Sociodemographic determinants of attitudinal barriers in the use of mental health services in Japan: Findings from the World Mental Health Japan Survey 2002-2006
Sociodemographic determinants of attitudinal barriers in the use of mental health services in Japan: Findings from the World Mental Health Japan Survey 2002-2006
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DOI：
10.1111/pcn.12008
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发表时间：
2013-02-01
影响因子：
11.9
通讯作者：
Kawakami, Norito
中科院分区：
文献类型：
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作者：
Kido, Yoshifumi;Kawakami, Norito
日本对心理健康服务态度障碍的社会人口统计学相关性可能与西方国家之前的研究不同，反映了不同的文化。我们根据世界心理健康调查日本调查收集的数据，调查了日本社区人口对心理健康服务的态度障碍的社会人口统计学相关性。方法对2002-2006年居住在日本11个社区的居民进行随机抽样访谈调查，共分析1359名参与者。使用世界卫生组织综合国际诊断访谈 3.0 来衡量对心理健康服务的态度障碍的变量。通过使用多元逻辑回归分析这些变量与社会人口变量之间的关联。结果 男性与寻求专业帮助的意愿以及与专业人士交谈的舒适度显着相关。与最年轻的群体（2034岁）相比，年龄在35岁至49岁之间的人因朋友知道自己获得专业帮助而感到尴尬的发生率显着较低，而最年长的群体（65岁以上）感到尴尬的发生率显着较高。目前已婚与对心理健康服务的更高期望显着相关，但与寻求专业帮助的意愿显着负相关。结论 这些结果表明，与西方国家之前的研究相比，日本对心理健康服务的态度障碍的人口统计模式是独特的。反耻辱运动可能需要考虑特定国家的这种特定国家模式。
Aim Sociodemographic correlates of Japanese attitudinal barriers to mental health services might be different from previous studies in Western countries, reflecting a different culture. We investigated sociodemographic correlates of attitudinal barriers to mental health services in a community population in Japan, based on data collected in the World Mental Health Survey Japan surveys. Methods An interview survey was conducted of a random sample of residents living in 11 communities across Japan during 20022006. A total of 1359 participants were analyzed. The variables on attitudinal barriers to mental health services were measured by using the World Health Organization Composite International Diagnostic Interview 3.0. The association between these variables and sociodemographic variables were analyzed by using multiple logistic regressions. Results Being male was significantly associated with willingness to go for professional help and feeling comfortable to talk with a professional. Compared to the youngest group (2034 years old), those aged from 35 to 49 years had a significantly lower prevalence of feeling embarrassed about friends knowing about their getting professional help, while the oldest group (aged over 65 years) had a significantly higher prevalence of being embarrassed. Being currently married was significantly associated with higher expectations about mental health services, but it was significantly and negatively associated with willingness to go for professional help. Conclusion These results suggest that demographic patterns of attitudinal barriers to mental health services in Japan are unique, compared with previous studies in Western countries. An anti-stigma campaign may need to consider such country-specific patterns in a particular country.