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尼日利亚大学生医疗保健学生中的心理健康污名:一项横断面观察研究。

Mental health stigma among university health care students in Nigeria: a cross-sectional observational study.

机构信息

Northwestern University, Chicago, Illinois, United State of America.

University of California in San Francisco, San Francisco, California, United State of America.

出版信息

Pan Afr Med J. 2020 Sep 2;37:5. doi: 10.11604/pamj.2020.37.5.24898. eCollection 2020.

Abstract

INTRODUCTION

stigma is a key barrier to access and utilization of mental health services, particularly in low- and middle- income countries. The authors explore the specific content of mental health stigma among Nigerian university health care students at a national teaching hospital. These students are key stakeholders and represent a vital demographic to engage in stigma reduction initiatives. We evaluated the extent to which demographic characteristics, mood symptoms and utilization of resources are associated with stigma.

METHODS

the authors examined data obtained from surveys completed by university health care students (N = 82) at Lagos University teaching hospital. Surveys assessed demographic background, mood symptoms and use of mental health services. Simple linear regression was used to model the unadjusted association between each component variable and overall stigma score. All analyses were conducted using R (version 3.5.3, 2019, The R Foundation) and assumed a two-sided, 5% level of significance.

RESULTS

being a member of the minority ethnic group within our study population was associated with increased stigma. Individuals having greater need for mental health services (due to mood symptoms) were associated with increased stigma. Willingness to use medical services and community support from family and friends was associated with lower stigma. Religious themes were prominent among the majority of respondents.

CONCLUSION

consideration of the content details of stigma among university health care students in Nigeria is essential to inform interventions and strategies to reduce stigma within this subgroup. Those students who have symptoms of depression or anxiety may have lower utilization of mental health services.

摘要

简介

污名是获得和利用心理健康服务的一个关键障碍,尤其是在中低收入国家。作者探讨了尼日利亚国立教学医院的大学生保健学生中精神健康污名的具体内容。这些学生是主要利益相关者,是参与减少污名化倡议的重要群体。我们评估了人口统计学特征、情绪症状和资源利用与污名之间的关联程度。

方法

作者检查了拉各斯大学教学医院大学生保健学生(N=82)完成的调查数据。调查评估了人口统计学背景、情绪症状和心理健康服务的使用情况。简单线性回归用于对每个组成变量与整体污名评分之间的未调整关联进行建模。所有分析均使用 R(版本 3.5.3,2019,R 基金会)进行,并假设双侧,5%的显着性水平。

结果

在我们的研究人群中,属于少数民族群体的成员与增加的污名有关。情绪症状导致对心理健康服务需求更大的个体与增加的污名有关。愿意使用医疗服务以及家人和朋友的社区支持与较低的污名有关。宗教主题在大多数受访者中很突出。

结论

考虑到尼日利亚大学生保健学生中污名的具体内容,对于在这一亚群体中实施减少污名的干预措施和策略至关重要。那些有抑郁或焦虑症状的学生可能会减少对心理健康服务的利用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f67/7501753/4ad5e267e43d/PAMJ-37-5-g001.jpg

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