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埃塞俄比亚东北部德西镇居民的精神疾病求助意向及相关因素

Help-seeking intention for mental illness and associated factors among Dessie town residents in Northeast Ethiopia.

作者信息

Gelaye Habtam, Andualem Atsedemariam, Beyene Abeba, Gezie Hailemariam

机构信息

Department of Psychiatry, College of Medicine and Health Sciences, Wollo University, 1145, Dessie, Ethiopia.

Department of Comprehensive Nursing, College of Medicine and Health Sciences, Injibara University, Injibara, Ethiopia.

出版信息

Sci Rep. 2024 Dec 28;14(1):30715. doi: 10.1038/s41598-024-79656-w.

Abstract

Despite the increasing global burden of mental illness and the availability of effective evidence-based treatments, many individuals with mental illness do not seek professional help. Therefore, this study aimed to assess help-seeking intention for mental illness and associated factors among Dessie town residents, Northeast Ethiopia, 2021. A community-based cross-sectional study was conducted among 501 Dessie town residents. The data were collected by face-to-face interview. The General Help Seeking Questionnaire was used to assess help-seeking intention. Bivariable and multivariable logistic regression analysis techniques were used. Finally, a statistically significant level was declared at a p-value less than 0.05. Among 501 participants, 67.5% were likely to seek help from health professionals. Being female (AOR = 4.695, 95% CI = 1.63- 13.50), being single (AOR = 0.330, 95% CI = 0.12-0.89), and having good knowledge (AOR = 3.030, 95% CI = 1.25-7.35) were significantly associated with help-seeking intention. This study indicated that the participants' help-seeking intention was inadequate. Sex, marital status, monthly income, and knowledge of mental illness were found to be associated with help-seeking intentions for mental illnesses. Therefore, community healthcare workers, healthcare administrators, and religious and community leaders should work to enhance the help-seeking intention of the community.

摘要

尽管全球精神疾病负担日益加重,且有基于证据的有效治疗方法,但许多患有精神疾病的人并未寻求专业帮助。因此,本研究旨在评估2021年埃塞俄比亚东北部德西镇居民对精神疾病的求助意愿及相关因素。对501名德西镇居民开展了一项基于社区的横断面研究。通过面对面访谈收集数据。使用一般求助问卷评估求助意愿。采用双变量和多变量逻辑回归分析技术。最后,当p值小于0.05时宣布具有统计学显著性水平。在501名参与者中,67.5%的人可能会向卫生专业人员寻求帮助。女性(调整后比值比[AOR]=4.695,95%置信区间[CI]=1.63 - 13.50)、单身(AOR=0.330,95%CI=0.12 - 0.89)以及具备良好知识(AOR=3.030,95%CI=1.25 - 7.35)与求助意愿显著相关。本研究表明参与者的求助意愿不足。发现性别、婚姻状况、月收入以及对精神疾病的了解与精神疾病的求助意愿相关。因此,社区卫生工作者、卫生保健管理人员以及宗教和社区领袖应努力提高社区的求助意愿。

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