Prevalence of Mental Health and Substance use Problems and Awareness of Need for Services in Lesotho: Results from a Population-Based Survey

IF 3.2 3区医学 Q2 PSYCHIATRY

International Journal of Mental Health and Addiction Pub Date : 2024-05-28 DOI:10.1007/s11469-024-01309-w

Lucia González Fernández, Grace H. Yoon, Emmanuel Firima, Ravi Gupta, Mamoronts’ane Pauline Sematle, Makhebe Khomolishoele, Manthabiseng Molulela, Matumaole Bane, Mosa Tlahani, Tristan T. Lee, Frédérique Chammartin, Felix Gerber, Thabo Lejone, Irene Ayakaka, Niklaus Daniel Labhardt, Alain Amstutz, Jennifer M. Belus

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Abstract

We conducted a household survey among 6061 adults in Lesotho to (1) assess the prevalence of moderate/severe mental health (MH) and substance use (SU) problems (2) describe the MH and SU service cascades, and (3) assess predictors of MH and SU problem awareness (i.e., awareness of having a MH/SU problem that requires treatment). Moderate/severe MH or SU problems was reported between 0.7% for anxiety in the past 2 weeks to 36.4% for alcohol use in the past 3 months. The awareness and treatment gaps were high for both MH (62% awareness gap; 82% treatment gap) and SU (89% awareness gap; 95% treatment gap). Individuals with higher than the median household wealth had lower MH and SU problem awareness and those living in urban settings had greater SU problem awareness. Research should investigate how to increase population awareness of MH/SU problems to reduce the burden of these conditions in this setting.

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莱索托精神健康和药物使用问题的普遍性及对服务需求的认识：基于人口的调查结果

我们对莱索托的 6061 名成年人进行了一次家庭调查，目的是：（1）评估中度/严重心理健康（MH）和药物使用（SU）问题的发生率；（2）描述心理健康和药物使用问题的服务流程；以及（3）评估心理健康和药物使用问题意识（即意识到存在需要治疗的心理健康/药物使用问题）的预测因素。据报告，在过去 2 周内有中度/严重心理健康或 SU 问题的人占 0.7%，而在过去 3 个月内有酗酒问题的人占 36.4%。对于精神健康（62%的认知差距；82%的治疗差距）和心理障碍（89%的认知差距；95%的治疗差距）的认知和治疗差距都很大。家庭财富高于中位数的人对 MH 和 SU 问题的认识较低，生活在城市环境中的人对 SU 问题的认识较高。研究应探讨如何提高人们对 MH/SU 问题的认识，以减轻这些疾病在这一环境中造成的负担。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Mental Health and Addiction SUBSTANCE ABUSE-PSYCHIATRY

CiteScore

15.90

自引率

2.50%

发文量

245

审稿时长

6-12 weeks

期刊介绍： The International Journal of Mental Health and Addictions (IJMH) is a publication that specializes in presenting the latest research, policies, causes, literature reviews, prevention, and treatment of mental health and addiction-related topics. It focuses on mental health, substance addictions, behavioral addictions, as well as concurrent mental health and addictive disorders. By publishing peer-reviewed articles of high quality, the journal aims to spark an international discussion on issues related to mental health and addiction and to offer valuable insights into how these conditions impact individuals, families, and societies. The journal covers a wide range of fields, including psychology, sociology, anthropology, criminology, public health, psychiatry, history, and law. It publishes various types of articles, including feature articles, review articles, clinical notes, research notes, letters to the editor, and commentaries. The journal is published six times a year.