Does community-based care have an effect on public attitudes toward the mentally ill?

1995 ◽  
Vol 10 (6) ◽  
pp. 282-289 ◽  
Author(s):  
W Rössler ◽  
HJ Salize ◽  
B Voges

SummaryIn this cross-sectional study we have investigated the attitudes and feelings toward the mentally ill among the residents of two Central European regions which are at considerably different stages of development in moving toward community-based care, to see if we could connect differing patterns of attitudes in the two regions to the varying levels of development of psychiatric care. By using the telephone survey method, representative samples of interviewees were presented with two complexes of questions, measuring the social distance of the interviewee to the mentally ill and his/her feelings toward the mentally ill. Social rejection and feelings of the people toward the mentally ill in both regions were similar in the direction they took, however not so much in the intensity. The population of the community care area showed a slightly stronger rejection. But factor analysis clearly suggests a more rational and sophisticated position toward the patients in this population. The people living in the custodially-oriented catchment area, on the other hand, showed a more vague pattern in their attitudes.

2011 ◽  
Vol 69 (2b) ◽  
pp. 342-348 ◽  
Author(s):  
S Stefanello ◽  
L Marín-Léon ◽  
P T Fernandes ◽  
L M Li ◽  
N J Botega

OBJECTIVE: To estimate the frequency of depression/anxiety and to establish the social, epilepsy and psychiatric characteristics in individuals with epilepsy. METHOD: A cross-sectional study was employed to evaluate 153 subjects with epilepsy who were identified in a previous community-based survey. First, a structured interview was conducted, followed by a psychiatric evaluation. Subjects with depression were compared to those without, and subjects with anxiety were compared to those without. RESULTS: The prevalence of anxiety and depression was 39.4 and 24.4%, respectively. Both were associated with low schooling (OR 3.8, 95% CI 1.6 to 9.0 and OR 2.8, 95% CI 1.2 to 6.5 for depression and anxiety, respectively), lifetime suicidal thoughts (OR 4.4, 95% CI 1.9 to 10.3 and OR 3.6, 95% CI 1.7 to 7.7) and lifetime suicide attempts (OR 9.3, 95% CI 2.6 to 32.8 and OR 6.9, 95% CI 1.8 to 26.4). CONCLUSION: The high rates of depression and anxiety reinforced the need for recognition and treatment of mental disorders in epilepsy.


2021 ◽  
Vol 3 (2) ◽  
pp. 70
Author(s):  
Intan Okrima Putri

Stigma is a negative action that can reduce a person’s self-confidence. During the COVID-19 pandemic, the stigma can be in the form of refusal of bodies, expulsion of medical staff or ex-communication of patients with confirmed COVID-19 and post-COVID-19 patients. There are 2 Post-COVID-19 patients in Papringan Hamlet. This study aims to find out the influence of knowledge, attitudes, and role of community leaders on the stigma against Post-COVID-19 patients in Papringan Helmet Sidomukti Magetan Regency. This was a cross-sectional study. The population were the people who live in Papringan Hamlet, the sample amount was 97 respondents who used the Slovin formula. The sample criteria were aged 26-45 years, chosen by purposive sampling technique. Data were collected by questionnaires and checklist observations. Data analysis used the logistic regression test. Results: The results of the bivariate analysis test showed that there was an influence a relationship between knowledge (Sig. 0,000), attitude (Sig. 0,000), and roles of community leaders (Sig. 0,000) on the stigma against post-COVID-19 patients and multivariate analysis using Binary logistic test indicated there is an influence of knowledge (OR=16,955) to stigma Post-COVID-19 patients in Papringan Hamlet Sidomukti Magetan Regency. The Health Service and community health centres can eliminate the stigma of Post-COVID-19 patients in the community by increasing public knowledge through health education, as well as encouraging the role of religious leaders and community leaders to influence public attitudes so as not to carry out negative stigma against Post-COVID patients.


1970 ◽  
Vol 21 (2) ◽  
pp. 112-117 ◽  
Author(s):  
ARM Saifuddin Ekram ◽  
S Monira Hussain ◽  
Chaweenwon Boonshuyar

A cross-sectional study was conducted on 300 hypertensive patients living in urban and rural community in Rajshahi District of Bangladesh to assess the situation regarding antihypertensive drug non- adherence. Patients aged 35 years or above who are taking anti-hypertensive drug for at least 6 months were included in the study. About 87% of patients were found non-adherent to treatment. The non-adherent patients had missed taking medication for anywhere from one day to the whole month. The reasons for not taking the medication included forgetfulness (54.1%), busy schedule (13.9.0%), boredom, travel, reluctance to take, and reluctance to buy the medication. Almost 80% of the people know that hypertension is an incurable disease and the disease has no definite sign and symptom. Knowing all these factors why these people are non-adherent to treatment needs further exploration. doi: 10.3329/taj.v21i2.3788 TAJ 2008; 21(2): 112-117


2021 ◽  
Vol 8 (12) ◽  
pp. 677-684
Author(s):  
Arya Nair Kovilveettil

Objective: To find out the substances abused by the people in urban slums and also find factors contributing to it. Also to recommend suggestions based on the study Material and Methods: It was a community based cross sectional study and data was collected using Interviewers Performa after getting approved by the Institutional Ethics Committee. A sample size of 174 was calculated . Young People (10 to 24yrs) who were willing to participate were included and whose not ready to take part were opted out. Results: It was found that males usually 22 to 24yrs used abusive substances than females. Tobacco was the most common substance abused followed by alcohol and majority had been introduced to the substances by their peers between 17 to 24 yrs. Most people consumed the drug multiple times daily followed by weekly and had procured the drug from local retailers. These substances gave them a sense of hallucination and euphoria on consumption. Among the side effects oral problems like ulcers and malignancy topped the list. Respiratory and gastrointestinal issues along with inability  to concentrate on work were other side effects. Conclusions: Based on the results several recommendations were made especially awareness workshops and camps. These programs mainly stressed upon the necessity to create social awareness among the people and their families about the ill effects of substance abuse. All the results were tabulated.


2018 ◽  
Vol 14 (1) ◽  
pp. 32-35
Author(s):  
Hasna Atin Nafisah ◽  
Sigid Sudaryanto ◽  
Naris Dyah Prasetyawati

The goal of health development towards Healthy Indonesia in 2025 is the increase of awareness, willingness, and ability to live healthy for everyone. The main activity of Community-Based Total Sanitation Movement (STBM) is to change the behavior of the community for open defecation. Developing clean and healthy living behaviors in everyday life needs to be done to prevent the increasing incidence of environmental-based diseases, including diarrhea. The purpose of this study is to determine the effect of the implementation of first pillar of Community-Based Total Sanitation Program (STBM) with the incidence of diarrhea residents Temon Kulon , Temon, Kulonprogo. The type of the research was qualitative approach research design with descriptive cross sectional survey method. Population in this research was Temon Kulon village citizen of productive age that is age 17 - 60 year counted 1,002 people. The sample used in this study was 100 people taken 10% of the population. Based on the results of the research, it that community defecation behavior was good with 100% percentage. The condition and ownership of toilet had reached the results 100% of the people already had family toilet, 97% of the toilet condition of majority respondents were qualify, and the incidence of diarrhea was low because it was less than 50 people. It can be concluded that there is an influence between the implementation of the first pillar of Community-Based Total Sanitation (STBM) program with the incidence of diarrhea in ​​Temon Kulon, Temon.


Author(s):  
Richa Malhan ◽  
Jayati Nath ◽  
Anil K. Bhusan

Background: Family planning is defined by WHO as a way of thinking and living that is adopted voluntarily, upon the basis of knowledge, attitudes and responsible decisions by individuals and couples, in order to promote the health and welfare of family groups and thus contribute effectively to the social development of a country. The main objective was to assess the knowledge, attitude and practice regarding family planning and the practice of contraceptives among the antenatal women.Methods: A hospital based, cross sectional study was conducted in obstetrics and gynaecology department of SGT medical college, hospital and research institute over a period of 6 months. Convenient sampling was used to identify and interview 500 pregnant women, using a semi structured questionnaire. Data was entered and analysed with SPSSv21.Results: In our study, 74.2% participants have the knowledge about Cu-T as a method of contraception and 39% participants considered it a safe and economical method of contraception, 16.2% participants used PPIUCD and 40.2% considered it as unsafe method. Uses of PPIUCD was significantly associated with increasing age, illiteracy and non-working participants. Around one third participants were having uncertain attitude towards use of PPIUCD.Conclusions: In our study we observed that uses of PPIUCD is still lower side and there is a need to be motivate the people for effective and appropriate use of contraceptives when required and arrest the trend towards unwanted pregnancy. 


2021 ◽  
Vol 18 ◽  
Author(s):  
Abdullah AlAbdali ◽  
Nawfal Aljerian ◽  
Tamara Alrumayyan ◽  
Joud Alwasel ◽  
Noura Alsayari ◽  
...  

Introduction Mental healthcare experts worldwide have been calling for increased contributions from medical professionals and organisations to improve the skills of healthcare practitioners and their coordination with mentally ill patients. However, the contributions and roles of paramedics in treating the mentally ill are still considered limited, and few studies have been conducted on paramedics’ judgement and decision-making when caring for patients with mental illness. This study aimed to assess paramedics’ perceptions, knowledge and skills in dealing with psychiatric emergencies. Methods A cross-sectional study was conducted among participants from the Saudi Red Crescent Authority; different hospitals in Riyadh were invited from September to October 2019 to complete a validated structured questionnaire. The Statistical Package for the Social Sciences version 22 (SPSS 22) software was used for data analysis. Results A total of 124 participants were included in this study; their mean age was 29.93 years, 95.2% were male, 78.9% had a bachelor degree and 12.1% had higher education. The majority of participants agreed that it is important for paramedics to know about mental illness (91.1%) and stated that they were comfortable managing a person with mental illness (63.7%). Almost half (49.6%) disagreed with the statement that psychiatric disorders are caused by religious or supernatural factors, whereas 24% were unsure, and 26.4% agreed. On assessing paramedics’ knowledge and skills, 31.4% scored above average, 42% scored average (average defined as answering six to seven out of 10 questions correctly), and 26.6% scored below average. However, when asked if they carry out the mental status examination on mentally ill patients, 66.1% stated ‘no’. Conclusion This study indicated that the majority of paramedics have positive perceptions regarding mental illness; moreover, it was shown that paramedics are knowledgeable and trained in dealing with emergency psychiatric patients. Further investigation regarding the practice and role of paramedics is necessary.


Author(s):  
Mohammad M. Morshed ◽  
Soumik Tripura ◽  
Mohammad A. Hossain ◽  
Mohammad M. Rahman ◽  
Asif Mahmud ◽  
...  

Background: The ongoing pandemic COVID-19 is a new disease that provides a little bit of knowledge. Modern society is getting further information about this pandemic. But the people who are far away from development may not get proper learning and instruction to defect the new virus. Keep this reality in mind, and we aimed via this study to find out the precipitance and knowledge about COVID-19 of the tribal community from Khagrachari district, who are backward and less developed people of Bangladesh.Methods: Simple random sampling method is used for selecting responders. A willing responder was interviewed using a per-developed questioner and 348 responders (Chakma-131, Marma-106 and Tripura-111) across the Khagrachari district. All statistical analyses were done by SPSS version 20.Results: COVID-19 is a viral disease known by 87.0% Chakma, 85.0% Marma and 81.1% Tripura alongside 54.2%, 53.8%, and 60.4% Chakma, Marma Tripura; respectively think that COVID-19 is a deadly disease. Using face masks as a safety measurement about 87% of Chakma, 85% of Marma, and 81.1% of Tripura but using hand sanitizer or shop was slightly low compared to facemask use. Although they were eager to take a vaccine at a particular time, it seems they are not optimistic about the vaccine's efficacy.Conclusions: Overall, the tribal population has sufficient knowledge about COVID-19 and has a good tendency to maintain proper health hygiene to prevent COVID19 infection.


Author(s):  
Parash Jyoti Bora ◽  
Bishnu Ram Das ◽  
Netri Das

Background:Globally, 2.3 billion people still do not have basic sanitation facilities such as toilets or latrines. Inadequate sanitation is estimated to cause 280 000 diarrhoeal deaths annually. Tea garden population belonging mostly to lower socio economic class, often lacks access to basic safe drinking water and sanitation. This study aims to assess the availability and utilization of sanitation facilities amongst the tea garden population. Methods:A Community based descriptive cross sectional study was conducted among the people residing in the lines of tea gardens of Jorhat district. Using multistage cluster sampling a total of 540 eligible subjects were selected for our study and they were interviewed using a pre-designed pre-tested schedule. Results:In our study, sanitation facilities were available in 58.9% households of which 83.1% were sanitary type and 69.7% latrines were functional. Out of the 318 respondents who have latrine, 61.1% reported that they use latrine regularly while 64.1% study respondents had the practice of open air defecation. Conclusions:The availability of sanitation facility and latrine utilization rate of the households were not satisfactory. This reflects that various schemes related to sanitation that are planned and implemented by Government have not been reached to the majority of tea tribe population. So an urgent call has to be made to all stakeholders to work in close collaboration to ensure access and utilization of sanitation facilities among the vulnerable tea plantation community.


Crisis ◽  
2014 ◽  
Vol 35 (4) ◽  
pp. 278-282 ◽  
Author(s):  
Karen M. Davison ◽  
Bonnie J. Kaplan

Background: Mood disorders are associated with a high risk of suicide. Statin therapy has been implicated in this relationship. Aims: To further clarify reported associations between suicide and cholesterol in mental health conditions, we conducted an analysis of dietary, clinical, and suicidal ideation measures in community-living adults with mood disorders. Method: Data were used from a cross-sectional study of a randomly selected community-based sample (> 18 years; n = 97) with verified mood disorders. Dietary (e.g., fat, iron, vitamin intakes), clinical (e.g., current depression and mania symptoms, medications), and sociodemographic (age, sex, and income) measures were analyzed using bivariate statistics and Poisson regression with robust variance. Results: Participants were predominantly female (71.1%) with bipolar disorder (59.8%); almost one-third (28.9%) were taking lipophilic statins. The prevalence of suicidal ideation was more than 2.5 times in those taking statins, PR = 2.59, 95% CI 1.27–5.31, p < .05. The prevalence ratio for suicidal ideation was 1.10, 95% CI 1.06–1.15, p < .001, for each unit increase in mania symptom scores. No associations between suicidal ideation and dietary intake measures were identified. Conclusion: Individuals with mood disorders may be susceptible to neuropsychiatric effects of cholesterol-lowering drugs, which warrants further research.


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