Determinants of mental illness and care seeking behaviours in Northern Haiti: an assessment of demographic, social, and religio-cultural factors among patients at the first mental health clinic in the region.
Determinants of mental illness and care seeking behaviours in Northern Haiti: an assessment of demographic, social, and religio-cultural factors among patients at the first mental health clinic in the region.
复制标题
海地北部精神疾病和寻求护理行为的决定因素：对该地区第一家精神卫生诊所患者的人口、社会和宗教文化因素进行评估。
DOI：
10.1080/13674676.2023.2202901
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Iannotti,Lora
中科院分区：
文献类型：
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作者：
Galvin,Michael;Michel,Guesly;Pierre,Edny;Manguira,Eurine;Lesorogol,Carolyn;Trani,Jean-François;Iannotti,Lora
海地等国家的人口显示出对精神卫生保健的高度需求，尽管缺乏服务和训练有素的专业人员。除了缺乏生物医学服务外，当地的信仰体系和解释模式也促使大多数人口依赖传统医学作为其第一选择。使用混合方法的方法，我们的目标是在该地区的第一个精神卫生诊所-桑特·曼塔尔·曼佩尔（SSMMP）-通过采访96名患者的人口统计学问卷以及焦虑，抑郁和功能量表来诊断精神疾病。多变量逻辑和线性回归模型进行检查的人口统计学变量的影响，患者是否认为他们的疾病是由sent spiritor以前访问了伏都教牧师治疗，以及抑郁，焦虑和功能量表得分。在这个样本中，与精神疾病相关的因素包括性别、创伤事件的数量、身体健康状况和参加SSMMP的次数。影响与精神疾病有关的传统信仰或做法的因素包括性别、年龄和收入。
Populations in countries such as Haiti demonstrate a high level of need for mental health care despite a lack of services and trained professionals. In addition to the dearth of biomedical services, local belief systems and explanatory models contribute to a majority of the population relying on traditional medicine as their first option for care. Using a mixed-methods approach, we aim to characterise mental illness at the first mental health clinic in the region – Sant Sante Mantal Mòn Pele (SSMMP) – by interviewing 96 patients with a demographic questionnaire as well as Anxiety, Depression, and Functionality Scales. Multivariate logistic and linear regression models were conducted examining the impact of demographic variables on whether patients believed their illness was caused bysent spiritsor previously visited a Vodou priest for treatment, as well as Depression, Anxiety, and Functionality Scale scores. Factors associated with mental illness in this sample included sex, number of traumatic events, physical health status, and number of sessions attended at SSMMP. Factors which impacted traditional beliefs or practices related to mental illness included sex, age, and income.