Objective In global majority (GM) cultures, stigma of mental health difficulties and diagnoses (MHD) impacts individuals and families and reduces access to support. This paper examines stigma relating to mental health diagnoses within GM cultures.Method Qualitative literature was systematically searched using APA PsycINFO, Academic Search Premier, MEDLINE, CINAHL Complete and APA PsycArticles between October and November 2022. An updated search conducted in April 2026 identified additional studies. Inclusion criteria were qualitative, peer-reviewed studies involving ethnic minority participants with a diagnosed mental health condition and reporting stigma. Data extracted included study design, participant characteristics and key findings, synthesised using Thematic Synthesis.Results Fourteen of 3499 articles met the inclusion criteria. Findings were organised into three themes and six subthemes: context, determinants and, effect of mental health stigma. Subthemes included causes and experiences of mental health, impact and understanding of MHD, views on help seeking, and maintaining factors of MHDs.Conclusions Stigma of MHD can reduce uptake of mental health services for those from GM cultures. This study highlights cultural challenges internally (stigma and shame) and external systemic barriers from existing models of healthcare. Further research into cultural adaptations to minimise stigma and increase mental health help-seeking is recommended.
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Sakaria et al. (2026) studied this question.
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