目标:在埃尔比勒,伊拉克,年轻人不愿接受精神科服务受到一系列复杂障碍的影响,包括与污名有关的,态度,以及阻碍有效获得精神保健的工具性因素。这项研究旨在确定埃尔比勒年轻人获得精神病治疗的这些具体障碍。
方法:该研究利用了4月5日至5月1日之间进行的横断面在线调查,2024.数据收集是通过目的抽样进行的,涉及全面的问卷。在开始调查之前,所有参与者都获得了电子知情同意书,该公司收集了人口统计数据,并利用了获得护理障碍评估(BACEv3)工具。使用SPSS版本27(IBMCorp.,Armonk,NY).描述性统计数据(频率和百分比)用于分类数据,而连续变量的特征是均值和标准差。卡方检验,包括费舍尔的精确检验和比值比(OR),用于分析分类数据,显著性水平设置为p<0.05。
结果:共有407名参与者参加了研究。该研究强调了精神保健的几个障碍。与污名相关的障碍显著,参与者担心被视为虚弱(平均得分=2.14,SD=0.96),并担心被标记为“疯狂”(平均得分=1.80,SD=1.19)。关于态度障碍,在独立处理问题(平均得分为2.04,SD=0.98)和在没有专业帮助的情况下解决问题的倾向(平均得分为1.88,SD=0.98).此外,确定了仪器障碍,包括很少有文化多样的精神卫生专业人员(平均得分为1.78,SD=1.09)和诸如安排预约交通等实际困难(平均得分为0.61,SD=0.87)。
结论:研究表明,埃尔比勒的年轻人在获得精神病治疗方面面临着严重的耻辱以及态度和工具障碍。针对这些发现,建议政府优先考虑心理健康意识,积极消除心理健康问题,并改善服务的可及性,以营造支持性的护理环境。此外,心理健康专业人员和教育机构应合作,为年轻人提供有针对性的支持计划和资源。
OBJECTIVE: In Erbil, Iraq, the
reluctance of young adults to engage with psychiatric services is influenced by a complex array of barriers, including stigma-related, attitudinal, and instrumental factors that hinder effective mental healthcare access. This study aimed to identify these specific barriers to accessing psychiatric care among young adults in Erbil.
METHODS: The study utilized a cross-sectional online survey conducted between April 5th and May 1st, 2024. Data collection was carried out through purposive sampling and involved a comprehensive questionnaire. Electronic informed consent was obtained from all participants before they started the survey, which collected demographic data and utilized the Barriers to Access to Care Evaluation (BACE v3) tool. Statistical analysis was conducted using SPSS version 27 (IBM Corp., Armonk, NY). Descriptive statistics (frequency and percentage) were used for categorical data, while the mean and standard deviation characterized continuous variables. Chi-square tests, including Fisher\'s exact test and odds ratio (OR), were used to analyze categorical data, with a significance level set at p < 0.05.
RESULTS: A total of 407 participants were enrolled in the study. The study highlighted several barriers to mental health care. Stigma-related barriers were significant, with participants fearing being seen as weak (mean score = 2.14, SD = 0.96) and concerns about being labeled \"crazy\" (mean score = 1.80, SD = 1.19). Regarding attitudinal barriers, there was a notable preference for dealing with issues independently (mean score = 2.04, SD = 0.98) and a tendency toward resolving problems without professional help (mean score = 1.88, SD = 0.98). Additionally, instrumental barriers were identified, including the rare availability of culturally diverse mental health professionals (mean score = 1.78, SD = 1.09) and practical difficulties such as arranging transportation to appointments (mean score = 0.61, SD = 0.87).
CONCLUSIONS: The study demonstrated that young adults in Erbil face significant stigma and attitudinal and instrumental barriers to accessing psychiatric care. In response to these findings, it is recommended for the government to prioritize mental health awareness, actively destigmatize mental health issues, and improve service accessibility to foster a supportive care environment. Additionally, mental health professionals and educational institutions should collaborate to provide targeted support programs and resources for young adults.