Research Article
Mental Health Literacy among the Palestinian-Arab Minority in
Israel and Its Correlates with Mental Health Service Use
Fareeda Abo-Rass andSarahAbu-Kaf
Confict Management and Resolution Program, Ben•Gurion University of the Negev, Beer•Sheva, Israel
CorrespondenceshouldbeaddressedtoFareedaAbo•Rass;fareeda@post.bgu.ac.il
Received 4 September 2022; Revised 24 November 2022; Accepted 1 December 2022; Published 14 March 2023
AcademicEditor:FranciscoSampaio
Copyright©2023FareedaAbo•RassandSarahAbu•Kaf.TisisanopenaccessarticledistributedundertheCreativeCommons
AttributionLicense,whichpermitsunrestricteduse,distribution,andreproductioninanymedium,providedtheoriginalworkis
properly cited.
Background.Mentalhealthliteracy(MHL)hasbeenproposedasafactorinfacilitatingtheutilizationofmentalhealthservices.
Tis study examined MHL among the Palestinian•Arab minority in Israel, based on Jorm’s six•dimension framework, and the
contributionofeachMHLdimensiontomentalhealthserviceuse. Methods.Across•sectionalstudyconsistingofaconvenience
sample of 214 Palestinian•Arabs (M
age
� 36.40 ± 10.77 years, 68.2% female), who completed measures of MHL, psychological
distress,mentalhealthserviceuse,andsociodemographiccharacteristics.Tediferencesbetweenparticipantswhoreportedusing
mentalhealthservices(30.38%)andthosewhodidnotwereexaminedusing t•and χ2tests.Binarylogisticregressionanalysiswas
conducted to identify service use determinants. Results. Participants reported moderate or high levels on all MHL dimensions.
Comparedtothosewhodidnotreportmentalhealthserviceuse,thosewhodidhadsignifcantly(p < 0.001)higherMHLlevelson
threedimensions:knowledgeofprofessionalhelpavailable,knowledgeofwheretoseekinformation,andattitudesthatpromote
recognitionorappropriatehelp•seekingbehavior.Teregressionanalysisindicatedthatthemaindeterminantsofmentalhealth
serviceusewerepsychologicaldistress(OR � 1.70,95%CI:1.44–2.01),knowledgeofwheretoseekinformation(OR � 1.16,95%
CI: 1.02–1.32), and attitudes that promote recognition or appropriate help•seeking behavior (OR � 1.08, 95% CI: 1.02–1.14).
Practice implications. Tis study underlines MHL’s crucial role and indicates that it is not only objective characteristics or
psychological distress that determine service use among Palestinian•Arabs in Israel. Rather, individuals’ knowledge of where to
seek information and attitudes promoting recognition or help•seeking behavior are also important determinants. Interventions
targeting these two MHL dimensions may help increase mental health service use among this population.
1.Introduction
Mentalhealthliteracy(MHL)wasfrstconceptualizedand
defned by Jorm et al. [1] as knowledge and beliefs about
mental health problems, including their recognition,
management, and prevention. According to Jorm’s (2000)
conceptual framework, MHL incorporates six dimensions:
(1) ability to recognize disorders, (2) knowledge of risk
factors and causes, (3) knowledge of self•treatment, (4)
knowledgeofprofessionalhelpavailable,(5)knowledgeof
where to seek information, and (6) attitudes that promote
recognition or appropriate help•seeking behavior.
Over the decades, MHL has been understood as having
a central role in promoting mental health outcomes [2–6].
Studies have shown that MHL is related to help•seeking
intentions and behaviors, health•promoting behaviors, and
use of mental health services [7–9]. Most studies that have
examinedMHLanditscorrelateswithmentalhealthservice
use based on Jorm’s (2000) framework, however, they have
used an overall index. Tis limitation is signifcant, since
MHLisessentiallyamultidimensionalconcept,sothatusing
an overall index prevents us from concluding about the
specifcrelationshipsofthevariousdimensionstotheuseof
mental health services, and from tailoring interventions
accordingly.
In addition, existing studies have been conducted
specifcally among samples of Western or majority
groups, so that little is known about the relationship
between MHL and mental health service use among
minorities. Examining MHL among minority groups is
Hindawi
Perspectives in Psychiatric Care
Volume 2023, Article ID 3001191, 8 pages
https://doi.org/10.1155/2023/3001191