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首页> 外文期刊>The British journal of psychiatry : >Disease burden and mental health system capacity: WHO Atlas study of 117 low- and middle-income countries
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Disease burden and mental health system capacity: WHO Atlas study of 117 low- and middle-income countries

机译：疾病负担和精神卫生系统能力：世卫组织地图集对117个中低收入国家的研究

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Background Treatment coverage for mental disorders ranges from less than 10% to more than 90% across low- and middle-income (LAMI) countries. Studies have yet to examine whether the capacity of mental health systems might be adversely affected by the burdens of unrelated conditions such as HIV/AIDS. Aims To examine whether the magnitude of disease burden from communicable, perinatal, maternal and nutritional conditions a€“ commonly referred to as Group 1 diseases a€“ is inversely associated with mental health system capacity in LAMI countries. Method Multiple regression analyses were undertaken using data from 117 LAMI countries included in the 2011 World Health Organization (WHO) Mental Health Atlas. Capacity was defined in terms of human resources and infrastructure. Regressions controlled for effects of political stability, government health expenditures, income inequality and neuropsychiatric disease burden. Results Higher Group 1 disease burden was associated with fewer psychiatrists, psychologists and nurses in the mental health sector, as well as reduced numbers of out-patient facilities and psychiatric beds in mental hospitals and general hospitals ( t = a€“2.06 to a€“7.68, P 0.05). Conclusions Evidence suggests that mental health system capacity in LAMI countries may be adversely affected by the magnitude of their Group 1 disease burden.
机译：背景在中低收入（LAMI）国家，精神疾病的治疗覆盖率范围从不到10％到超过90％。研究尚未审查精神卫生系统的能力是否会受到诸如艾滋病毒/艾滋病等无关疾病的负担的不利影响。目的为了研究来自传染性，围产期，产妇和营养状况的疾病负担的大小（通常被称为第一类疾病）是否与LAMI国家的精神卫生系统能力成反比。方法采用来自2011年世界卫生组织（WHO）心理健康地图集的117个LAMI国家的数据进行了多元回归分析。能力是根据人力资源和基础设施来定义的。控制了政治稳定，政府卫生支出，收入不平等和神经精神疾病负担影响的回归。结果第1组疾病负担增加与精神卫生部门的精神科医生，心理学家和护士人数减少有关，并且精神病院和综合医院的门诊设施和精神病床数量减少（t = 2.06到a）。 “ 7.68，P <0.05）。结论有证据表明，LAMI国家的精神卫生系统能力可能受到其第1组疾病负担程度的不利影响。

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