RT Journal Article T1 Level of Stigma among Spanish Nursing Students toward Mental Illness and Associated Factors: A Mixed-Methods Study A1 Rodríguez Almagro, Julián Javier A1 Hernández Martínez, Antonio A1 Rodríguez Almagro, David A1 Quirós García, José Miguel A1 Solano Ruiz, María del Carmen A1 Gómez Salgado, Juan AB Mental health problems have been identified by the World Health Organization as a globaldevelopment priority. Negative attitudes toward mental health patients have been documented inmultiple health professionals. The aim of this study was to determine the level of stigma and associatedfactors toward people with mental health problems among students doing their degree in nursing.An explanatory sequential mixed-methods approach. A cross-sectional descriptive observationalstudy was carried out on a sample of 359 students doing their degree in nursing. Students had tobe enrolled in any of the four years of study of the degree at the time the questionnaire was done.We explored the perception and experience of students doing their degree in nursing regardingthe level of stigma, through in-depth interviews (n = 30). The mean overall Mental Health StigmaScale (MHSS) score was 30.7 points (SD = 4.52); 29.5% (n = 106) scored low for stigma, 49.9% (n = 179)showed moderate stigma, and 20.6% (n = 74) scored high. The multivariate analysis showed that4th-year students had an OR of 0.41 (CI95%: 0.20–0.84) for high/moderate stigma and that 3rd-yearstudents had an OR of 0.49 for high/moderate stigma compared with 1st-year students. We alsoobserved that students with family members with mental health problems had an OR of 2.05 (CI95%:1.19–3.56) for high/moderate stigma compared with students who did not have family members withmental health problems. The following categories emerged: fear and lack of knowledge, breakingthe silence, and integration into society. The levels of mental health stigma in our sample of nursingstudents were moderate. Stigma levels were lower in 3rd- and 4th-year students (i.e., after havingreceived training in mental health), and in students with family members with mental health problems. PB MDPI SN 1660-4601 YR 2019 FD 2019-12 LK http://hdl.handle.net/10272/18218 UL http://hdl.handle.net/10272/18218 LA eng NO Rodríguez Almagro, J. J., Hernández Martínez, A., Rodríguez Almagro, D., Quiros García, J. M., Solano Ruiz, M. C. & Gómez Salgado, J. (2019). Level of Stigma among Spanish Nursing Students toward Mental Illness and Associated Factors: A Mixed-Methods Study. International Journal of Environmental Research and Public Health, 16(23), 4870. DOI: https://doi.org/10.3390/ijerph16234870 DS Repositorio Institucional de la Universidad de Huelva RD 31 may 2026