PDF(Pubmed)
Abstract：
Understanding mental healthcare seeking and associated factors is essential for planning mental health services. This study aimed to assess treatment seeking and barriers to care for depressive symptoms and hazardous drinking in a community sample of Northwest Ethiopia. A cross-sectional study was conducted to screen 1,728 participants for depressive symptoms (n = 414) and hazardous drinking (n = 155). Participants were asked whether they had sought mental healthcare. We also assessed the barriers to seeking mental healthcare. Logistic regression was used to identify associated factors. Among people with depressive symptoms, 14.3%, 15.5%, and 19.6% sought treatment from healthcare settings, non-healthcare settings, or any sources, respectively. Religious places (39.5%) were the most helpful treatment sources. People with low levels of internalized stigma (adj OR = 3.00 [1.41, 6.42]) and positive attitudes towards mental illness (adj OR = 2.84 [1.33, 6.07]) were nearly threefold more likely to seek depression treatment. No participants with hazardous drinking sought treatment from healthcare settings, and only 1.3% had sought help from families/friends. Over 97% of participants with depressive symptoms and hazardous drinking reported at least one barrier to treatment-seeking from a healthcare setting. Religious and traditional healers were as important as healthcare settings for treatment-seeking.
摘要：
了解寻求精神保健和相关因素对于计划精神保健服务至关重要。这项研究旨在评估埃塞俄比亚西北部社区样本中抑郁症状和有害饮酒的治疗寻求和护理障碍。进行了一项横断面研究，以筛查1,728名参与者的抑郁症状（n=414）和有害饮酒（n=155）。参与者被问及他们是否寻求过心理健康。我们还评估了寻求精神保健的障碍。采用Logistic回归分析确定相关因素。在有抑郁症状的人中，14.3%,15.5%,19.6%的人从医疗机构寻求治疗，非医疗机构，或任何来源，分别。宗教场所（39.5%）是最有帮助的治疗来源。内化病耻感水平较低（调整OR=3.00[1.41，6.42]）和对精神疾病持积极态度（调整OR=2.84[1.33，6.07]）的人寻求抑郁症治疗的可能性几乎是三倍。没有有危险饮酒的参与者从医疗机构寻求治疗，只有1.3%的人寻求家人/朋友的帮助。超过97％的患有抑郁症状和有害饮酒的参与者报告说，至少有一个从医疗机构寻求治疗的障碍。宗教和传统治疗师与寻求治疗的医疗机构一样重要。
