Exploring Relationships Between Occupational Prestige, Perceived Public Stigma, Mental Health Experiences of Stigma, and Professional Help-Seeking in the General Canadian Population
Background: Workplace mental health has increasingly become a public health concern in Canada as employees are missing work every week because of a mental health issue, costing the Canadian economy billions annually. This is the first study to examine occupational prestige and its relationship to perceived public stigma, mental health experiences of stigma, and professional help-seeking. Methods: Cross-sectional survey data on a nationally representative sample of working Canadians between the ages of 15 and 75 from Statistics Canada’s 2010 Canadian Community Health Survey (CCHS) and rapid response stigma modules were used to explore both objectives (N=10,389). SAS 9.4 was used to conduct complex survey data analyses, all of which incorporated Statistics Canada’s recommended sampling weights and bootstrap variance estimation procedures. Multiple linear regression and logistic regression were used to examine the associations between occupational prestige, perceived public stigma toward depression, mental health experiences of stigma during the past 12 months because of a past or current emotional or mental health problem, and professional help-seeking. Considered covariates included: gender, age, ethnic or cultural background, education, household income, marital status, number of dependent children, chronic physical condition, self-rated general mental health, and contact with a work colleague who has received treatment for a mental illness. Results: Controlling for perceived public stigma in the direct effect between occupational prestige and professional help-seeking (ORdirect=0.994, 95% CI: 0.970-1.020) did not attenuate the total effect between occupational prestige and professional help-seeking, without controlling for perceived public stigma (ORtotal=0.995, 95% CI: 0.972-1.020). The confidence interval for the indirect effect of perceived public stigma toward depression as a mediator in the relationship between occupational prestige and professional help-seeking crossed the null value of one (ORindirect=0.999, 95% CI: 0.949-1.053), indicating that perceived public stigma toward depression is not an important mediator. Higher occupational prestige scores significantly reduced the odds of experienced stigma during the past 12 months because of a past or current emotional or mental health problem (OR=0.954, 95% CI: 0.913-0.998). Occupational prestige was not significantly associated with negative opinions or unfair treatment affecting work life (OR=0.945, 95% CI: 0.762-1.173). Conclusion: Perceived public stigma toward depression is not an important mediator in the explored relationship between occupational prestige and professional help-seeking. Higher occupational prestige scores might facilitate resistance against mental health experiences of stigma.
URI for this recordhttp://hdl.handle.net/1974/22762
Request an alternative formatIf you require this document in an alternate, accessible format, please contact the Queen's Adaptive Technology Centre
The following license files are associated with this item: