Barriers to Mental Health Care and Predictors of Treatment Dropout in the South African Stress and Health Study
Identifieur interne : 003E45 ( Main/Curation ); précédent : 003E44; suivant : 003E46Barriers to Mental Health Care and Predictors of Treatment Dropout in the South African Stress and Health Study
Auteurs : Belinda Bruwer ; Katherine Sorsdahl ; Judith Harrison ; Dan J. Stein ; David Williams ; Soraya SeedatSource :
- Psychiatric services (Washington, D.C.) [ 1075-2730 ] ; 2011.
Abstract
This study used data from the South African Stress and Health Study (SASH) to examine both structural and attitudinal barriers to treatment initiation among South Africans with mental disorders and to investigate predictors of treatment dropout.
Face-to-face interviews were conducted with 4,315 adult South Africans living in households or hostel quarters. The interview included a core diagnostic assessment of past-12-month mental disorders and assessments of disorder severity, service use, and barriers to treatment. Multivariate logistic regression models were used to determine predictors of not seeking treatment in relation to disorder severity and sociodemographic characteristics, as well as factors that were predictive of premature treatment discontinuation by participants who had received mental health treatment in the previous 12 months. Predictors of dropout were identified by cross-tabulation and discrete-time survival analysis.
Of the 4,315 adults, 729 (16.9% weighted) met criteria for a mental disorder in the past 12 months. Across all levels of severity, the most frequently cited reason for not seeking professional treatment was a low perceived need for treatment. Among those who recognized the need but did not access treatment during the past 12 months (7.2%), attitudinal barriers to treatment seeking were reported more commonly than structural barriers (100% and 34%, respectively). Of the 182 respondents who received treatment (25% weighted), 20% discontinued prematurely. Various factors, such as substance use disorders and absence of health insurance, increased the odds of treatment dropout.
Low rates of treatment seeking and high treatment dropout rates for common mental disorders among South Africans are a major concern. Public health efforts to improve treatment of mental disorders should consider the multiple influences on treatment initiation and discontinuation.
Url:
DOI: 10.1176/appi.ps.62.7.774
PubMed: 21724791
PubMed Central: 3448366
Links toward previous steps (curation, corpus...)
- to stream Pmc, to step Corpus: Pour aller vers cette notice dans l'étape Curation :001E87
- to stream Pmc, to step Curation: Pour aller vers cette notice dans l'étape Curation :001E86
- to stream Pmc, to step Checkpoint: Pour aller vers cette notice dans l'étape Curation :002351
- to stream Ncbi, to step Merge: Pour aller vers cette notice dans l'étape Curation :001354
- to stream Ncbi, to step Curation: Pour aller vers cette notice dans l'étape Curation :001354
- to stream Ncbi, to step Checkpoint: Pour aller vers cette notice dans l'étape Curation :001354
- to stream Main, to step Merge: Pour aller vers cette notice dans l'étape Curation :003E88
Links to Exploration step
PMC:3448366Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Barriers to Mental Health Care and Predictors of Treatment Dropout in the South African Stress and Health Study</title>
<author><name sortKey="Bruwer, Belinda" sort="Bruwer, Belinda" uniqKey="Bruwer B" first="Belinda" last="Bruwer">Belinda Bruwer</name>
</author>
<author><name sortKey="Sorsdahl, Katherine" sort="Sorsdahl, Katherine" uniqKey="Sorsdahl K" first="Katherine" last="Sorsdahl">Katherine Sorsdahl</name>
</author>
<author><name sortKey="Harrison, Judith" sort="Harrison, Judith" uniqKey="Harrison J" first="Judith" last="Harrison">Judith Harrison</name>
</author>
<author><name sortKey="Stein, Dan J" sort="Stein, Dan J" uniqKey="Stein D" first="Dan J." last="Stein">Dan J. Stein</name>
</author>
<author><name sortKey="Williams, David" sort="Williams, David" uniqKey="Williams D" first="David" last="Williams">David Williams</name>
</author>
<author><name sortKey="Seedat, Soraya" sort="Seedat, Soraya" uniqKey="Seedat S" first="Soraya" last="Seedat">Soraya Seedat</name>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">21724791</idno>
<idno type="pmc">3448366</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3448366</idno>
<idno type="RBID">PMC:3448366</idno>
<idno type="doi">10.1176/appi.ps.62.7.774</idno>
<date when="2011">2011</date>
<idno type="wicri:Area/Pmc/Corpus">001E87</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001E87</idno>
<idno type="wicri:Area/Pmc/Curation">001E86</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">001E86</idno>
<idno type="wicri:Area/Pmc/Checkpoint">002351</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">002351</idno>
<idno type="wicri:Area/Ncbi/Merge">001354</idno>
<idno type="wicri:Area/Ncbi/Curation">001354</idno>
<idno type="wicri:Area/Ncbi/Checkpoint">001354</idno>
<idno type="wicri:doubleKey">1075-2730:2011:Bruwer B:barriers:to:mental</idno>
<idno type="wicri:Area/Main/Merge">003E88</idno>
<idno type="wicri:Area/Main/Curation">003E45</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Barriers to Mental Health Care and Predictors of Treatment Dropout in the South African Stress and Health Study</title>
<author><name sortKey="Bruwer, Belinda" sort="Bruwer, Belinda" uniqKey="Bruwer B" first="Belinda" last="Bruwer">Belinda Bruwer</name>
</author>
<author><name sortKey="Sorsdahl, Katherine" sort="Sorsdahl, Katherine" uniqKey="Sorsdahl K" first="Katherine" last="Sorsdahl">Katherine Sorsdahl</name>
</author>
<author><name sortKey="Harrison, Judith" sort="Harrison, Judith" uniqKey="Harrison J" first="Judith" last="Harrison">Judith Harrison</name>
</author>
<author><name sortKey="Stein, Dan J" sort="Stein, Dan J" uniqKey="Stein D" first="Dan J." last="Stein">Dan J. Stein</name>
</author>
<author><name sortKey="Williams, David" sort="Williams, David" uniqKey="Williams D" first="David" last="Williams">David Williams</name>
</author>
<author><name sortKey="Seedat, Soraya" sort="Seedat, Soraya" uniqKey="Seedat S" first="Soraya" last="Seedat">Soraya Seedat</name>
</author>
</analytic>
<series><title level="j">Psychiatric services (Washington, D.C.)</title>
<idno type="ISSN">1075-2730</idno>
<idno type="eISSN">1557-9700</idno>
<imprint><date when="2011">2011</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objective</title>
<p id="P1">This study used data from the South African Stress and Health Study (SASH) to examine both structural and attitudinal barriers to treatment initiation among South Africans with mental disorders and to investigate predictors of treatment dropout.</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P2">Face-to-face interviews were conducted with 4,315 adult South Africans living in households or hostel quarters. The interview included a core diagnostic assessment of past-12-month mental disorders and assessments of disorder severity, service use, and barriers to treatment. Multivariate logistic regression models were used to determine predictors of not seeking treatment in relation to disorder severity and sociodemographic characteristics, as well as factors that were predictive of premature treatment discontinuation by participants who had received mental health treatment in the previous 12 months. Predictors of dropout were identified by cross-tabulation and discrete-time survival analysis.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">Of the 4,315 adults, 729 (16.9% weighted) met criteria for a mental disorder in the past 12 months. Across all levels of severity, the most frequently cited reason for not seeking professional treatment was a low perceived need for treatment. Among those who recognized the need but did not access treatment during the past 12 months (7.2%), attitudinal barriers to treatment seeking were reported more commonly than structural barriers (100% and 34%, respectively). Of the 182 respondents who received treatment (25% weighted), 20% discontinued prematurely. Various factors, such as substance use disorders and absence of health insurance, increased the odds of treatment dropout.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">Low rates of treatment seeking and high treatment dropout rates for common mental disorders among South Africans are a major concern. Public health efforts to improve treatment of mental disorders should consider the multiple influences on treatment initiation and discontinuation.</p>
</sec>
</div>
</front>
</TEI>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/SidaSubSaharaV1/Data/Main/Curation
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 003E45 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Curation/biblio.hfd -nk 003E45 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Wicri/Sante |area= SidaSubSaharaV1 |flux= Main |étape= Curation |type= RBID |clé= PMC:3448366 |texte= Barriers to Mental Health Care and Predictors of Treatment Dropout in the South African Stress and Health Study }}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Curation/RBID.i -Sk "pubmed:21724791" \ | HfdSelect -Kh $EXPLOR_AREA/Data/Main/Curation/biblio.hfd \ | NlmPubMed2Wicri -a SidaSubSaharaV1
This area was generated with Dilib version V0.6.32. |