ArticleRisk management and healthcare policy2026
Mental Health Literacy and Associated Factors in Ethnic Minority Border Regions of Guangxi, China: A Cross-Sectional Study.
Article in Risk management and healthcare policy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Purpose: This study aims to assess mental health literacy (MHL) in Guangxi, a border province in China with one of the largest ethnic minority populations, and to analyze its influencing factors. Methods: This cross-sectional study used a multistage stratified cluster sampling approach to conduct face-to-face interviews with 9,744 residents aged 18 years and older in Guangxi. Guided by the socio-ecological model (SEM), we evaluated individual, interpersonal, community, and structural variables. Binary logistic regression and optimal scaling regression were used to identify independent factors associated with MHL and their relative importance. Results: Of the 9,444 residents included, the overall MHL attainment rate was 12.7%; attainment in the mental health knowledge dimension was 16.6%. Recognition rates were 27.4% for depression and 46.2% for social anxiety disorder. MHL scores were significantly lower in rural ethnic minority areas than in urban areas ( Conclusion: MHL levels in Guangxi are suboptimal, particularly for recognizing depression and social anxiety disorder, with insufficient mental health knowledge emerging as a key barrier. Digital access and socio-economic advantages play a pivotal role in enhancing MHL. Strengthening mental health education in ethnic minority regions through culturally tailored, internet-based interventions and prioritizing high-risk groups, such as older adults, individuals with lower education or income, and those in rural Dong communities, may help reduce mental health inequalities.
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