Variations in Endorsed and Perceived Mental Health Treatment Stigma Across U.S. Higher Education Institutions

19 Pages Posted: 24 Aug 2018

See all articles by S. Michael Gaddis

S. Michael Gaddis

University of California, Los Angeles (UCLA) - Department of Sociology; University of California, Los Angeles (UCLA) - California Center for Population Research

Daniel Ramirez

Pennsylvania State University, College of the Liberal Arts, Department of Sociology

Erik Hernandez

Pennsylvania State University, College of the Liberal Arts, Department of Sociology

Date Written: August 3, 2018

Abstract

This study examines the association between six higher education institutional-level characteristics (institutional type, enrollment size, sector, housing, admissions selectivity, and graduation rate) and individual endorsed and perceived mental health treatment stigma scores among college students. We use nine years (2009-2017) of data from the Healthy Minds Study and our analysis sample includes 89,644 students at 105 unique institutions. We find a negative association between individual-level stigma scores and small enrollment institutions, private institutions, highly residential institutions, and institutions with the highest admissions selectivity and highest graduation rates. Moreover, these findings are generally similar across both individual measures of endorsed stigma and perceived stigma. Overall, our findings suggest that institutional environments where interactions are perhaps more frequent and personal (small enrollment institutions and highly residential institutions) are less likely to cultivate individual-level endorsements and perceptions of mental health treatment stigma. Our results have implications about higher education institutions’ ability to reduce stigma and increase mental health treatment-seeking behavior on campuses.

Keywords: Stigma, Mental Health, Higher Education, College Students, Institutional Context

JEL Classification: I1, I10

Suggested Citation

Gaddis, S. Michael and Ramirez, Daniel and Hernandez, Erik, Variations in Endorsed and Perceived Mental Health Treatment Stigma Across U.S. Higher Education Institutions (August 3, 2018). Available at SSRN: https://ssrn.com/abstract=3225850 or http://dx.doi.org/10.2139/ssrn.3225850

S. Michael Gaddis (Contact Author)

University of California, Los Angeles (UCLA) - Department of Sociology ( email )

405 Hilgard Avenue
Box 951361
Los Angeles, CA 90095
United States

University of California, Los Angeles (UCLA) - California Center for Population Research ( email )

337 Charles E Young Dr E
Los Angeles, CA 90095
United States

Daniel Ramirez

Pennsylvania State University, College of the Liberal Arts, Department of Sociology ( email )

PA
United States

Erik Hernandez

Pennsylvania State University, College of the Liberal Arts, Department of Sociology ( email )

PA
United States

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