Exploring the relationship between stigma and help-seeking for mental illness in African-descended faith communities in the UK
Exploring the relationship between stigma and help-seeking for mental illness in African-descended faith communities in the UK
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DOI：
10.1111/hex.12464
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发表时间：
2017-06-01
影响因子：
3.2
通讯作者：
Edge, Dawn
中科院分区：
文献类型：
--
作者：
Mantovani, Nadia;Pizzolati, Micol;Edge, Dawn
与精神疾病有关的污名影响到所有族裔群体，助长了精神疾病的产生和维持，并限制了获得护理和支持的机会。然而，污名化在少数群体社区尤其普遍，从而有可能加剧基于族裔的不平等。鲜为人知的是耻辱和寻求帮助之间的联系，精神疾病在非洲裔人口在英国。目的和研究设计的证据表明，信仰为基础的组织（FBO）可以帮助发展有效的公共卫生战略，这项定性研究使用半结构化的采访与信仰团体，探讨复杂的方式，其中耻辱影响寻求帮助的精神疾病在非洲，下降的社区一个主题的方法来分析数据被应用到整个数据集。设置和参与者26名男性和女性谁有不同程度的参与与基督教FBO在南伦敦进行了采访结果影响求助行为的主要因素有：对精神疾病病因的认识;消除因意识形态污名化程度提高而导致的精神疾病;以及在社区一级制造和维持污名化。被诊断为精神疾病的个人可能会经历三重危险的stigmation.Discussion和conclusionOne-size-fits-all'的方法不能有效地满足不同人群的需求。为了确保服务更符合他们的需要，卫生和保健组织应使服务使用者、家庭和社区成员成为干预措施的积极创造者，以消除寻求精神疾病帮助的障碍。
BackgroundStigma related to mental illness affects all ethnic groups, contributing to the production and maintenance of mental illness and restricting access to care and support. However, stigma is especially prevalent in minority communities, thus potentially increasing ethnically based disparities. Little is known of the links between stigma and help-seeking for mental illness in African-descended populations in the UK.Objective and study designBuilding on the evidence that faith-based organizations (FBOs) can aid the development of effective public health strategies, this qualitative study used semi-structured interviews with faith groups to explore the complex ways in which stigma influences help-seeking for mental illness in African-descended communities. A thematic approach to data analysis was applied to the entire data set.Setting and participantsTwenty-six men and women who had varying levels of involvement with Christian FBOs in south London were interviewed (e.g. six faith leaders, thirteen active members' and seven regular attendees').ResultsKey factors influencing help-seeking behaviour were as follows: beliefs about the causes of mental illness; silencing' of mental illness resulting from heightened levels of ideological stigma; and stigma (re)production and maintenance at community level. Individuals with a diagnosis of mental illness were likely to experience a triple jeopardy in terms of stigma.Discussion and conclusionOne-size-fits-all' approaches cannot effectively meet the needs of diverse populations. To ensure that services are more congruent with their needs, health and care organizations should enable service users, families and community members to become active creators of interventions to remove barriers to help-seeking for mental illness.