title: Attitudes and intended behaviour to mental disorders and associated factors in catalan population, Spain: cross-sectional population-based survey.
abstract: BACKGROUND
  Mental disorders have a huge impact on the European population. Two of the main causes of this impact are stigma and discrimination. The aim of this paper is to assess the stigma regarding mental disorder in Catalonia and to explore factors associated with stigma.
  
  
  METHODS
  Cross-sectional population-based survey of a representative sample of non-institutionalized adult population (n = 1872). We evaluated attitudes (CAMI: Authoritarianism, Benevolence and Support to Community Mental Health care) and intended behaviour (RIBS) regarding mental disorder and experience of discrimination. Higher scores showed more favourable attitudes and intended behavior. Mean values and percentiles of the scales were calculated. Multivariable regression models were used to assess factors associated with stigma.
  
  
  RESULTS
  Mean authoritarianism, benevolence and support to community mental health scores corresponded to the 66th, 90th and 78th percentile, respectively. Mean RIBS score corresponded to the 76th percentile. More favourable attitudes were associated with being male, younger, having a higher education, being Spanish, having suffered a mental disorder and having contact with a person with a mental disorder.Similarly, more favourable intended behaviour was associated with being younger, having secondary education, having Spanish nationality, belonging to a higher social class and having contact with a person with a mental disorder. People with depression or anxiety showed lower discrimination experiences than people with other mental disorders.
  
  
  CONCLUSIONS
  The levels of stigma were generally low among the Catalan population. However, efforts should be made to decrease stigma related to authoritarianism. Interventions addressed to reducing stigma should take into account other mental disorders apart from depression or anxiety. They should be focused on older, immigrant population, people with lower educational attainment and people who have not had contact with someone with a mental disorder.
authors: Teaching, Research & Innovation Unit, Fundació Sant Joan de Déu, Esplugues de Llobregat, Spain. i.aznar@pssjd.org.|Primary Care Prevention and Health Promotion Research Network (redIAPP), Barcelona, Spain. i.aznar@pssjd.org.
authors: Ignacio
authors: I
authors: Aznar-Lou
authors: Teaching, Research & Innovation Unit, Fundació Sant Joan de Déu, Esplugues de Llobregat, Spain. aserrano@pssjd.org.|Primary Care Prevention and Health Promotion Research Network (redIAPP), Barcelona, Spain. aserrano@pssjd.org.
authors: Antoni
authors: A
authors: Serrano-Blanco
authors: Primary Care Prevention and Health Promotion Research Network (redIAPP), Barcelona, Spain. ana.fernandez@sydney.edu.au.|Mental Health Policy Unit, The Brain and Mind Research Institute; and Centre for Disability Research and Policy, Faculty of Health Sciences, University of Sydney, Sydney, Australia. ana.fernandez@sydney.edu.au.
authors: Ana
authors: A
authors: Fernández
authors: Teaching, Research & Innovation Unit, Fundació Sant Joan de Déu, Esplugues de Llobregat, Spain. jvluciano@pssjd.org.|Primary Care Prevention and Health Promotion Research Network (redIAPP), Barcelona, Spain. jvluciano@pssjd.org.
authors: Juan V
authors: JV
authors: Luciano
authors: Teaching, Research & Innovation Unit, Fundació Sant Joan de Déu, Esplugues de Llobregat, Spain. mrubio@pssjd.org.|Primary Care Prevention and Health Promotion Research Network (redIAPP), Barcelona, Spain. mrubio@pssjd.org.|School of Pharmacy, University of Barcelona, Barcelona, Spain. mrubio@pssjd.org.
authors: Maria
authors: M
authors: Rubio-Valera
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D001008:Anxiety Disorders / Q000523:psychology; D001290:Attitude; D003430:Cross-Sectional Studies; D003866:Depressive Disorder / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000523:psychology*; D008875:Middle Aged; D012111:Residence Characteristics; D012737:Sex Factors; D057545:Social Stigma; D012959:Socioeconomic Factors; D013030:Spain / Q000453:epidemiology; D011795:Surveys and Questionnaires; D055815:Young Adult