Increasing burden of mental illnesses across the globe: Current status

Murali, T; Singh, Hemendra; Subramanian, Vyjayanthi

doi:10.4103/0971-9962.193208

Cited by 24 publications

(12 citation statements)

References 2 publications

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“…Most of them, i.e., 80% of people with psychiatric disorder, are in LMICs. Psychiatric disorders are the major cause of disease-related disability; particularly, depression is the 2 nd leading cause of disability [ 16 ]. No health without mental health [ 15 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

Prevalence and Associated Factors of Depressive Disorder among Prisoners in Mekelle General Prison Center, Tigray, Ethiopia: A Cross-Sectional Study Design

Welu

Aregawi

Gebreslassie

et al. 2021

Depression Research and Treatment

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Background. Depression is the most prevalent mental disorder among prisoners and is the second leading cause of disability worldwide. Depression affects more for those who are less educated, female, single, and young prisoners, and worldwide prevalence of depression among prisoners is 10.2% and 14% for male and female prisoners, respectively. However, a study conducted on prevalence of depression and associated factors is scarce in Ethiopia (Tigray) despite there is high magnitude. Methodology. An institution-based cross-sectional study was conducted among randomly selected 414 prisoners in Mekelle General Prison Center. Data were collected from April to May 2019. A structured and standardized data collection tool (PHQ-9) was used. Bivariate and multivariable logistic regression analysis was carried out by SPSS version 20. Statistical significance was determined at P value < 0.05. Result. In this study, 408 prisoners had participated. The prevalence of depression among prisoners was found to be 228 (55.9%; 95% CI: 51.2%, 61%). Being unemployed and student, lifetime substance use, history of child abuse, weight loss in prison, quality of meal in prison, being not happy inside prison, being sentenced for more than six years, and poor and moderate social support were significantly associated with depression. Conclusion. Prevalence of depression among prisoners was found to be high (55.9%). Prisoners who had lifetime substance use, being unemployed and student, history of childhood abuse, weight loss inside prison, being sentenced for more than six years, not happy inside prison, lack of social support, and poor quality of prison meal were more likely to have depression. Thus, giving training to strengthen social support, giving training on how to cope up with prison environment, giving training to scale up a happy life, and improving quality of prison meal as well as mental health service will help to reduce the problem. Conducting interventional study is relevant.

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Section: Introductionmentioning

confidence: 99%

Prevalence and Associated Factors of Depressive Disorder among Prisoners in Mekelle General Prison Center, Tigray, Ethiopia: A Cross-Sectional Study Design

Welu

Aregawi

Gebreslassie

et al. 2021

Depression Research and Treatment

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“…In some countries, mental health services and resources are available but they are not accessed as it could be due to different factors such as stigma, poverty, and discrimination toward patients with mental health conditions. This discrepancy may affect the access to mental health services and may worsen mental health disorders of the patients (WHO, 2001 , 2019 ; Abdelgadir, 2012 ; Thyloth and Singh, 2016 ). Recent studies obviously indicated multiple barriers to use and the utilization of mental health services in developing countries where three-quarters of the patients with mental disorders do not have access to mental health services (Thyloth and Singh, 2016 ; Ali and Agyapong, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

“…This discrepancy may affect the access to mental health services and may worsen mental health disorders of the patients (WHO, 2001 , 2019 ; Abdelgadir, 2012 ; Thyloth and Singh, 2016 ). Recent studies obviously indicated multiple barriers to use and the utilization of mental health services in developing countries where three-quarters of the patients with mental disorders do not have access to mental health services (Thyloth and Singh, 2016 ; Ali and Agyapong, 2020 ). They revealed that the treatment gap for mental health in developing countries is higher than in developed counties (WHO, 2002 ; Wainberg et al, 2017 ).…”

Section: Introductionmentioning

confidence: 99%

Exploring Barriers to Mental Health Services Utilization at Kabutare District Hospital of Rwanda: Perspectives From Patients

Muhorakeye

Biracyaza

2021

Front. Psychol.

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Barriers to mental health interventions globally remain a health concern; however, these are more prominent in low- and middle-income countries (LMICs). The barriers to accessibility include stigmatization, financial strain, acceptability, poor awareness, and sociocultural and religious influences. Exploring the barriers to the utilization of mental health services might contribute to mitigating them. Hence, this research aims to investigate these barriers to mental health service utilization in depth at the Kabutare District Hospital of the Southern Province of Rwanda. The qualitative approach was adopted with a cross-sectional study design. The participants were patients with mental illnesses seeking mental health services at the hospital. Ten interviews were conducted in the local language, recorded, and transcribed verbatim and translated by the researchers. Thematic analysis was applied to analyze the data collected. The results revealed that the most common barriers are fear of stigmatization, lack of awareness of mental health services, sociocultural scarcity, scarcity of financial support, and lack of geographical accessibility, which limit the patients to utilize mental health services. Furthermore, it was revealed that rural gossip networks and social visibility within the communities compounded the stigma and social exclusion for patients with mental health conditions. Stigmatization should be reduced among the community members for increasing their empathy. Then, the awareness of mental disorders needs to be improved. Further research in Rwanda on the factors associated with low compliance to mental health services with greater focus on the community level is recommended.

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“…In the last few years, the Global Burden of Diseases (GBD) for women has shifted from maternal and infectious morbidities to mental disorders, non-communicable and cardiovascular diseases. (Boutayeb & Boutayeb, 2005;Thyloth et al, 2016) The burden of the health expenditure faced by the households and individuals helps add information about the demand for healthcare, affordability, and accessibility. The World Health Organization (2019a) report on global spending on health suggested a way to understand the household's hardship in accessing and availing of health services by measuring catastrophic health expenditure.…”

Section: Introductionmentioning

confidence: 99%

Multi-Layered Catastrophic Health Spending of Inpatient Women by Broad Group of Diseases in India

Swargiary

Lhungdim

Bharadwaz³

2021

JPSS

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Healthcare for Indian women needs prioritizing, as they continue to face social and economic discrimination over their healthcare, often with high out-of-pocket payments. The study examines the amount inpatient women have to pay for treatment of major diseases, re-classified into four groups as infectious, reproductive, non-communicable diseases (NCDs), and disabilities & injuries, across the country to comprehend the extent of catastrophic health spending (CHS) they experienced. The study is based on India’s 75th round of the National Sample Survey (NSS), i.e., Household Social Consumption: Health (2017-2018), consisting of 26,938 inpatient women aged 12 and above from India's urban and rural areas. We examine the prevalence of the four categories of diseases by individual, household, community, and healthcare characteristics. Expenditure estimates were derived from cross-tabulation, followed by binary logistic regression to assess the association between covariates and inpatient expenditures for the diseases. Indian women are more likely to be hospitalized for infectious diseases (43%), but the burden of CHS (overall) is highest for disabilities and injuries (INR 24,414), followed by NCDs (INR 23,053). Duration of hospitalization and possession of health insurance by women indicate maximum variation with medical spending. Almost 97% of women have incurred out-of-pocket expenditure on hospitalization, from which we identify three layers of CHS. A substantial proportion of women (23 to 50%) experienced CHS, i.e., up to 0-10%, 11-30%, and >30%, which varies distinctively by place of residence and across the six regions. Covariates like age, economic status, and healthcare are highly significant and associated with disease-wise CHS thresholds. Women in India face divergent financial hardships for healthcare. Given the heterogeneity of morbidities and socio-economic characteristics, the need for women-sensitive public health services and interventions are evident.

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Increasing burden of mental illnesses across the globe: Current status

Cited by 24 publications

References 2 publications

Prevalence and Associated Factors of Depressive Disorder among Prisoners in Mekelle General Prison Center, Tigray, Ethiopia: A Cross-Sectional Study Design

Prevalence and Associated Factors of Depressive Disorder among Prisoners in Mekelle General Prison Center, Tigray, Ethiopia: A Cross-Sectional Study Design

Exploring Barriers to Mental Health Services Utilization at Kabutare District Hospital of Rwanda: Perspectives From Patients

Multi-Layered Catastrophic Health Spending of Inpatient Women by Broad Group of Diseases in India

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