Mediating roles of perceived stigma and mental health literacy in the relationship between school climate and help-seeking behavior in Indonesian adolescents

This study aimed to investigate whether perceived stigma and mental health literacy play mediating roles in the correlation between school climate and help-seeking behavior in Indonesian adolescents. We used cross-sectional study design that recruited 760 Indonesian adolescents of age 16-19 years. W...

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Published in:PloS one 2024-05, Vol.19 (5), p.e0298017
Main Authors: Setia Lesmana, Mohammad Hendra, Chung, Min-Huey
Format: Article
Language:English
Subjects:
Adolescent
Adolescents
Analysis
Behavior
Bivariate analysis
Cross-Sectional Studies
Data collection
Female
Health education
Health Literacy
Help seeking behavior
Humans
Indonesia
Informed consent
Knowledge
Likert scale
Literacy
Male
Mediation
Mental disorders
Mental Health
Negotiation, mediation and arbitration
Questionnaires
School environment
Schools
Secondary schools
Social aspects
Social Stigma
Stigma
Students
Teenagers
Young Adult
Youth
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Chung, Min-Huey
description This study aimed to investigate whether perceived stigma and mental health literacy play mediating roles in the correlation between school climate and help-seeking behavior in Indonesian adolescents. We used cross-sectional study design that recruited 760 Indonesian adolescents of age 16-19 years. We used convenience sampling from July to September 2019. Bivariate analysis was used to investigate the association of demographic characteristics with help-seeking behavior. Mediation analysis was employed to explore the mediating roles of mental health literacy and perceived stigma on the relationship between school climate and help-seeking behavior. Findings indicated that ethnicity, family income, and father's educational level were significantly associated (p < 0.05) with help-seeking behavior in Indonesian adolescents. Furthermore, perceived stigma and mental health literacy sequentially showed partial mediating roles in the relationship between school climate and help-seeking behavior (indirect effect: 0.004; 95% CI: 0.001, 0.010). Our mediating model indicated that a high level of school climate was associated with low perceived stigma (b = -0.11, p < 0.001) and high mental health literacy (b = 0.28, p < 0.001) and higher help-seeking behavior (b = 0.14, p < 0.001). Our study discovered novel insight of help-seeking behavior mechanism among adolescent by serial mediation test. Supportive school climate is necessary to achieve adequate help-seeking behavior. In addition, taking into account of student's perceived stigma and mental health literacy in promoting help-seeking behavior is also important.
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subjects Adolescent
Adolescents
Analysis
Behavior
Bivariate analysis
Cross-Sectional Studies
Data collection
Female
Health education
Health Literacy
Help seeking behavior
Humans
Indonesia
Informed consent
Knowledge
Likert scale
Literacy
Male
Mediation
Mental disorders
Mental Health
Negotiation, mediation and arbitration
Questionnaires
School environment
Schools
Secondary schools
Social aspects
Social Stigma
Stigma
Students
Teenagers
Young Adult
Youth
title Mediating roles of perceived stigma and mental health literacy in the relationship between school climate and help-seeking behavior in Indonesian adolescents
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