Background and study objectives
This study aimed to assess among Ukrainian adults: (1) knowledge of mental disorders; (2) attitudes towards people with mental health disorders, and to the delivery of mental health treatment within the community; and (3) behaviours towards people with mental disorders.
Methodology
A cross-sectional survey of Ukrainian adults aged 18–60 was conducted. Stigma-related mental health knowledge was measured using the mental health knowledge schedule. Attitude towards people with mental health disorders was assessed using the Community Attitudes towards Mental Illness scale. The Reported and Intended Behaviour scale was used to assess past and future intended behaviour towards people with mental health disorders.
Results
Associations between gender, age, and educational level and the knowledge and attitudes measures were identified. There was evidence of a positive association between being male and positive intended behaviours towards people with mental health disorders [mean difference (MD) = 0.509, 95% confidence interval (CI) 0.021–0.998]. Older age was negatively associated with positive intended behaviours towards people with mental health disorders (MD = −0.017, 95% CI 0.0733 to −0.001). Higher education was positively associated with stigma-related mental health knowledge (MD = 0.438, 95% CI 0.090–0.786), and negatively associated with authoritarian (MD = 0.755, 95% CI 0.295–1.215) attitudes towards people with mental health problems.
Conclusion
Overall, the findings indicate a degree of awareness of, and compassion towards, people with mental illness among Ukrainian adults, although this differed according to gender, region, and education level. Results indicate a need for the adoption and scaling-up of anti-stigma interventions that have been demonstrated to be effective.
The Holodomor (derived from the Ukrainian words “to kill by starvation”) (1932-33) was the largest famine in Ukrainian history. This article presents the results of a psychological study of personal attitudes to Holodomor events and of worldviews and behavioural strategies connected to famine exposure in the family histories of the survey participants. The results of a survey of 721 respondents showed (1) close connections between a respondent’s pattern of keeping silent about traumatic events that occurred during the Holodomor and the extent of suffering that the respondent’s family experienced during the Holodomor, and (2) close connections between the avoidance of Holodomor-related storytelling and a denial and devaluation of Holodomor events within families. The most common family behavioural strategies of descendants of Holodomor victims showed proper feeding, substantial food storage, and regular health check-in. The most common respondent attitudes comprised a distrust of authority, disappointment with the government, and a priority of family needs over community needs.
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