Personal and perceived public stigma toward students seeking help for alcohol use among undergraduate students in the southeastern United States.

Abstract

Objective: Stigma is a known barrier to seeking behavioral health support and treatment. This study assesses college students' stigma toward students seeking help for alcohol use. Participants: 237 students from a diverse major at a private university in the southeastern United States. Method: Respondents reported personal stigma and public stigma (i.e., the estimated prevalence of personal stigma among peers). We compared public stigma estimates with the prevalence of respondents' personal stigma. Logistic regression models were fit to estimate correlates of overestimating public stigma. Results: More than 70% overestimated public stigma. Estimates from regression models indicated that consuming alcohol 3+ days per week (aOR = 4.63; 95% CI 1.39-15.41; p = 0.012) and personal stigma (aOR = 14.06; 95% CI 3.64-54.36; p < 0.001) were associated with overestimating public stigma. Conclusions: Students overestimated public stigma toward students seeking help for alcohol use. Future research should assess whether correcting overestimates increases help-seeking for alcohol use.