Jena Sunita, Zieger Aron, Böge Kerem, Salunkhe Gayatri, Schomerus Georg, Patel Kripalini, Padhi Bijaya Kumar, Ta Thi Minh Tam, Mungee Aditya, Hahn Eric
Asian Institute of Public Health, Utkal University, Bhubaneswar, India.
Department of Psychiatry and Psychotherapy, Charité University Hospital, Berlin, Germany.
Front Psychiatry. 2021 Oct 1;12:745604. doi: 10.3389/fpsyt.2021.745604. eCollection 2021.
Integration of psychiatric care with public health services and offering mental health care services to patients from lower socioeconomic status remains a global challenge. Scarcity of funds and professional workforce in psychiatric hospitals contribute to this situation. However, negative attitudes in the population are also a known impediment to patients seeking mental health services. This study aimed to assess the attitudes toward psychiatric hospitals among the urban and rural population in India. The study was carried out amongst the general population in Odisha, India. The total sample ( = 988) includes 496 respondents from an urban-setting, and 492 respondents from rural parts of the district. Participants were selected by using simple random-sampling from the Asian Institute of Public Health (AIPH) data base. A standardized seven-item questionnaire was adopted, with responses indicated on a 5-point Likert-scale. Interviews were fully structured and conducted face-to-face. Level of education ( = -0.192, ß = -0.320, < 0.000) and urban-rural comparison ( = -0.272, ß = -0.189, < 0.000) significantly influenced attitudes toward psychiatric hospitals. Gender, age, and religious beliefs did not show any significant effect on attitudes toward psychiatric hospitals. Individuals in rural areas and those with lower education levels showed more negative attitudes toward psychiatric hospitals. Negative attitudes toward psychiatric hospitals from those living in rural areas as well as those with lesser education may be reflective of the lack of availability, accessibility, affordability, and credibility of such mental health services. The Mental Health Care Act in India is a progressive legislation which might improve the situation of the provided services and, consequently, reduce negative attitudes in the years to come.
将精神科护理与公共卫生服务相结合，并为社会经济地位较低的患者提供心理健康护理服务，仍然是一项全球性挑战。精神病医院资金和专业劳动力的短缺导致了这种情况。然而，公众的负面态度也是患者寻求心理健康服务的一个已知障碍。本研究旨在评估印度城乡居民对精神病医院的态度。该研究在印度奥里萨邦的普通人群中进行。总样本（n = 988）包括496名来自城市地区的受访者和492名来自该地区农村地区的受访者。参与者通过从亚洲公共卫生研究所（AIPH）数据库中使用简单随机抽样的方式选取。采用了一份标准化的七项问卷，回答采用5点李克特量表表示。访谈采用完全结构化且面对面进行。教育程度（r = -0.192，β = -0.320，p < 0.000）和城乡比较（r = -0.272，β = -0.189，p < 0.000）对精神病医院的态度有显著影响。性别、年龄和宗教信仰对精神病医院的态度没有显示出任何显著影响。农村地区的个人和教育水平较低的人对精神病医院表现出更负面的态度。农村地区居民以及教育程度较低者对精神病医院的负面态度可能反映了此类心理健康服务在可及性、可获得性、可负担性和可信度方面的不足。印度的《精神卫生保健法》是一项进步的立法，可能会改善所提供服务的状况，从而在未来几年减少负面态度。
