scholarly journals Equitable access to mental healthcare integrated in primary care for people with severe mental disorders in rural Ethiopia: a community-based cross-sectional study

2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Maji Hailemariam ◽  
Abebaw Fekadu ◽  
Girmay Medhin ◽  
Martin Prince ◽  
Charlotte Hanlon
Keyword(s):  
Primary Care ◽  
Mental Disorders ◽  
Health Facility ◽  
Economic Status ◽  
Mental Healthcare ◽  
Equitable Access ◽  
Severe Mental Disorders ◽  
Rural Residents ◽  
Socio Economic Status ◽  
The Impact

Abstract Background Integration of mental healthcare into non-specialist settings is advocated to expand access to care for people with severe mental disorders (SMD) in low-income countries. However, the impact upon equitable access for disenfranchised members of society has not been investigated. The purpose of this study was to (1) estimate contact coverage for SMD of a new service in primary healthcare (PHC) in a rural Ethiopian district, and (2) investigate equity of access for rural residents, women, people with physical impairments and people of low socio-economic status. Methods Community key informants were trained to identify and refer people with probable SMD in Sodo district, south-central Ethiopia, using vignettes of typical presentations. Records of those referred to the new PHC-based service were linked to healthcare records to identify people who engaged with care and non-engagers over a 6 month period. Standardised interviews by psychiatric nurses were used to confirm the diagnosis in those attending PHC. Non-engagers were visited in their homes and administered the Psychosis Symptom Questionnaire. Socio-economic status, discrimination, disability, substance use, social support and distance to the nearest health facility were measured. Results Contact coverage for the new service was estimated to be 81.3% (300 engaged out of 369 probable cases of SMD identified). Reimbursement for transport and time may have elevated coverage estimates. In the fully adjusted multivariable model, rural residents had 3.81 increased odds (95% CI 1.22, 11.89) of not accessing care, in part due to geographical distance from the health facility (odds ratio 3.37 (1.12, 10.12)) for people living more than 180 min away. There was no association with lower socioeconomic status, female gender or physical impairment. Higher levels of functional impairment were associated with increased odds of engagement. Amongst non-engagers, the most frequently endorsed barriers were thinking the problem would get better by itself and concerns about the cost of treatment. Conclusion Integrating mental healthcare into primary care can achieve high levels of coverage in a rural African setting, which is equitable with respect to gender and socio-economic status. Service outreach into the community may be needed to achieve better contact coverage for rural residents.

scholarly journals Impact of different approaches of primary care mental health on the prevalence of mental disorders

2017 ◽  
Vol 19 (03) ◽  
pp. 256-263 ◽  
Author(s):  
Leonardo Moscovici ◽  
Joao Mazzoncini de Azevedo-Marques ◽  
Lívia Maria Bolsoni ◽  
Antonio Luiz Rodrigues-Junior ◽  
Antonio Waldo Zuardi
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Logistic Regression ◽  
Mental Disorders ◽  
Economic Status ◽  
Binary Logistic Regression ◽  
Mental Health Training ◽  
Health Training ◽  
Primary Care Mental Health ◽  
The Impact

AimTo compare the impact of three different approaches to primary care mental health on the prevalence of mental disorders.BackgroundMillions of people suffer from mental disorders. As entry point into the health service, primary healthcare plays an important role in providing mental health prevention and treatment.MethodsRandom sample of households in three different areas of the city of Ribeirão Preto (state of São Paulo, Brazil) were selected, and 20 trained medical students conducted interviews using a mental health screening instrument, the Mini-Screening of Mental Disorders, and a socio-demographic datasheet. Primary care mental health was provided in each area through a specific approach. The influence of the area of residence and the socio-demographic variables on the prevalence of mental disorder was explored and analyzed by univariate binary logistic regression and then by a multiple logistic regression model.FindingsA total of 1545 subjects were interviewed. Comparison between the three areas showed a significantly higher number of people with mental disorders in the area covered by the primary care team that did not have physicians with specific primary care mental health training, even when this association was adjusted for the influence of age, education, and socio-economic status.Our results suggest that residing in areas with family physicians with mental health training is associated with a lower prevalence of mental disorders.

scholarly journals Influence of Physical Activity and Socio-Economic Status on Depression and Anxiety Symptoms in Patients after Stroke

2021 ◽  
Vol 18 (15) ◽  
pp. 8058
Author(s):  
Małgorzata Paprocka-Borowicz ◽  
Mona Wiatr ◽  
Maria Ciałowicz ◽  
Wojciech Borowicz ◽  
Agnieszka Kaczmarek ◽  
...  
Keyword(s):  
Physical Activity ◽  
Physical Therapy ◽  
Economic Status ◽  
Depression Scale ◽  
Post Stroke ◽  
Positive Effects ◽  
Socio Economic Status ◽  
Treatment Of Depression ◽  
Post Stroke Depression ◽  
The Impact

Stroke is a high-risk factor for depression. Neurological rehabilitation is greatly difficult and often does not include treatment of depression. The post-stroke depression plays an important role in the progress of treatment, health, and the life of the patient. The appropriate treatment of depression could improve the quality of life of the patient and their family. The study aimed to evaluate the impact of physical activity and socio-economic status of the patient on the effectiveness of recovery from depression and the severity of the symptoms of depression. The study was conducted with 40 patients after stroke aged 42–82 years, and included 10 women and 30 men who were hospitalized for two weeks. The severity of depression/anxiety (D/A) symptoms were evaluated two times; at admission and after two weeks of physical therapy. The hospital anxiety and depression scale (HADS) questionnaire was used for this purpose. Socio-economic status was evaluated by several simple questions. It was revealed that physical therapy has a positive influence on mental state. The severity of D/A symptoms after stroke is related to the financial status of the patients (2 = 11.198, p = 0.024). The state of health (2 = 20.57, p = 0.022) and physical fitness (2 = 12.95, p = 0.044) changed the severity of symptoms of anxiety and depressive disorders. The kinesiotherapy in the group of patients with post-stroke depression had positive effects; however, economic and health conditions may influence the prognosis of the disease.

ECP02-01 - Globalisation and the impact of economic factors on psychiatric disorders

2011 ◽  
Vol 26 (S2) ◽  
pp. 1795-1795
Author(s):  
D. Bhugra
Keyword(s):  
Mental Health ◽  
Cultural Identity ◽  
Economic Status ◽  
Psychiatric Morbidity ◽  
Economic Factors ◽  
Socio Economic Status ◽  
Level Of Economic Development ◽  
Migration Experiences ◽  
The Impact ◽  
The Relationship

IntroductionWith the process of globalisation in full flow, the movement of people and products across the globe has brought a series of difficulties. With migration the socio-economic status of the individuals may change with the likelihood that this status will be lower rather than higher, although depending upon the reasons for migration this may change too.ObjectivesLiterature shows that low socio-economic status is associated with a higher level of psychiatric morbidity.AimsWhether migration acts as a mediator needs to be investigated further.MethodsVarious studies have shown that rates of psychosis are elevated in migrants though these rates are differentially increased in different groups indicating that factors other than migration may be at play.ResultsIn this presentation the literature and link the acculturation and cultural identity with post-migration experiences will be reviewed.ConclusionA link exists between the perceptions within cultures and level of economic development of what constitutes mental health. The state of advancement of mental health services of a country will certainly have a large impact on prevalence rates. Further investigation should be carried out to examine in greater depth the relationship between social inequality and disorder prevalence, as distinct from income inequality.

scholarly journals Is socio-economic status a determinant of HIV-related stigma attitudes in Zimbabwe? Findings from Project Accept

2016 ◽  
Author(s):  
Kudzanai Mateveke ◽  
Basant Singh ◽  
Alfred Chingono ◽  
E. Sibanda ◽  
Ian Machingura
Keyword(s):  
Social Isolation ◽  
Assessment Tool ◽  
Economic Status ◽  
Target Population ◽  
Low Ses ◽  
Voluntary Counseling And Testing ◽  
Socio Economic Status ◽  
Stigma And Discrimination ◽  
Related Stigma ◽  
The Impact

HIV related stigma and discrimination is a known barrier for HIV prevention and care. We aimed to assess the relationship between socio-economic status (SES) and HIV related stigma in Zimbabwe. This paper uses data from Project Accept, which examined the impact of community-based voluntary counseling and testing intervention on HIV incidence and stigma. Total of 2522 eligible participants responded to a psychometric assessment tool, which assessed HIV related stigma and discrimination attitudes on 4 point Likert scale. The tool measured three components of HIVrelated stigma: shame, blame and social isolation, perceived discrimination, and equity. Participants’ ownership of basic assets was used to assess the socio-economic status. Shame, blame and social isolation component of HIV related stigma was found to be significantly associated with medium [odds ratio (OR)=1.73, P<0.01] and low SES (OR=1.97, P<0.01), indicating more stigmatizing attitudes by participants belonging to medium and low SES in comparison to high SES. For HIV related stigma and discrimination programs to be effective, they should take into account the socio-economic context of target population.

scholarly journals Analysis of the Socio-Economic and Psychological Status of the Widows: A Study on Jhenidah District

2020 ◽  
pp. 9-18
Author(s):  
Avik Ranjan Bhowmik ◽  
Md. Kamal Hossain ◽  
Nadia Chowdury ◽  
Md. Shahidul Islam
Keyword(s):  
Sampling Method ◽  
Social Problems ◽  
Economic Status ◽  
Psychological Status ◽  
Primary Data ◽  
Socio Economic Status ◽  
The Impact ◽  
Structured Questionnaire

This paper aims at analyzing the socio-economic status of widows in the Jhenidah district and evaluate the impact of socio-economic status on the widows’ livelihood in society. For achieving the purpose of the study, the researchers collected the primary data by a structured questionnaire, and data were gathered from sixteen respondents from Jhenidah district by a convenient sampling method. The researchers in this study found that widows suffer from multiple social problems and restrictions. Moreover, the widows are feeling discouraged in their lives though they earn a satisfactory figure since dissatisfaction arises from the multiplicity of social problems for the widows.

scholarly journals The Impact of Socio Economic Status on Emotional Intelligence and Creativity among Tribal Adolescent Students

2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Dr. Chandrakant Jamadar ◽  
Sindhu A
Keyword(s):  
Emotional Intelligence ◽  
Social Economic ◽  
Economic Status ◽  
The Other ◽  
Adolescent Students ◽  
Social Economic Status ◽  
Socio Economic Status ◽  
The Impact

The present study is an attempt to investigate the conjoint off impact of Social Economic Status towards the prediction of Emotional intelligence and Creativity among tribal students. Accordingly,100 tribal samples, 50boys and 50girls of VIII, IX & X class from Vivekananda Tribal Centre for learning(VTCL), Hosahalli, H.D.Kote, Mysore. The Socio Economic Status scale by Meenakshi(2004), Emotional Intelligence by Upinder Dhar(2010), and creativity test by Wallach-kogan. The results revealed that High Socio Economic Status students have more Emotional Intelligence and creative than the Low Socio Economic Status Students. Girls and boys have same level of Emotional Intelligence and Creativity. In Emotional Intelligence is no differences in three community students but in creativity Yerava Students have more creative than the other two community students.

Sign in / Sign up

Export Citation Format

Share Document