首页> 外文期刊>Annals of General Psychiatry >Help-seeking intention and associated factors towards mental illness among residents of Mertule Mariam town, East Gojam Zone, Amhara Region, Ethiopia: a mixed-method study
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Help-seeking intention and associated factors towards mental illness among residents of Mertule Mariam town, East Gojam Zone, Amhara Region, Ethiopia: a mixed-method study

机译:埃塞俄比亚Amhara地区居民居民居民居民的帮助意图和关联因素:一种混合方法研究

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About 76% and 85% of people in low and middle-income countries with severe mental illness did not get management because of fear of expected discrimination. Studying the intention to seek help for mental illness will, therefore, help to know their intended plan for help that would have a vital role to access patients with mental illness. Despite this, literature is limited in the area and community-based studies are scarce in Africa in general and Ethiopia in particular concerning help-seeking intention towards mental illness and its associated factors. Therefore, we assessed the pattern of intention to seek help and associated factors for mental illness among residents of Mertule Mariam town that would fill the gap in evidence and serve as baseline information for public health intervention. A community-based cross-sectional study design was conducted from May to June 2017 at Mertule Mariam town. General Help-Seeking Questionnaire (GHQ) was used to assess the intention of help sought. Focus group discussion had also been employed to obtain qualitative data. A multi-stage sampling technique was used to obtain a total sample of 964 participants. Data were fed into Epi Info 7 and analyzed using SPSS version 21. The binary logistic regression method was used and an odds ratio with its 95% confidence interval was computed. Variables in multi-variable logistic regression were considered as an independent predictor of help-seeking intention to mental illness if their P value was less than 0.05. About 81.5% of respondents had the intent to seek help from healthcare workers. But 44.6% of participants had the intention to seek from traditional healers. Variables that had an association with help-seeking intention were having an idea that mental illness needs treatment (AOR?=?3.42, 95% CI 1.1–10.55), age group of 25–34?years (AOR?=?1.46, 95% CI 1.02–2.09), mild social support (AOR?=?1.85, 95% CI 1.25–2.72), and perceived severity of mental illness. Community help-seeking intent for mental health problems was still inadequate. So strengthening to deliver information about mental illness through media like radio and television to advance help-seeking intention of the community was mandatory.
机译:由于害怕预期歧视,低约76%和85%的低收入中等收入国家的人没有得到管理。因此,研究寻求精神疾病的帮助将有助于了解他们预期的帮助,以帮助获得精神疾病患者的重要作用。尽管如此,文学在该地区有限,社区的研究是一般的非洲的稀缺,尤其是关于寻求精神疾病及其相关因素的帮助。因此,我们评估了默克林镇的居民寻求精神疾病的帮助和相关因素的意图模式,这将填补证据的差距,并作为公共卫生干预的基线信息。社区横断面研究设计于2017年5月至2017年6月在Mertule Mariam Town进行。一般帮助寻求问卷(GHQ)用于评估帮助寻求的帮助。焦点小组讨论也已受雇以获得定性数据。使用多级采样技术来获得964名参与者的总样本。数据被馈送到EPI INFO 7中并使用SPSS版本21进行分析。使用二进制逻辑回归方法,并且计算了其95%置信区间的差距。多变量逻辑回归中的变量被认为是如果P值小于0.05,则认为智能疾病的有意意图的独立预测因子。大约81.5%的受访者意图从医疗保健工作者寻求帮助。但44.6%的参与者有意寻求传统治疗师。与寻求帮助的意图有关的变量是一个想法,即精神疾病需要治疗(AOR?=?3.42,95%CI 1.1-10.55),年龄组25-34?年(AOR?=?1.46,95 %CI 1.02-2.09),轻度社会支持(AOR?=?1.85,95%CI 1.25-2.72),并感知精神疾病的严重程度。寻求心理健康问题的社区帮助意图仍然不足。因此,加强通过广播电视等媒体提供有关精神疾病的信息,以推进社区的帮助寻求的意图是强制性的。

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