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埃塞俄比亚南部阿尔巴明奇健康与人口监测点(AM-HDSS)成年居民对抑郁症患者的社区认知与态度

Community Perception and Attitude towards people with Depression among Adults Residing in Arba Minch Health and Demographic Surveillance Site (AM-HDSS), Southern Ethiopia.

作者信息

Boti Negussie, Hussen Sultan, Ayele Gistane, Mersha Abera, Gebeyehu Selamawit, Kassa Mekidm, Feleke Tesfaye, Oumer Bilcha

机构信息

Arba Minch University, College of Medicine and Health Sciences, School of Public Health, Arba Minch, Southern Ethiopia.

Arba Minch University, College of Medicine and Health Sciences, School of Nursing, Arba Minch, Southern Ethiopia.

出版信息

Ethiop J Health Sci. 2020 Jul 1;30(4):567-578. doi: 10.4314/ejhs.v30i4.12.

Abstract

BACKGROUND

Negative perception and attitude of community prevents many people with depression and their caregivers from seeking help and receiving adequate treatment due to fear of social reaction and may try to hide the illness. The reasons for negative attitudes are not consistent across communities or cultures. Therefore, understanding the level of community perception and attitude towards people with depression is important to develop an intervention to reduce the impact of mental illness.

METHODS

A community-based cross-sectional study was conducted among 617 randomly selected adults. The data was collected using structured, pre-tested, and interviewer-administered questionnaires. Descriptive statistics like frequency, mean, and median were performed. Bi-variable and multivariable logistic regression analyses were performed to identify the factors that affect the community attitude towards people with depression.

RESULTS

Of the study population, 325(52.7%) had a good perception and 246(39.9%) had a positive attitude towards people with depression. The majority of study participants frequently identified as the perceived cause of depression was substance misuse, loss of loved one, and conflict within a family. In addition, psychosocial treatment was the most preferred treatment for people with depression in the study area. Marital status and educational status were significantly associated with the community attitude towards people with depression.

CONCLUSION

Giving special attention to people with substance misuse, loss of loved one, and conflict within a family is very vital for the prevention of depression. In addition, future mental health promotion activities should focus on cause and common manifestation of depression to improve the attitude toward people with depression.

摘要

背景

社区的负面认知和态度使许多抑郁症患者及其照顾者因害怕社会反应而不愿寻求帮助和接受充分治疗,甚至可能试图隐瞒病情。不同社区或文化中,产生负面态度的原因并不一致。因此,了解社区对抑郁症患者的认知和态度水平对于制定干预措施以减少精神疾病的影响至关重要。

方法

对617名随机抽取的成年人进行了一项基于社区的横断面研究。数据通过结构化、预先测试且由访谈员管理的问卷收集。进行了频率、均值和中位数等描述性统计。进行了双变量和多变量逻辑回归分析,以确定影响社区对抑郁症患者态度的因素。

结果

在研究人群中,325人(52.7%)对抑郁症患者有良好认知,246人(39.9%)对抑郁症患者持积极态度。大多数研究参与者经常认为抑郁症的成因是药物滥用、失去亲人以及家庭内部冲突。此外,心理社会治疗是研究区域内抑郁症患者最倾向选择的治疗方式。婚姻状况和教育程度与社区对抑郁症患者的态度显著相关。

结论

特别关注药物滥用者、失去亲人者以及家庭内部冲突者对于预防抑郁症至关重要。此外,未来的心理健康促进活动应关注抑郁症的成因和常见表现形式以改善对抑郁症患者的态度。

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