Miller Amanda P, Ziegel Leo, Mugamba Stephen, Kyasanku Emmanuel, Wagman Jennifer A, Nkwanzi-Lubega Violet, Nakigozi Gertrude, Kigozi Godfrey, Nalugoda Fred, Kigozi Grace, Nkale James, Watya Stephen, Ddaaki William
University of California San Diego, La Jolla, California, USA.
Karolinska Institutet, Stockholm, Sweden.
Qual Health Res. 2021 Apr;31(5):967-982. doi: 10.1177/1049732320986164. Epub 2021 Jan 15.
Mental health disorders account for a heavy disease burden in Uganda. In order to provide culturally appropriate mental health prevention and treatment approaches, it is necessary to understand how mental health is conceptualized in the population. Three focus group discussions (FGDs) and 31 in-depth interviews (IDIs) were conducted with men and women aged 14 to 62 years residing in rural, urban, and semi-urban low-income communities in central and western Uganda to explore perceptions and knowledge of mental health. Interpretive thematic analysis was undertaken; results were organized through the lens of the mental health literacy framework. Environmental and societal stressors were identified as primary underlying causes of poor mental health. While participants recognized symptoms of poor mental health, gaps in mental health literacy also emerged. Mental health resources are needed in this setting and additional qualitative work assessing knowledge and attitudes toward mental health care seeking behavior can inform the development of acceptable integrated services.
心理健康障碍在乌干达造成了沉重的疾病负担。为了提供符合文化背景的心理健康预防和治疗方法，有必要了解民众对心理健康的概念化理解。对居住在乌干达中部和西部农村、城市及半城市低收入社区的14至62岁男女进行了三场焦点小组讨论（FGD）和31次深入访谈（IDI），以探讨对心理健康的看法和知识。进行了解释性主题分析；结果通过心理健康素养框架进行组织。环境和社会压力源被确定为心理健康不佳的主要潜在原因。虽然参与者认识到心理健康不佳的症状，但心理健康素养方面的差距也显现出来。在这种情况下需要心理健康资源，而评估对寻求心理健康护理行为的知识和态度的更多定性研究可以为可接受的综合服务的发展提供信息。
