Aguwa Chibuzo, Carrasco Tiffani, Odongo Naphtali, Riblet Natalie
The Dartmouth Institute for Health Policy & Clinical Practice, Dartmouth College, Hanover, NH USA.
School of Medicine, Meharry Medical College, Nashville, TN USA.
Int J Ment Health Addict. 2022 Jan 10:1-17. doi: 10.1007/s11469-021-00726-5.
African countries continue to neglect the effects of mental illness on their communities. Identifying barriers to treatment and developing mitigation strategies is essential to address the burden of mental illness within Africa. We searched PubMed, Medline, PSYCHInfo, ERIC, Cochrane Library, ClinicalTrials.gov, and reference lists through June 2020. Studies addressed barriers to mental illness treatment affecting patients and/or their care team. Data was extracted using a standardized data collection form. Three independent, blinded reviewers extrapolated qualitative and quantitative data. Themes were summarized qualitatively. Thirteen studies reflecting urban and rural settings qualified for review. Participants were 17 to 58 years old. Males accounted for 49.9% of the study population. Barriers were categorized as attitudinal, economic, physical, political, and infrastructural. Attitudinal barriers were most prevalent; infrastructural barriers were least discussed. Policy and infrastructural implementations would mitigate interconnected barriers and improve health and wellbeing within Africa.
The online version contains supplementary material available at 10.1007/s11469-021-00726-5.
非洲国家继续忽视精神疾病对其社区的影响。识别治疗障碍并制定缓解策略对于应对非洲的精神疾病负担至关重要。我们检索了截至2020年6月的PubMed、Medline、PSYCHInfo、ERIC、Cochrane图书馆、ClinicalTrials.gov以及参考文献列表。研究涉及影响患者和/或其护理团队的精神疾病治疗障碍。使用标准化数据收集表提取数据。三位独立、盲态的评审员推断定性和定量数据。主题进行了定性总结。13项反映城乡环境的研究符合评审条件。参与者年龄在17至58岁之间。男性占研究人群的49.9%。障碍分为态度、经济、物理、政治和基础设施方面。态度障碍最为普遍；基础设施障碍讨论最少。政策和基础设施实施将减轻相互关联的障碍并改善非洲的健康和福祉。
在线版本包含可在10.1007/s11469-021-00726-5获取的补充材料。
