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孟加拉国达卡严重精神疾病寻求帮助的影响:混合方法研究
Sagar Jilka1,2,3, Bulbul Siddiqi4, Cathy Winsper1,3
1Warwick Medical School, University of Warwick, Coventry, CV4 7AL, UK.
Social psychiatry and psychiatric epidemiology
|November 1, 2025
概括
了解城市贫民窟寻求健康的行为是改善心理健康服务获取的关键. 许多患有严重精神疾病 (SMI) 的人因专业服务的成本和缺乏意识而使用传统治疗师.
科学领域:
- 心理健康研究 心理健康研究
- 全球健康 全球健康
- 卫生社会学 卫生社会学
背景情况:
- 严重精神疾病 (SMI) 需要及时干预,以获得更好的结果.
- 低收入和中等收入国家 (LMICs) 在提供心理健康服务方面面临重大挑战,特别是在城市贫民窟.
- 了解寻求帮助的行为对于在资源贫困的环境中开发有针对性的干预措施至关重要.
研究的目的:
- 调查影响在孟加拉国达卡一个城市贫民窟中SMI患者寻求医疗帮助的决定因素.
- 在LMICs中提供有效和公平的心理健康干预措施的发展信息.
主要方法:
- 一个并发的三角测量混合方法研究在孟加拉国达卡进行.
- 从参加国家心理健康研究所 (NIMH) 的个人中通过护理途径问卷收集的定量数据.
- 通过采访在Korail贫民窟的SMI患者及其家庭护理人员收集的定性数据.
主要成果:
- 只有0.11%的NIMH患者来自Korail贫民窟,这表明访问能力低.
- 46%的参与者以前曾咨询过信仰或传统治疗师.
- 人们认为SMI的原因包括精神占有;治疗被视为昂贵和潜在的有害,对专业服务的认识有限.
结论:
- 在达卡贫民窟寻求严重精神疾病的帮助是复杂的,受到多种因素的影响.
- 多元化的医疗寻求行为需要对干预设计采取细微的方法.
- 改善获得公平心理健康护理的机会需要对患者的途径和选择有深入的了解.
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