health stigma an adolescent struggling with mental health challenges in American Samoa may encounter. Although there is progress in mobilizing services and educational resources to address various mental health needs, the perceived structural, social, interpersonal, and self-stigma of mental illness may prevent an adolescent in American Samoa from seeking social support and utilizing mental health services. Current and future interventions promoting adolescent mental wellness in American Samoa should focus on addressing the multi-level aspects of mental health stigma.

Identifiers

PMID41661749
PMCPMC12798432

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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.