Designing mental health promotion campaigns: segmenting U.S. Veteran audiences to address public stigma

J Ment Health. 2022 May 3:1-7. doi: 10.1080/09638237.2022.2069712. Online ahead of print.

Abstract

Background: Public stigma is a significant deterrent to mental health service use for U.S. veterans. Media campaigns are often used to dispel stigmatizing beliefs and actions. Segmentation is an evidence-based practice for their effective use; however, little data has been published on veteran segments to target with anti-stigma messages.

Aims: This article aims to identify and describe initial typologies of stigmatizing attitudes within a group of U.S. military veterans.

Methods: Telephone-based cross-sectional surveys were conducted with a national random sample of veterans from 2014 to 2016 (N = 2142). Stigma outcomes were measured using a brief, validated instrument used in population-based surveys of public perceptions toward people with mental illness. Cluster analysis was conducted to identify specific groupings along multiple dimensions.

Results: A final four-cluster solution was identified among veterans with distinct patterns of attitudes toward mental illness and include: 1) the undecided, 2) the influencer, 3) the ambivalent, and 4) the potential ally. Several strategies were also identified for designing anti-stigma messaging toward these segments.

Conclusions: This research demonstrates veterans can be segmented by attitudes to target with anti-stigma campaign messages.

Keywords: Campaigns; mental health; military; public stigma.