Barriers to care among people with schizophrenia attending a tertiary psychiatric hospital in Nigeria
South African Journal of Psychiatry
Field | Value | |
Title | Barriers to care among people with schizophrenia attending a tertiary psychiatric hospital in Nigeria | |
Creator | James, Bawo O. Thomas, Felicia I. Seb-Akahomen, Omonefe J. Igbinomwanhia, Nosa G. Inogbo, Chinwe F. Thornicroft, Graham | |
Description | Background: Individuals with schizophrenia in low- and middle-income countries and their caregivers face multiple barriers to care-seeking and continuous engagement with treatment services. Identifying specific barrier patterns would aid targeted interventions aimed at improving treatment access.Aim: The aim of this study was to determine stigma- and non-stigma-related barriers to care-seeking among persons with schizophrenia in Nigeria.Setting: This study was conducted at the Outpatient Clinics of the Federal Neuro-Psychiatric Hospital, Benin City, Nigeria.Methods: A cross-sectional study of a dyad of persons with schizophrenia and caregivers (n = 161) attending outpatient services at a neuro-psychiatric hospital in Nigeria. Stigma- and non-stigma-related barriers were assessed using the 30-item Barriers to Access to Care Evaluation (BACE) scale.Results: Lack of insight, preference for alternative care, illness severity and financial constraints were common barriers to care-seeking among persons with schizophrenia. Females were significantly more likely to report greater overall treatment barrier (p 0.01) and stigma-related barriers (p 0.02).Conclusion: This study shows that attitudinal barriers impede care access and engagement among persons with schizophrenia in Nigeria. | |
Publisher | AOSIS | |
Date | 2019-10-21 | |
Identifier | 10.4102/sajpsychiatry.v25i0.1392 | |
Source | South African Journal of Psychiatry; Vol 25 (2019); 6 pages 2078-6786 1608-9685 | |
Language | eng | |
Relation |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
https://sajp.org.za/index.php/sajp/article/view/1392/1511
https://sajp.org.za/index.php/sajp/article/view/1392/1510
https://sajp.org.za/index.php/sajp/article/view/1392/1512
https://sajp.org.za/index.php/sajp/article/view/1392/1509
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