在尼泊尔与男性发生性关系的男性中,偏好mHealth干预以解决心理健康挑战:定性研究
Kamal Gautam1, Camille Aguilar2, Kiran Paudel1,3
1Department of Allied Health Sciences, University of Connecticut, Storrs, CT, United States.
JMIR human factors
|March 29, 2024
概括
在尼泊尔,与男性发生性关系的男性 (MSM) 由于耻辱和缺乏支持而面临重大心理健康挑战. 提供查,咨询和同行支持的移动应用程序是改善护理准入的首选干预措施.
科学领域:
- 心理健康研究 心理健康研究
- 公共卫生干预 公共卫生干预
- 社会学 社会学 社会学
背景情况:
- 与男性发生性关系的男性 (MSM) 经历了不成比例地高的心理健康问题.
- 尼泊尔缺乏针对MSM的基于证据的心理健康干预措施.
- 解决这些差异对于边缘化社区的公共卫生至关重要.
研究的目的:
- 探讨尼泊尔MSM中心理健康问题的问题.
- 识别导致心理健康不良和护理障碍的因素.
- 确定改善心理健康支持获取的首选干预措施.
主要方法:
- 在尼泊尔首都加德满都,对28名中小企业进行了聚焦小组.
- 讨论涵盖了心理健康问题,促成因素和障碍.
- 用Dedoose软件对记录和转录的数据进行了主题分析.
主要成果:
- 参与者报告了焦虑,抑郁和自杀念头,与家庭拒绝,耻辱和歧视有关.
- 障碍包括成本,缺乏LGBTQIA+友好的服务提供者,以及社会耻辱.
- 建议使用智能手机应用程序进行查,进行数字咨询和同行支持.
结论:
- 调查结果强调,尼泊尔迫切需要为MSM提供可访问的心理健康服务.
- 定制的移动应用程序可以弥合心理健康护理的差距.
- 干预策略可以转移到其他具有类似挑战的低资源环境中.
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