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
 
Subject Psychiatry barriers to care; schizophrenia; stigma; Nigeria; attitudes
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
 
Contributor None
Date 2019-10-21
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — —
Format text/html application/epub+zip text/xml application/pdf
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
 
Coverage — — —
Rights Copyright (c) 2019 Bawo O. James, Felicia I. Thomas, Omonefe J. Seb-Akahomen, Nosa G. Igbinomwanhia, Chinwe F. Inogbo, Graham Thornicroft https://creativecommons.org/licenses/by/4.0
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