{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T22:19:37Z","timestamp":1775168377229,"version":"3.50.1"},"reference-count":74,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2023,2,14]],"date-time":"2023-02-14T00:00:00Z","timestamp":1676332800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"P\u00f3voa de Varzim Municipality"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Portugal has Europe\u2019s second-highest prevalence of psychiatric illnesses, and this is the reason why mental health literacy (MHL) and stigma should be addressed. This study aimed to investigate the mental health literacy and stigma levels among different groups of people from P\u00f3voa de Varzim, a municipality in the north of Portugal. Students, retired people, and professionals (education, social, and healthcare fields) were recruited using a convenience sample from June to November 2022. Participants\u2019 MHL levels were evaluated using the Mental Health Promoting Knowledge Scale (MHPK), Mental Health Literacy Measure (MHLM) and Mental Health Knowledge Schedule (MAKS). Stigma levels were evaluated using Community Attitudes towards Mental Illness (CAMI) and the Reported and Intended Behaviour Scale (RIBS). A total of 928 questionnaires were filed. The respondents included 65.70% of women, a mean age of 43.63 (\u00b126.71) years and 9.87 (\u00b14.39) years of school education. MHL increased with age, education level and was higher in women (p &lt; 0.001). A higher level of MHL was seen in health professionals (p &lt; 0.001). Findings revealed that older people stigmatized people with mental illness more (p &lt; 0.001), and the female gender stigmatize less (p &lt; 0.001). In addition, results showed that stigma decreased with higher mental health literacy (r between 0.11 and 0.38; p &lt; 0.001). To conclude, specific campaigns that promote mental health literacy should be tailored to specific profiles within this population to address those that have more stigma.<\/jats:p>","DOI":"10.3390\/ijerph20043318","type":"journal-article","created":{"date-parts":[[2023,2,14]],"date-time":"2023-02-14T02:16:01Z","timestamp":1676340961000},"page":"3318","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":37,"title":["Mental Health Literacy and Stigma in a Municipality in the North of Portugal: A Cross-Sectional Study"],"prefix":"10.3390","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4703-1712","authenticated-orcid":false,"given":"Raquel","family":"Sim\u00f5es de Almeida","sequence":"first","affiliation":[{"name":"Psychosocial Rehabilitation Laboratory, Center for Rehabilitation Research, School of Health, Polytechnic of Porto, 4200-072 Porto, Portugal"}]},{"given":"Maria Jo\u00e3o","family":"Trigueiro","sequence":"additional","affiliation":[{"name":"Psychosocial Rehabilitation Laboratory, Center for Rehabilitation Research, School of Health, Polytechnic of Porto, 4200-072 Porto, Portugal"}]},{"given":"Paula","family":"Portugal","sequence":"additional","affiliation":[{"name":"Psychosocial Rehabilitation Laboratory, Center for Rehabilitation Research, School of Health, Polytechnic of Porto, 4200-072 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3639-8634","authenticated-orcid":false,"given":"Sara","family":"de Sousa","sequence":"additional","affiliation":[{"name":"Psychosocial Rehabilitation Laboratory, Center for Rehabilitation Research, School of Health, Polytechnic of Porto, 4200-072 Porto, Portugal"},{"name":"Department of Psychiatry and Mental Health, University Hospital Center of S\u00e3o Jo\u00e3o, 4200-319 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2831-9729","authenticated-orcid":false,"given":"V\u00edtor","family":"Sim\u00f5es-Silva","sequence":"additional","affiliation":[{"name":"Psychosocial Rehabilitation Laboratory, Center for Rehabilitation Research, School of Health, Polytechnic of Porto, 4200-072 Porto, Portugal"}]},{"given":"Filipa","family":"Campos","sequence":"additional","affiliation":[{"name":"Psychosocial Rehabilitation Laboratory, Center for Rehabilitation Research, School of Health, Polytechnic of Porto, 4200-072 Porto, Portugal"}]},{"given":"Maria","family":"Silva","sequence":"additional","affiliation":[{"name":"Psychosocial Rehabilitation Laboratory, Center for Rehabilitation Research, School of Health, Polytechnic of Porto, 4200-072 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8656-5023","authenticated-orcid":false,"given":"Ant\u00f3nio","family":"Marques","sequence":"additional","affiliation":[{"name":"Psychosocial Rehabilitation Laboratory, Center for Rehabilitation Research, School of Health, Polytechnic of Porto, 4200-072 Porto, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2023,2,14]]},"reference":[{"key":"ref_1","first-page":"3061","article-title":"Health literacy, social determinants of health, and disease prevention and control","volume":"6","author":"Coughlin","year":"2020","journal-title":"J. Environ. Health Sci."},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Nutbeam, D., Levin-Zamir, D., and Rowlands, G. (2018). Health literacy in context. Int. J. Environ. Res. Public Health, 15.","DOI":"10.3390\/ijerph15122657"},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"S\u00f8rensen, K., Van den Broucke, S., Fullam, J., Doyle, G., Pelikan, J., Slonska, Z., and Brand, H. (2012). Health literacy and public health: A systematic review and integration of definitions and models. BMC Public Health, 12.","DOI":"10.1186\/1471-2458-12-80"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1093\/heapro\/15.3.259","article-title":"Health literacy as a public health goal: A challenge for contemporary health education and communication strategies into the 21st century","volume":"15","author":"Nutbeam","year":"2000","journal-title":"Health Promot. Int."},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Vamos, S., Okan, O., Sentell, T., and Rootman, I. (2020). Making a case for \u201cEducation for health literacy\u201d: An international perspective. Int. J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17041436"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"182","DOI":"10.5694\/j.1326-5377.1997.tb140071.x","article-title":"\u201cMental health literacy\u201d: A survey of the public\u2019s ability to recognise mental disorders and their beliefs about the effectiveness of treatment","volume":"166","author":"Jorm","year":"1997","journal-title":"Med. J. Aust."},{"key":"ref_7","unstructured":"Jorm, A.F., Okan, O., Bauer, U., Levin-Zamir, D., Pinheiro, P., and S\u00f8rensen, K. (2019). International Handbook of Health Literacy: Research, Practice and Policy across the Life-Span, Policy Press. [4th ed.]."},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Sampaio, F., Gon\u00e7alves, P., and Sequeira, C. (2022). Mental Health Literacy: It Is Now Time to Put Knowledge into Practice. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19127030"},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Morgan, A.J., Ross, A., and Reavley, N.J. (2018). Systematic review and meta-analysis of Mental Health First Aid training: Effects on knowledge, stigma, and helping behaviour. PLoS ONE, 13.","DOI":"10.1371\/journal.pone.0197102"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1007\/s00406-018-0896-0","article-title":"Stigma as a barrier to recognizing personal mental illness and seeking help: A prospective study among untreated persons with mental illness","volume":"269","author":"Schomerus","year":"2019","journal-title":"Eur. Arch. Psychiatry Clin. Neurosci."},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"Brouwers, E.P.M. (2020). Social stigma is an underestimated contributing factor to unemployment in people with mental illness or mental health issues: Position paper and future directions. BMC Psychol., 8.","DOI":"10.1186\/s40359-020-00399-0"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1002\/(SICI)1520-6629(200001)28:1<91::AID-JCOP9>3.0.CO;2-M","article-title":"Stigmatizing attributions about mental illness","volume":"28","author":"Corrigan","year":"2000","journal-title":"J. Community Psychol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"777","DOI":"10.2105\/AJPH.2012.301056","article-title":"Mental illness stigma, help seeking, and public health programs","volume":"103","author":"Henderson","year":"2013","journal-title":"Am. J. Public Health"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1016\/j.psychres.2013.08.013","article-title":"Self-stigma, perceived discrimination and empowerment among people with a mental illness in six countries: Pan European stigma study","volume":"210","author":"Krajewski","year":"2013","journal-title":"Psychiatry Res."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1086","DOI":"10.3109\/00048674.2011.621061","article-title":"Stigmatizing attitudes towards people with mental disorders: Findings from an Australian National Survey of Mental Health Literacy and Stigma","volume":"45","author":"Reavley","year":"2011","journal-title":"Aust. N. Z. J. Psychiatry"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1192\/bjp.bp.106.025791","article-title":"Stigma: Ignorance, prejudice or discrimination?","volume":"190","author":"Thornicroft","year":"2007","journal-title":"Br. J. Psychiatry"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1080\/14623730.2017.1345687","article-title":"The impact of mental health literacy, stigma, and social support on attitudes toward mental health help-seeking","volume":"19","author":"Jung","year":"2017","journal-title":"Int. J. Ment. Health Promot."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1002\/jcad.12178","article-title":"Self-stigma, mental health literacy, and attitudes toward seeking psychological help","volume":"96","author":"Cheng","year":"2018","journal-title":"J. Couns. Dev."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1016\/j.archger.2018.07.010","article-title":"Predictors of mental health literacy in older people","volume":"79","author":"Piper","year":"2018","journal-title":"Arch. Gerontol. Geriatr."},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Nyblade, L., Stockton, M.A., Giger, K., Bond, V., Ekstrand, M.L., Lean, R.M., Mitchell, E.M.H., Nelson, L.R.E., Sapag, J.C., and Siraprapasiri, T. (2019). Stigma in health facilities: Why it matters and how we can change it. BMC Med., 17.","DOI":"10.1186\/s12916-019-1256-2"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"679397","DOI":"10.3389\/fpubh.2021.679397","article-title":"Prioritizing the Mental Health and Well-Being of Healthcare Workers: An Urgent Global Public Health Priority","volume":"9","author":"Naslund","year":"2021","journal-title":"Front. Public Health"},{"key":"ref_22","unstructured":"Google (2022, May 20). Google Forms Plataforms. Available online: http:\/\/www.google.com\/forms\/."},{"key":"ref_23","unstructured":"(2021). Censos 21, Instituto Nacional de Estatistica [INE]. Available online: https:\/\/censos.ine.pt\/."},{"key":"ref_24","unstructured":"(2004). Raosoft Sample Size Calculator, Raosoft INC."},{"key":"ref_25","unstructured":"Camarneiro, A.C.V. (2018). Conhecimentos Sobre Sa\u00fade Mental: Valida\u00e7\u00e3o da Vers\u00e3o Portuguesa da MAKS. [Master\u2019s Thesis, Universidade de Coimbra]."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"440","DOI":"10.1177\/070674371005500707","article-title":"Development and psychometric properties of the mental health knowledge schedule","volume":"55","author":"Little","year":"2010","journal-title":"Can. J. Psychiatry"},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Bj\u00f8rnsen, H.N., Eilertsen, M., Bradley, E., Ringdal, R., Espnes, G.A., and Moksnes, U.K. (2017). Positive mental health literacy: Development and validation of a measure among Norwegian adolescents. BMC Public Health, 17.","DOI":"10.1186\/s12889-017-4733-6"},{"key":"ref_28","first-page":"N.\u00ba 1","article-title":"Valida\u00e7\u00e3o do Mental Health Promoting Knowledge Scale (MHPK-10) para a popula\u00e7\u00e3o portuguesa","volume":"4","author":"Trigueiro","year":"2022","journal-title":"RevSALUS\u2014Rev. Cient\u00edfica Int. Rede Acad\u00e9mica Ci\u00eancias Sa\u00fade Lusofonia"},{"key":"ref_29","unstructured":"Velho, M.B. (2019). Valida\u00e7\u00e3o do Mental Health Literacy Measure para a Popula\u00e7\u00e3o Portuguesa. [Bachelor\u2019s Thesis, ESS|P.Porto (School of Health Polytechnic of Porto)]."},{"key":"ref_30","unstructured":"Freitas, F. (2020). Contribui\u00e7\u00e3o para a Valida\u00e7\u00e3o da Escola de Comportamento Discriminat\u00f3rio Perante a Doen\u00e7a Mental (RIBS) para a Popula\u00e7\u00e3o Portuguesa. [Bachelor\u2019s Thesis, ESS|P. Porto (School of Health Polytechnic of Porto)]."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"e175","DOI":"10.1097\/j.pbj.0000000000000175","article-title":"Validation of the Portuguese version of community attitudes toward people with mental illness (CAMI)","volume":"7","author":"Lopes","year":"2022","journal-title":"Porto Biomed. J."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1093\/schbul\/7.2.225","article-title":"Scaling community attitudes toward the mentally ill","volume":"7","author":"Taylor","year":"1981","journal-title":"Schizophr. Bull."},{"key":"ref_33","unstructured":"(2021). IBM Statistical Package for the Social Science (SPSS), IBM Corp. No 28."},{"key":"ref_34","unstructured":"Mar\u00f4co, J. (2018). An\u00e1lise Estat\u00edstica com o SPSS Statistics, ReportNumber, Lda. [7th ed.]."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"218","DOI":"10.5172\/jamh.4.3.218","article-title":"Young people\u2019s help-seeking for mental health problems","volume":"4","author":"Rickwood","year":"2005","journal-title":"Aust. e-J. Adv. Ment. Health"},{"key":"ref_36","doi-asserted-by":"crossref","unstructured":"Gulliver, A., Griffiths, K.M., and Christensen, H. (2010). Perceived barriers and facilitators to mental health help-seeking in young people: A systematic review. BMC Psychiatry, 10.","DOI":"10.1186\/1471-244X-10-113"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"e686","DOI":"10.3399\/bjgp16X687313","article-title":"Identifying barriers to mental health help-seeking among young adults in the UK: A cross-sectional survey","volume":"66","author":"Salaheddin","year":"2016","journal-title":"Br. J. Gen. Pract."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"1055","DOI":"10.1111\/tmi.13449","article-title":"Improving mental health literacy in adolescents: Systematic review of supporting intervention studies","volume":"25","author":"Seedaket","year":"2020","journal-title":"Trop. Med. Int. Health"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"1621","DOI":"10.1093\/heapro\/daab010","article-title":"Educators\u2019 perceived mental health literacy and capacity to support students\u2019 mental health: Associations with school-level characteristics and provision in England","volume":"36","author":"Mansfield","year":"2021","journal-title":"Health Promot. Int."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"24","DOI":"10.33422\/ijce.v1i1.11","article-title":"Assessing the Mental Health Literacy of Secondary School Educators","volume":"1","author":"Publico","year":"2020","journal-title":"Int. J. Child. Educ."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"735740","DOI":"10.3389\/fpsyg.2021.735740","article-title":"Decreasing Social Isolation to Enhance Mental Health among Older Adults in China: A Mediation Analysis of Aging Attitude","volume":"12","author":"Cheng","year":"2021","journal-title":"Front. Psychol."},{"key":"ref_42","doi-asserted-by":"crossref","unstructured":"Geboers, B., Uiters, E., Reijneveld, S.A., Jansen, C.J., Almansa, J., Nooyens, A.C., Verschuren, W., De Winter, A.F., and Picavet, H.S.J. (2018). Health literacy among older adults is associated with their 10-years\u2019 cognitive functioning and decline-the Doetinchem Cohort Study. BMC Geriatr., 18.","DOI":"10.1186\/s12877-018-0766-7"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"790","DOI":"10.1080\/j.1440-1614.2006.01885.x","article-title":"Influence of gender on mental health literacy in young Australians","volume":"40","author":"Cotton","year":"2006","journal-title":"Aust. N. Z. J. Psychiatry"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"e1004","DOI":"10.7717\/peerj.1004","article-title":"Beliefs and attitudes towards mental illness: An examination of the sex differences in mental health literacy in a community sample","volume":"3","author":"Gibbons","year":"2015","journal-title":"PeerJ"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1016\/j.psychres.2017.01.089","article-title":"Influence of age and gender on mental health literacy of anxiety disorders","volume":"251","author":"Hadjimina","year":"2017","journal-title":"Psychiatry Res."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"102292","DOI":"10.1016\/j.janxdis.2020.102292","article-title":"Investigating the impact of masculinity on the relationship between anxiety specific mental health literacy and mental health help-seeking in adolescent males","volume":"76","author":"Clark","year":"2020","journal-title":"J. Anxiety Disord."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1177\/1557988319873532","article-title":"The influence of masculine norms and mental health on health literacy among men: Evidence from the ten to men study","volume":"13","author":"Milner","year":"2019","journal-title":"Am. J. Men\u2019s Health"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"1247","DOI":"10.1177\/1557988318772732","article-title":"Masculinity, social connectedness, and mental health: Men\u2019s diverse patterns of practice","volume":"12","author":"McKenzie","year":"2018","journal-title":"Am. J. Men\u2019s Health"},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"933","DOI":"10.1007\/s10597-020-00559-x","article-title":"Mental health stigma: The impact of age and gender on attitudes","volume":"56","author":"Bradbury","year":"2020","journal-title":"Community Ment. Health J."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1177\/15579883221074789","article-title":"Men\u2019s Experiences of Mental Illness Stigma Across the Lifespan: A Scoping Review","volume":"16","author":"McKenzie","year":"2022","journal-title":"Am. J. Men\u2019s Health"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1037\/sah0000366","article-title":"Gender specificity of self-stigma, public stigma, and help-seeking sources of mental disorders in youths","volume":"8","author":"Pfeiffer","year":"2022","journal-title":"Stigma Health"},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1186\/s12961-018-0366-1","article-title":"Disability, mental health, sexual orientation and gender identity: Understanding health inequity through experience and difference","volume":"16","author":"Nakkeeran","year":"2018","journal-title":"Health Res. Policy Syst."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1111\/j.1467-9280.2009.02282.x","article-title":"The role of gender in mental-illness stigma: A national experiment","volume":"20","author":"Wirth","year":"2009","journal-title":"Psychol. Sci."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"326","DOI":"10.3389\/fpsyt.2020.00326","article-title":"Stigmatizing attitudes toward patients with psychiatric disorders among medical students and professionals","volume":"11","author":"Oliveira","year":"2020","journal-title":"Front. Psychiatry"},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"782","DOI":"10.1177\/0020764017735865","article-title":"Stigmatization towards the mentally ill: Perceptions of psychiatrists, pre-clinical and post-clinical rotation medical students","volume":"63","author":"Eksteen","year":"2017","journal-title":"Int. J. Soc. Psychiatry"},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1177\/2158244019876277","article-title":"The influence of stigma and views on mental health treatment effectiveness on service use by age and ethnicity: Evidence from the CDC BRFSS 2007, 2009, and 2012","volume":"9","author":"Min","year":"2019","journal-title":"SAGE Open"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"464","DOI":"10.1177\/070674371205700804","article-title":"On the self-stigma of mental illness: Stages, disclosure, and strategies for change","volume":"57","author":"Corrigan","year":"2012","journal-title":"Can. J. Psychiatry"},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"971","DOI":"10.1080\/13607863.2010.501061","article-title":"Barriers to treatment and culturally endorsed coping strategies among depressed African-American older adults","volume":"14","author":"Conner","year":"2010","journal-title":"Aging Ment. Health"},{"key":"ref_59","first-page":"15","article-title":"Interactional Effect Of Educational Level And Gender On Public Stigmatization","volume":"Volume 68","author":"Akhir","year":"2019","journal-title":"Role(s) and Relevance of Humanities for Sustainable Development"},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"152","DOI":"10.2307\/2695889","article-title":"The personal and social links between age and self-reported empathy","volume":"63","author":"Schieman","year":"2000","journal-title":"Soc. Psychol. Q."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1177\/2156869319834335","article-title":"\u201cGo see somebody\u201d: How spouses promote mental health care","volume":"10","author":"Reczek","year":"2020","journal-title":"Soc. Ment. Health"},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"112581","DOI":"10.1016\/j.psychres.2019.112581","article-title":"Effects of education and social contact on mental health-related stigma among high-school students","volume":"281","author":"Lanfredi","year":"2019","journal-title":"Psychiatry Res."},{"key":"ref_63","doi-asserted-by":"crossref","unstructured":"Patten, S.B., Remillard, A., Phillips, L., Modgill, G., Szeto, A.C., Kassam, A., and Gardner, D.M. (2012). Effectiveness of contact-based education for reducing mental illness-related stigma in pharmacy students. BMC Med. Educ., 12.","DOI":"10.1186\/1472-6920-12-120"},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"103096","DOI":"10.1016\/j.ajp.2022.103096","article-title":"Effect of a contact-based education intervention on reducing stigma among community health and care staff in Beijing, China: Pilot randomized controlled study","volume":"73","author":"Zhang","year":"2022","journal-title":"Asian J. Psychiatry"},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"963","DOI":"10.1176\/appi.ps.201100529","article-title":"Challenging the public stigma of mental illness: A meta-analysis of outcome studies","volume":"63","author":"Corrigan","year":"2012","journal-title":"Psychiatr. Serv."},{"key":"ref_66","first-page":"16","article-title":"Understanding the impact of stigma on people with mental illness","volume":"1","author":"Corrigan","year":"2002","journal-title":"World Psychiatry"},{"key":"ref_67","doi-asserted-by":"crossref","unstructured":"Shahwan, S., Goh, C.M.J., Tan, G.T.H., Ong, W.J., Chong, S.A., and Subramaniam, M. (2022). Strategies to Reduce Mental Illness Stigma: Perspectives of People with Lived Experience and Caregivers. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19031632"},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"735","DOI":"10.1176\/appi.ps.201900587","article-title":"Effect of contact-based interventions on stigma and discrimination: A critical examination of the evidence","volume":"71","author":"Jorm","year":"2020","journal-title":"Psychiatr. Serv."},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1080\/09638237.2020.1713998","article-title":"Stigma and behavioral health literacy among individuals with proximity to mental health or substance use conditions","volume":"30","author":"Green","year":"2021","journal-title":"J. Ment. Health"},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1177\/1090198120974963","article-title":"The role of rural and urban geography and gender in community stigma around mental illness","volume":"48","author":"Schroeder","year":"2021","journal-title":"Health Educ. Behav."},{"key":"ref_71","doi-asserted-by":"crossref","unstructured":"Costa, C., Tened\u00f3rio, J.A., and Santana, P. (2020). Disparities in geographical access to hospitals in Portugal. ISPRS Int. J. Geo-Inf., 9.","DOI":"10.3390\/ijgi9100567"},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"309","DOI":"10.3109\/08039488.2015.1109140","article-title":"How mental health literacy and experience of mental illness relate to stigmatizing attitudes and social distance towards people with depression or psychosis: A cross-sectional study","volume":"70","author":"Svensson","year":"2016","journal-title":"Nord. J. Psychiatry"},{"key":"ref_73","doi-asserted-by":"crossref","first-page":"100","DOI":"10.3109\/09638237.2015.1057327","article-title":"The relationship between mental health literacy regarding schizophrenia and psychiatric stigma in the Republic of Ireland","volume":"25","author":"Turner","year":"2016","journal-title":"J. Ment. Health"},{"key":"ref_74","doi-asserted-by":"crossref","unstructured":"Kim, H.C. (2021). Mediating effect of stigma on the relationship between mental health literacy and help-seeking attitudes among university students in South Korea. Int. J. Ment. Health, 1\u201316.","DOI":"10.1080\/00207411.2021.1965397"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/20\/4\/3318\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T18:34:33Z","timestamp":1760121273000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/20\/4\/3318"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,14]]},"references-count":74,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2023,2]]}},"alternative-id":["ijerph20043318"],"URL":"https:\/\/doi.org\/10.3390\/ijerph20043318","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,2,14]]}}}