Knowledge, attitude, and practice towards mental illness service provision and associated factors among health extension professionals in Addis Ababa, Ethiopia
Knowledge, attitude, and practice towards mental illness service provision and associated factors among health extension professionals in Addis Ababa, Ethiopia
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DOI：
10.1186/s13033-019-0261-3
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发表时间：
2019-01-28
影响因子：
3.6
通讯作者：
Alemseged, Fessahaye
中科院分区：
文献类型：
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作者：
Ahmed, Eftu;Merga, Hailu;Alemseged, Fessahaye
背景：精神、神经和药物使用障碍在埃塞俄比亚非常普遍，已知会导致严重残疾。改善初级卫生保健工作者的知识、态度和做法对减少这一问题很重要。因此，本研究旨在评估亚的斯亚贝巴市政府城市健康推广专业人员（UHEPs）对精神疾病服务提供的知识、态度和实践及其相关因素。方法：采用横断面研究设计。采用结构化和预测式自填问卷对455名研究参与者进行数据收集，并分别使用SPSS version 20软件进行分析。进行多变量logistic回归分析，以确定与结果变量有显著相关的变量。采用校正优势比（AOR）确定显著相关水平，置信区间为95%。结果：调查显示，44.0%的城市卫生服务推广人员对精神疾病有充分的认识，93.4%的人态度不积极，75.2%的人对精神疾病有良好的认识。年龄30岁及以上[调整优势比（AOR）： 95% CI 0.55(0.34, 0.90)]、学历学历[AOR 95% CI 0.49(0.32, 0.78)]、个人精神病史[AOR 95% CI 0.10(0.01, 0.89)]与知识水平呈负相关。存在工作援助（AOR 95% CI 4.30(2.59, 7.15)）和拥有良好的知识(AOR 95% CI 0.52（0.32, 0.85）增加了uhep提供服务的实践。结论：UHEPs知识不足一半，态度不良者居多，良好行为者约占四分之三。在UHEPs提供心理健康服务的实践中，工作援助的存在和良好的知识得到了增加。因此，至关重要的是，向吸毒者提供进修培训，充分执行国家心理健康战略，以及适当的临床监督和支助，以改善行为改变。
Background: Mental, neurological and substance use disorders are highly prevalent in Ethiopia which are known to result in substantial disability. Improving the knowledge, attitude and practice of the primary health care workers is important to reduce this problem. Hence, this study aimed at assessing knowledge, attitude, and practice towards mental illness service provision and associated factors among urban health extension professionals (UHEPs) of Addis Ababa City Administration.Methods: A cross sectional study design was used. Data was collected from 455 study participants using structured and pre-tested self-administered questionnaire and analyzed using SPSS version 20 software respectively. Multivariate logistic regression analysis was performed to identify variables which have significant association with the outcome variables. The level of significant association was determined by adjusted odds ratio (AOR) with 95% confidence interval.Results: This study showed that 44.0% of urban health extension professionals (UHEPs) had adequate knowledge, 93.4% did not have positive attitude and 75.2% had good practice towards mental illness. Age 30 years and above [adjusted odds ratio (AOR): 95% CI 0.55 (0.34, 0.90)], having diploma educational status [AOR 95% CI 0.49 (0.32, 0.78)], and personal history of mental illness [AOR 95% CI 0.10 (0.01, 0.89)] were found to have a negative association with knowledge. Presence of job aid (AOR 95% CI 4.30 (2.59, 7.15)) and having good knowledge (AOR 95% CI 0.52 (0.32, 0.85) were increased the practice of service provision of UHEPs.Conclusion: Less than half of UHEPs had adequate knowledge, most had unfavorable attitude and about three-fourth of them had good practice. Presence of job aid and having good knowledge were increased the UHEPs practice of mental health service provision. Hence, providing refresher training to UHEPs and fully implementing the national mental health strategy as well as proper clinical supervision and support to improve behavioral change is vital.