Susan Laschinger, Jennifer Medves, Cheryl Pulling, Dr Robert McGraw, Brett Waytuck, Margaret B Harrison, Kasey Gambeta
Effectiveness of simulation on health profession students' knowledge, skills, confidence and satisfaction
International journal of evidence-based healthcare
recognizing signs psychological distress critical first step assisting people struggling poor mental health access help however communitylevel factors impact recognition stigma underexplored purpose study investigate relationship rurality communitylevel variables individual variables regard recognition stigma anxiety use survey us adults n 627 including rural oversample cloaked vignette approach assess ability identify anxiety measure associated stigma analysis applies ecological model multinomial logistic regressions half respondents recognize anxiety list possibilities provided vignette detailing common anxiety symptoms respondents living rural areas nearly twice likely correctly identify anxiety nonrural respondents onefifth respondents agree statement designed measure stigma exhibiting symptoms sign personal weakness respondents able identify anxiety show less stigma respondents counties high mental health provider access less likely endorse stigma statement rural areas seem poised reduce stigma associated anxiety residents adept identifying anxiety people living elsewhere future work could focus effective mechanisms reducing stigma associated anxiety rural areas whether anxiety recognition stigma changing