Stigma toward mental illness among higher secondary school teachers in Puducherry, South India

Background: A majority of mental illness start during adolescent period, and teachers can be a major resource in provision of mental health services to them. Stigma is a major barrier between persons with mental illness and opportunities to recover. Materials and Methods: Cross-sectional analytical...

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Main Authors: Surendran Venkataraman, Rajkumar Patil, Sivaprakash Balasundaram
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:Journal of Family Medicine and Primary Care
Subjects:
Online Access:http://www.jfmpc.com/article.asp?issn=2249-4863;year=2019;volume=8;issue=4;spage=1401;epage=1407;aulast=Venkataraman
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author Surendran Venkataraman
Rajkumar Patil
Sivaprakash Balasundaram
author_facet Surendran Venkataraman
Rajkumar Patil
Sivaprakash Balasundaram
author_sort Surendran Venkataraman
collection DOAJ
description Background: A majority of mental illness start during adolescent period, and teachers can be a major resource in provision of mental health services to them. Stigma is a major barrier between persons with mental illness and opportunities to recover. Materials and Methods: Cross-sectional analytical study was conducted to assess the stigma toward mental illness and associated factors among higher secondary school teachers in Puducherry from April 2017 to March 2018. Multistage sampling was used to select 566 teachers from 46 schools. A part of the vignette-based “Mental Health Literacy Scale” portraying depression was used to assess stigma toward mental illness. Sociodemographic and work characteristics were also obtained. Data were analyzed using SPSS v16. To identify factors associated with stigma, bivariate analysis was done using Chi-square test and multivariate analysis using logistic regression. Results: Among the teachers, 72.9% and 65.7% showed overall agreement to personal and perceived stigma, respectively, toward case in vignette. Teachers in lower age group [adjusted odds ratio (AOR): 4.6 (95% confidence interval (CI): 2.54–8.33)], male gender [AOR: 2.79 (95% CI: 1.85–4.24)], working in urban [AOR: 2.8 (95% CI: 1.91–4.15)], private schools [AOR: 2.58 (95% CI: 1.77–3.77)], and less teaching experience [AOR: 3.72 (95% CI: 2.4–5.88)] had significantly higher personal stigma. Similarly, lower age group [AOR: 4.6 (95% CI: 2.54–8.33)], male gender [AOR: 2.79 (95% CI: 1.85–4.24)], working in urban [AOR: 2.8 (95% CI: 1.91–4.15)] schools, and less teaching experience [AOR: 3.72 (95% CI: 2.4–5.88)] had significantly higher perceived stigma. Conclusion: About 70% teachers showed overall agreement to stigma toward the depressive case vignette. The significant factors influencing stigma were identified. This can act as a baseline to implementmental health training program for teachers therefore bringing an attitudinal shift to being positive toward the psychologically disturbed.
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spelling doaj.art-fa304a919b3345c4a3bf9eb56da2a02c2022-12-22T00:48:56ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632019-01-01841401140710.4103/jfmpc.jfmpc_203_19Stigma toward mental illness among higher secondary school teachers in Puducherry, South IndiaSurendran VenkataramanRajkumar PatilSivaprakash BalasundaramBackground: A majority of mental illness start during adolescent period, and teachers can be a major resource in provision of mental health services to them. Stigma is a major barrier between persons with mental illness and opportunities to recover. Materials and Methods: Cross-sectional analytical study was conducted to assess the stigma toward mental illness and associated factors among higher secondary school teachers in Puducherry from April 2017 to March 2018. Multistage sampling was used to select 566 teachers from 46 schools. A part of the vignette-based “Mental Health Literacy Scale” portraying depression was used to assess stigma toward mental illness. Sociodemographic and work characteristics were also obtained. Data were analyzed using SPSS v16. To identify factors associated with stigma, bivariate analysis was done using Chi-square test and multivariate analysis using logistic regression. Results: Among the teachers, 72.9% and 65.7% showed overall agreement to personal and perceived stigma, respectively, toward case in vignette. Teachers in lower age group [adjusted odds ratio (AOR): 4.6 (95% confidence interval (CI): 2.54–8.33)], male gender [AOR: 2.79 (95% CI: 1.85–4.24)], working in urban [AOR: 2.8 (95% CI: 1.91–4.15)], private schools [AOR: 2.58 (95% CI: 1.77–3.77)], and less teaching experience [AOR: 3.72 (95% CI: 2.4–5.88)] had significantly higher personal stigma. Similarly, lower age group [AOR: 4.6 (95% CI: 2.54–8.33)], male gender [AOR: 2.79 (95% CI: 1.85–4.24)], working in urban [AOR: 2.8 (95% CI: 1.91–4.15)] schools, and less teaching experience [AOR: 3.72 (95% CI: 2.4–5.88)] had significantly higher perceived stigma. Conclusion: About 70% teachers showed overall agreement to stigma toward the depressive case vignette. The significant factors influencing stigma were identified. This can act as a baseline to implementmental health training program for teachers therefore bringing an attitudinal shift to being positive toward the psychologically disturbed.http://www.jfmpc.com/article.asp?issn=2249-4863;year=2019;volume=8;issue=4;spage=1401;epage=1407;aulast=VenkataramanAttitudemental illnessschool teacherssouth Indiastigmatization
spellingShingle Surendran Venkataraman
Rajkumar Patil
Sivaprakash Balasundaram
Stigma toward mental illness among higher secondary school teachers in Puducherry, South India
Journal of Family Medicine and Primary Care
Attitude
mental illness
school teachers
south India
stigmatization
title Stigma toward mental illness among higher secondary school teachers in Puducherry, South India
title_full Stigma toward mental illness among higher secondary school teachers in Puducherry, South India
title_fullStr Stigma toward mental illness among higher secondary school teachers in Puducherry, South India
title_full_unstemmed Stigma toward mental illness among higher secondary school teachers in Puducherry, South India
title_short Stigma toward mental illness among higher secondary school teachers in Puducherry, South India
title_sort stigma toward mental illness among higher secondary school teachers in puducherry south india
topic Attitude
mental illness
school teachers
south India
stigmatization
url http://www.jfmpc.com/article.asp?issn=2249-4863;year=2019;volume=8;issue=4;spage=1401;epage=1407;aulast=Venkataraman
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AT sivaprakashbalasundaram stigmatowardmentalillnessamonghighersecondaryschoolteachersinpuducherrysouthindia