Agyei Francis, de-Graft Aikins Ama, Osei-Tutu Annabella, Annor Francis
Fred N. Binka School of Public Health, University of health and Allied Sciences, Ho, Ghana.
Institute of Advanced Studies (IAS), University College London (UCL), London, United Kingdom.
Community Ment Health J. 2025 Jan;61(1):76-86. doi: 10.1007/s10597-024-01328-w. Epub 2024 Jul 25.
Social groups and identities significantly influence mental health outcomes, yet their impact in resource-poor communities remains understudied. We explored the role of social group memberships and identities in shaping mental health experiences in two urban poor communities in Ghana. Data from 77 participants were analyzed thematically, revealing widespread engagement in social groups that provide access to both material and symbolic resources. However, these groups also serve as sources of tension and contribute to the stigmatization and marginalization of vulnerable members. Those affected include individuals with severe mental disorders, men experiencing depression, young men involved in substance abuse, family caregivers, migrant and tenant households, and otherwise healthy individuals with recurring psychosocial challenges. The groups exacerbate mental health challenges and restrict access to care among marginalized populations. The findings underscore the need for targeted interventions aimed at enhancing mental health support and reducing stigma in resource-poor settings.
社会群体和身份认同对心理健康结果有显著影响,但它们在资源匮乏社区的影响仍未得到充分研究。我们探讨了社会群体成员身份和认同在塑造加纳两个城市贫困社区心理健康体验中的作用。对77名参与者的数据进行了主题分析,结果显示人们广泛参与了能提供物质和象征性资源的社会群体。然而,这些群体也会引发紧张关系,并导致弱势群体受到污名化和边缘化。受影响的人群包括患有严重精神障碍的个体、患有抑郁症的男性、有药物滥用问题的年轻男性、家庭护理人员、移民和租户家庭,以及其他面临反复心理社会挑战的健康个体。这些群体加剧了心理健康挑战,并限制了边缘化人群获得护理的机会。研究结果强调了在资源匮乏地区开展有针对性干预措施的必要性,这些措施旨在加强心理健康支持并减少污名化现象。