Gender differences in pathways to care for early psychosis
Gender differences in pathways to care for early psychosis
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DOI：
10.1111/eip.12324
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发表时间：
2018-06-01
影响因子：
2
通讯作者：
McKenzie, Kwame
中科院分区：
文献类型：
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作者：
Ferrari, Manuela;Flora, Nina;McKenzie, Kwame
目的：在首发精神病研究中，性别是一个关键的人口统计学决定因素。我们使用了来自ACE护理途径项目的数据，该项目研究了非洲裔、加勒比裔和欧洲裔参与者的护理途径，以调查性别在早期干预方案中的作用。方法采用质性分析方法，对就诊途径的性别差异进行分析。我们对来自非洲裔、加勒比裔和欧洲裔的25名早期干预服务使用者进行了四个焦点小组和四个个人深度访谈。结果性别刻板印象对女性的第一次服务接触和男性求助过程的早期阶段产生负面影响。据报道，女性试图寻求治疗。然而，家庭成员和服务提供者经常质疑他们的求助。男性表示，他们很难谈论自己的症状，因为寻求帮助的行为被同龄人视为软弱的表现。本研究的结果表明，性别刻板印象以不同的方式塑造了男性和女性的专科护理之旅。认识到性别陈规定型观念对寻求精神病治疗的年轻人的影响，有助于促进保健提供者转变态度，并在这一关键时期提供更富有同情心和以病人为中心的护理。
AimsGender is a critical demographic determinant in first-episode psychosis research. We used data from the ACE Pathways to Care Project, which examined pathways to care in African-origin, Caribbean-origin and European-origin participants, to investigate the role of gender in pathways to early intervention programmes.MethodA qualitative approach was used to examine gender differences in the routes to care. We conducted four focus groups and four individual in-depth interviews with 25 service users of early intervention services from African-origin, Caribbean-origin and European-origin populations.ResultsGender stereotypes negatively influence the first service contact for women, and the early phase of the help seeking process for men. Women reported trying to seek care. However, family members and service providers often questioned their calls for help. Men described having difficulties in talking about their symptoms, as the act of seeking help was perceived as a sign of weakness by peers.ConclusionsThe findings of this study suggest that gender stereotypes shape the journey to specialized care in different ways for men and women. Awareness of the impact that gender stereotypes have when a young person is seeking care for psychosis could help to promote a shift in attitudes among health-care providers and the provision of more compassionate and patient-centred care during this critical time.