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首页> 外文期刊>Social psychiatry and psychiatric epidemiology >Community attitudes and social distance towards the mentally ill in South Sudan: a survey from a post-conlict setting with no mental health services
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Community attitudes and social distance towards the mentally ill in South Sudan: a survey from a post-conlict setting with no mental health services

机译：对南苏丹精神病患者的社区态度和社会距离：来自没有精神卫生服务的冲突后环境的一项调查

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摘要

Purpose This study investigates attitudes and social distance towards the mentally ill in a post-conflict, low-income country.Methods A cross-sectional community survey (n = 1,200) was conducted in South Sudan. Associations between various sociodemographic variables and attitudes toward/social distance from the mentally ill were investigated. Results The regression analysis showed that lower levels of education were positively associated with social distance, and Christian or Muslim beliefs, compared with traditional beliefs, were negatively associated with social distance. Familiarity with mental illness or psychological distress was not significantly associated with social distance. Participants who endorsed community-oriented attitudes (rather than hospital/drug-oriented attitudes) about health care for the mentally ill were more likely show a decreased social distance. Participants who believed that the mentally ill were dangerous had higher scores on the social distance scale. Conclusions A high level of stigma towards the mentally ill exists in South Sudan, especially in the rural areas. Alongside efforts to build up mental health services in South Sudan, the existing stigma needs to be addressed. Information regarding the role of the community both in preventing mental illnesses and in service delivery should be prioritised.
机译：目的本研究调查了冲突后低收入国家对精神病患者的态度和社会距离。方法在南苏丹进行了横断面社区调查（n = 1,200）。调查了各种社会人口统计学变量与对精神病患者的态度/社会距离之间的关联。结果回归分析表明，较低的教育水平与社会距离呈正相关，与传统信仰相比，基督教或穆斯林信仰与社会距离呈负相关。熟悉精神疾病或心理困扰与社交距离没有显着相关。赞同对精神病患者的医疗保健的社区态度（而不是医院/药物态度）的参与者更有可能表现出缩短的社会距离。认为精神病患者很危险的参与者在社交距离量表上的得分更高。结论在南苏丹，特别是在农村地区，对精神病患者存在很高的耻辱感。除了努力在南苏丹建立精神卫生服务外，还需要解决现有的污名。应优先考虑有关社区在预防精神疾病和提供服务方面的作用的信息。

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