{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T11:36:08Z","timestamp":1793100968989,"version":"4.5.0"},"reference-count":0,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T00:00:00Z","timestamp":1781481600000},"content-version":"unspecified","delay-in-days":165,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"},{"start":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T00:00:00Z","timestamp":1781481600000},"content-version":"tdm","delay-in-days":165,"URL":"https:\/\/www.cambridge.org\/tdm\/tdmrep-policy.json"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Camb. prisms Glob. ment. health"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    In Nigeria, religious leaders are de facto mental health gatekeepers, yet their explanatory models and attitudes remain poorly characterised at the population level. This cross-sectional study maps causal beliefs and attitudes among 207 Christian and Muslim religious leaders in Lagos using validated, culturally adapted instruments, forming the attitudinal and typological component of the CLERIC research programme. An integrated conceptual model posits that explanatory models structure causal attributions, which constitute the cognitive foundation of stigma-related attitudes clustering into typologies with direct implementation implications. Spiritual causation was most strongly endorsed (\n                    <jats:italic>M<\/jats:italic>\n                    \u00a0=\u00a011.9, SD\u00a0=\u00a02.3) but coexisted with psychosocial and biological attributions in pluralistic frameworks. Stronger spiritual beliefs linked to more restrictive attitudes (\n                    <jats:italic>r<\/jats:italic>\n                    \u00a0=\u00a0.41); biological beliefs predicted more supportive orientations (\n                    <jats:italic>r<\/jats:italic>\n                    \u00a0=\u00a0.35). Latent class analysis identified three optimal typologies (AIC\u00a0=\u00a02,847.3, BIC\u00a0=\u00a02,912.8, entropy\u00a0=\u00a00.82): spiritually oriented\u2013high restrictiveness (38.2%), pluralistic\u2013high benevolence (35.7%) and biologically oriented\u2013low restrictiveness (26.1%). Education and prior mental health training were the strongest independent modifiable predictors of supportive orientation. These typologies challenge monolithic views of religious leaders and provide a stratified, evidence-based framework for designing tailored faith\u2013health integration strategies beyond universalist engagement models in Nigeria and comparable low- and middle-income countries contexts.\n                  <\/jats:p>","DOI":"10.1017\/gmh.2026.10253","type":"journal-article","created":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T12:26:03Z","timestamp":1781699163000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":1,"title":["Religious leaders as mental health gatekeepers in Nigeria: Belief\u2013attitude typologies and implications for faith\u2013health system integration: Findings from the CLERIC study"],"prefix":"10.1017","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7611-6953","authenticated-orcid":false,"given":"Abiodun O.","family":"Adewuya","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01za8fg18","id-type":"ROR","asserted-by":"publisher"}],"name":"Lagos State University College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olabisi E.","family":"Oladipo","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02wa2wd05","id-type":"ROR","asserted-by":"publisher"}],"name":"Lagos State University Teaching Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kikelomo Ololade","family":"Wright","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01za8fg18","id-type":"ROR","asserted-by":"publisher"}],"name":"Lagos State University College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akanni","family":"Raji","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01za8fg18","id-type":"ROR","asserted-by":"publisher"}],"name":"Lagos State University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Aribisala","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01za8fg18","id-type":"ROR","asserted-by":"publisher"}],"name":"Lagos State University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,6,15]]},"container-title":["Cambridge Prisms: Global Mental Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S2054425126102532","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S2054425126102532","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T11:19:19Z","timestamp":1793099959000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S2054425126102532\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"alternative-id":["S2054425126102532"],"URL":"https:\/\/doi.org\/10.1017\/gmh.2026.10253","relation":{"has-review":[{"id-type":"doi","id":"10.1017\/gmh.2026.10253.pr8","asserted-by":"object"},{"id-type":"doi","id":"10.1017\/gmh.2026.10253.pr9","asserted-by":"object"},{"id-type":"doi","id":"10.1017\/gmh.2026.10253.pr6","asserted-by":"object"},{"id-type":"doi","id":"10.1017\/gmh.2026.10253.pr7","asserted-by":"object"},{"id-type":"doi","id":"10.1017\/gmh.2026.10253.pr4","asserted-by":"object"},{"id-type":"doi","id":"10.1017\/gmh.2026.10253.pr5","asserted-by":"object"},{"id-type":"doi","id":"10.1017\/gmh.2026.10253.pr2","asserted-by":"object"},{"id-type":"doi","id":"10.1017\/gmh.2026.10253.pr3","asserted-by":"object"},{"id-type":"doi","id":"10.1017\/gmh.2026.10253.pr1","asserted-by":"object"}]},"ISSN":["2054-4251"],"issn-type":[{"value":"2054-4251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"assertion":[{"value":"\u00a9 The Author(s), 2026. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike licence (http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the same Creative Commons licence is used to distribute the re-used or adapted article and the original article is properly cited. The written permission of Cambridge University Press or the rights holder(s) must be obtained prior to any commercial use.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e152"}}