武汉社区精神卫生工作者对精神障碍的耻辱感及其相关因素

IF 2.8 3区医学 Q2 PSYCHIATRY

Asia‐Pacific Psychiatry Pub Date : 2023-07-30 DOI:10.1111/appy.12542

Mo Chen PhD, Guo-Rong Lin RN, Gui-Yang Wang MPH, Li Yang MEd, Na Lyu MEd, Chen Qian MSc, Jing-Xi Lan MSc, Yang Zhou MD, Bao-Liang Zhong PhD

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引用次数: 0

摘要

背景对精神障碍(STMD)的耻辱感是精神卫生服务提供的一个重要障碍。为改善中国社区居民的精神卫生服务，本研究调查了武汉社区精神卫生工作者(CMHWs)的性传播疾病及其相关因素。方法采用多阶段抽样方法，随机抽取3869名cmhw参与调查，其中男性占22.9%，年龄37.1±8.4岁。分别采用认知贬值-歧视量表(PDD)和国家心理健康素养问卷(NMHLQ)对性传播疾病和心理健康知识进行评估。PDD的平均项目得分为3.0或更高，表明存在STMD。采用多元逻辑回归来确定与STMD相关的因素。结果41.9%的华裔华裔心理健康知识较差(NMHLQ评分为80分)，18.5%的华裔华裔患有性传播疾病。在多元回归分析中，与性传播疾病显著相关的因素是社会工作者(相对于初级保健医生，OR = 1.44, p < .001)、处理常见心理健康问题的自评能力差(相对于良好，OR = 1.57, p < .001)和心理健康知识差(相对于NMHLQ评分≥80,OR = 1.46, p < .001)。结论STMD在中国农民工中普遍存在。为了减少cmhw中的性传播疾病，可能有必要进行心理卫生保健技能和心理卫生教育方面的培训。

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Stigma toward mental disorders and associated factors among community mental health workers in Wuhan, China

Background

Stigma toward mental disorders (STMD) is a significant barrier to mental health service delivery. To improve the provision of mental health services for community-dwelling residents in China, this study investigated STMD and its associated factors in community mental health workers (CMHWs) in Wuhan, China.

Methods

In this cross-sectional study, a total of 3869 CMHWs (22.9% men and 37.1 ± 8.4 years old) were randomly selected through multistage sampling and invited to participate in this survey. The perceived devaluation-discrimination scale (PDD) and the National Mental Health Literacy Questionnaire (NMHLQ) were used to assess STMD and mental health knowledge, respectively. The presence of STMD was indicated by a mean item score of 3.0 or higher on the PDD. Multiple logistic regression was used to identify factors associated with STMD.

Results

Of the CMHWs, 41.9% had poor mental health knowledge (NMHLQ score < 80), and 18.5% exhibited STMD. In multiple regression analysis, factors significantly associated with STMD were social workers (vs. primary care physicians, OR = 1.44, p < .001), poor self-rated capacity to handle common mental health problems (vs. good, OR = 1.57, p < .001), and poor mental health knowledge (vs. NMHLQ score ≥ 80, OR = 1.46, p < .001).

Conclusion

STMD is common among Chinese CMHWs. To reduce STMD among CMHWs, training programs in mental health care skills and mental health education may be necessary.

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来源期刊

Asia‐Pacific Psychiatry PSYCHIATRY-

CiteScore

7.80

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Asia-Pacific Psychiatry is an international psychiatric journal focused on the Asia and Pacific Rim region, and is the official journal of the Pacific Rim College of Psychiatrics. Asia-Pacific Psychiatry enables psychiatric and other mental health professionals in the region to share their research, education programs and clinical experience with a larger international readership. The journal offers a venue for high quality research for and from the region in the face of minimal international publication availability for authors concerned with the region. This includes findings highlighting the diversity in psychiatric behaviour, treatment and outcome related to social, ethnic, cultural and economic differences of the region. The journal publishes peer-reviewed articles and reviews, as well as clinically and educationally focused papers on regional best practices. Images, videos, a young psychiatrist''s corner, meeting reports, a journal club and contextual commentaries differentiate this journal from existing main stream psychiatry journals that are focused on other regions, or nationally focused within countries of Asia and the Pacific Rim.