Correlates of self-reported history of mental health help-seeking: a cross-sectional study among individuals with symptoms of a mental or substance use disorder initiating care for HIV in Cameroon.
Alcohol use
Cameroon
HIV
Help-seeking
Mental health
Sub-Saharan Africa
Journal
BMC psychiatry
ISSN: 1471-244X
Titre abrégé: BMC Psychiatry
Pays: England
ID NLM: 100968559
Informations de publication
Date de publication:
05 06 2021
05 06 2021
Historique:
received:
10
03
2021
accepted:
25
05
2021
entrez:
6
6
2021
pubmed:
7
6
2021
medline:
29
6
2021
Statut:
epublish
Résumé
Mental health and substance use disorders (MSDs) increase the risk of poor human immunodeficiency virus (HIV) care outcomes among people living with HIV (PLWH). Receipt of mental health care may improve these adverse outcomes. We aimed to identify correlates of prior mental health help-seeking among PLWH with symptoms of an MSD in Cameroon. We characterize prior mental health help-seeking from formal (mental health specialist/general medical provider) and informal (traditional healer/religious leader) sources among 161 people with symptoms of depression (Patient Health Questionnaire-9 scores> 9), anxiety (General Anxiety Disorder-7 scores> 9), probable post-traumatic stress disorder (PTSD Checklist for DSM-5 scores> 30), or possible alcohol use disorder (Alcohol Use Disorders Identification Test scores≥16) who were newly entering HIV care at three healthcare facilities in Cameroon between June 2019 and March 2020. Help-seeking was defined as ever speaking to a formal or informal source about emotional problems, sadness, or the way they were feeling or behaving. We estimated the association between sociodemographic and psychosocial measures and lifetime mental health help-seeking from each type of source using log-binomial regression. Overall, 55.3% of 161 PLWH with MSD symptoms reported prior mental health help-seeking, with 24.2% and 46.0% seeking help from formal and informal sources, respectively. Religious leaders were the most common source of help (40.4%), followed by general medical professionals (22.4%), traditional healers (16.8%), and mental health specialists (7.4%). Individuals with higher depressive, anxiety, and trauma symptom severity scores were more likely to have sought help than those with lower scores. Individuals with possible alcohol use disorder were the least likely to have sought help. Prior help-seeking was more common among those reporting a higher number of lifetime traumatic events (prevalence ratio [PR]: 1.06; 95% confidence interval [CI]: 1.01, 1.11) and those with a history of emotional intimate partner violence (PR: 1.34; 95% CI: 1.01, 1.80). Prior mental health help-seeking was associated with psychosocial stressors. Help-seeking from informal networks was more common than formal help-seeking. Training in the provision of evidence-based mental health support for informal networks could improve access to mental health care for PLWH with MSDs in Cameroon.
Sections du résumé
BACKGROUND
Mental health and substance use disorders (MSDs) increase the risk of poor human immunodeficiency virus (HIV) care outcomes among people living with HIV (PLWH). Receipt of mental health care may improve these adverse outcomes. We aimed to identify correlates of prior mental health help-seeking among PLWH with symptoms of an MSD in Cameroon.
METHODS
We characterize prior mental health help-seeking from formal (mental health specialist/general medical provider) and informal (traditional healer/religious leader) sources among 161 people with symptoms of depression (Patient Health Questionnaire-9 scores> 9), anxiety (General Anxiety Disorder-7 scores> 9), probable post-traumatic stress disorder (PTSD Checklist for DSM-5 scores> 30), or possible alcohol use disorder (Alcohol Use Disorders Identification Test scores≥16) who were newly entering HIV care at three healthcare facilities in Cameroon between June 2019 and March 2020. Help-seeking was defined as ever speaking to a formal or informal source about emotional problems, sadness, or the way they were feeling or behaving. We estimated the association between sociodemographic and psychosocial measures and lifetime mental health help-seeking from each type of source using log-binomial regression.
RESULTS
Overall, 55.3% of 161 PLWH with MSD symptoms reported prior mental health help-seeking, with 24.2% and 46.0% seeking help from formal and informal sources, respectively. Religious leaders were the most common source of help (40.4%), followed by general medical professionals (22.4%), traditional healers (16.8%), and mental health specialists (7.4%). Individuals with higher depressive, anxiety, and trauma symptom severity scores were more likely to have sought help than those with lower scores. Individuals with possible alcohol use disorder were the least likely to have sought help. Prior help-seeking was more common among those reporting a higher number of lifetime traumatic events (prevalence ratio [PR]: 1.06; 95% confidence interval [CI]: 1.01, 1.11) and those with a history of emotional intimate partner violence (PR: 1.34; 95% CI: 1.01, 1.80).
CONCLUSIONS
Prior mental health help-seeking was associated with psychosocial stressors. Help-seeking from informal networks was more common than formal help-seeking. Training in the provision of evidence-based mental health support for informal networks could improve access to mental health care for PLWH with MSDs in Cameroon.
Identifiants
pubmed: 34090367
doi: 10.1186/s12888-021-03306-y
pii: 10.1186/s12888-021-03306-y
pmc: PMC8180128
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
293Subventions
Organisme : NICHD NIH HHS
ID : P2C HD050924
Pays : United States
Organisme : NIAID NIH HHS
ID : U01 AI096299
Pays : United States
Organisme : NIMH NIH HHS
ID : K01 MH114721
Pays : United States
Organisme : NIAID NIH HHS
ID : P30 AI050410
Pays : United States
Références
Nature. 2019 Jun;570(7760):189-193
pubmed: 31092927
BMC Womens Health. 2017 Nov 3;17(1):99
pubmed: 29100538
J Gen Intern Med. 2009 Feb;24(2):189-97
pubmed: 19031037
Med Care. 2011 Jun;49(6):599-604
pubmed: 21577183
AIDS. 2019 Jul 15;33(9):1411-1420
pubmed: 30950883
Psychol Assess. 2000 Jun;12(2):210-24
pubmed: 10887767
Subst Use Misuse. 2018 Apr 16;53(5):782-791
pubmed: 29020505
Pan Afr Med J. 2017 May 18;27:48
pubmed: 28819470
BMC Psychiatry. 2016 Nov 2;16(1):368
pubmed: 27806711
Curr HIV/AIDS Rep. 2014 Sep;11(3):291-307
pubmed: 25038748
AIDS Res Ther. 2018 Jan 16;15(1):1
pubmed: 29338735
Addiction. 1993 Jun;88(6):791-804
pubmed: 8329970
Alcohol Alcohol. 2005 Nov-Dec;40(6):575-7
pubmed: 16115823
J Affect Disord. 2012 Dec 20;143(1-3):208-13
pubmed: 22840467
Arch Intern Med. 2006 May 22;166(10):1092-7
pubmed: 16717171
J Immigr Minor Health. 2012 Oct;14(5):809-15
pubmed: 22527745
J Affect Disord. 2014 Apr;158:78-84
pubmed: 24655769
Lancet. 2013 Nov 9;382(9904):1575-86
pubmed: 23993280
Int J Methods Psychiatr Res. 2004;13(3):165-75
pubmed: 15297900
Psychol Res Behav Manag. 2012;5:173-83
pubmed: 23248576
J Acquir Immune Defic Syndr. 2007 Apr 1;44(4):470-7
pubmed: 17179766
BMC Psychiatry. 2011 Aug 22;11:138
pubmed: 21859455
J Infect Public Health. 2013 Aug;6(4):307-15
pubmed: 23806707
Soc Psychiatry Psychiatr Epidemiol. 2016 Jan;51(1):81-92
pubmed: 26433379
Lancet Public Health. 2018 Jun;3(6):e289-e295
pubmed: 29884434
J Trauma Stress. 2005 Dec;18(6):595-605
pubmed: 16382432
Open Forum Infect Dis. 2019 Mar 18;6(4):ofz146
pubmed: 31041347
BMC Public Health. 2011 Oct 26;11:828
pubmed: 22029430
Stud Fam Plann. 2001 Mar;32(1):1-16
pubmed: 11326453
Lancet Psychiatry. 2020 Feb;7(2):113-114
pubmed: 31948936
Lancet Psychiatry. 2020 Feb;7(2):162-172
pubmed: 31948935
Glob Ment Health (Camb). 2019 Oct 21;6:e27
pubmed: 31807311
AIDS. 2017 Oct 23;31(16):2217-2225
pubmed: 28742529
CMAJ. 2012 Feb 21;184(3):E191-6
pubmed: 22184363
Int J Environ Res Public Health. 2017 Nov 22;14(11):
pubmed: 29165332
J Affect Disord. 2014;167:160-6
pubmed: 24972364
Trauma Violence Abuse. 2020 Feb 18;:1524838020906560
pubmed: 32067599
Glob Ment Health (Camb). 2017 Jul 31;4:e14
pubmed: 29230310
J Trauma Stress. 2015 Dec;28(6):489-98
pubmed: 26606250
Arch Gen Psychiatry. 2008 May;65(5):513-20
pubmed: 18458203
Acad Psychiatry. 2017 Aug;41(4):441-446
pubmed: 28585124
BMC Public Health. 2020 May 14;20(1):689
pubmed: 32410600
J Trauma Stress. 2015 Aug;28(4):375-9
pubmed: 26271019
Alcohol Alcohol. 2017 May 1;52(3):318-327
pubmed: 28003244
BMC Psychiatry. 2018 Apr 23;18(1):109
pubmed: 29685117
Psychiatr Serv. 2013 Aug 1;64(8):745-53
pubmed: 23584606
Subst Abuse Treat Prev Policy. 2019 Jan 18;14(1):4
pubmed: 30658659
BMC Psychiatry. 2018 Mar 13;18(1):66
pubmed: 29534695
Ann Gen Psychiatry. 2018 Aug 7;17:34
pubmed: 30093914
Psychiatr Q. 2020 Sep;91(3):783-791
pubmed: 32221765
S Afr Med J. 2009 May;99(5 Pt 2):346-52
pubmed: 19588797
Adm Policy Ment Health. 2012 May;39(3):200-9
pubmed: 21533848
Soc Psychiatry Psychiatr Epidemiol. 2017 Sep;52(9):1169-1182
pubmed: 28748306
J Affect Disord. 2013 Nov;151(2):439-448
pubmed: 23890669
AIDS Behav. 2019 Dec;23(12):3493-3502
pubmed: 30798457
J Antimicrob Chemother. 2009 Apr;63(4):636-40
pubmed: 19153077
Am J Psychother. 2003;57(3):324-36
pubmed: 12961817
BMC Public Health. 2011 Oct 31;11:837
pubmed: 22040030
J Affect Disord. 2016 Jul 1;198:50-5
pubmed: 27011359
J Nerv Ment Dis. 2011 Oct;199(10):797-801
pubmed: 21964275
BMC Psychiatry. 2016 Jun 10;16:196
pubmed: 27287387
JAMA Psychiatry. 2016 Jun 1;73(6):575-81
pubmed: 27097014
Drug Alcohol Depend. 2005 Dec 12;80(3):303-12
pubmed: 15896927
BMC Psychiatry. 2014 Oct 8;14(1):275
pubmed: 25292287
Lancet. 2014 Apr 19;383(9926):1385-94
pubmed: 24612754
Br Med Bull. 2007;81-82:81-96
pubmed: 17470476
BMC Health Serv Res. 2020 Apr 6;20(1):287
pubmed: 32252760
PLoS One. 2016 Sep 15;11(9):e0162038
pubmed: 27632166
Psychiatr Serv. 2001 Feb;52(2):189-95
pubmed: 11157117
J Virus Erad. 2018 Nov 15;4(Suppl 2):16-25
pubmed: 30515310
J Gen Intern Med. 2001 Sep;16(9):606-13
pubmed: 11556941
BMC Psychiatry. 2018 Aug 22;18(1):262
pubmed: 30134869