Factors affecting the utilization of mental health services among undergraduate students in a Nigerian University

Kukoyi, Olasumbo; Orok, Edidiong; Oluwafemi, Funmilayo; Oluwadare, Tunrayo; Oni, Olawale; Bamitale, Toba; Jaiyesimi, Boluwaji; Ojo, Tolulope; Eze, Hannah

doi:10.1016/j.heliyon.2022.e11476

Cited by 7 publications

(4 citation statements)

References 67 publications

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“…According to this study, participants with negative views about psychiatric medication are almost three times more likely to delay receiving psychiatric treatment. Similar findings have been observed in two additional studies conducted in Nigeria and southern Ethiopia ( 34 , 35 ). Patients with psychotic disorders may also be suspicious about medication, thinking that it could cause harm or hearing voices telling them not to take it.…”

Section: Discussionsupporting

confidence: 90%

“…Poor social support was also linked to a higher likelihood of delaying treatment, with those lacking strong social support being almost four times as likely to delay seeking psychiatric treatment. Similar studies in Nigeria, Minnesota, and Tennessee reported a positive association between inadequate social support and poor utilization of mental health services ( 34 ) and delays in seeking medical care ( 37 ), respectively. These findings highlight the importance of education and social support for accessing timely psychiatric treatment.…”

Section: Discussionmentioning

confidence: 55%

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Delayed treatment seeking and its associated factors among people with schizophrenia spectrum disorders who are on follow-up at Dilla University Referral Hospital in the southern region of Ethiopia, 2022: a cross-sectional study

Negash,

Temesgen,

Kassaw

et al. 2023

Front. Psychiatry

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BackgroundDelay in psychiatric treatment leads to increased morbidity and mortality, as well as the emergence of several psychiatric and physical comorbidities and the use of life-threatening and life-altering self-treatments (such as licit and illicit substance misuse). Delaying detection and taking preventive measures against its modifiable factors are crucial for a better prognosis.ObjectiveTo assess delayed treatment seeking and its associated factors among people with schizophrenia spectrum disorders who are on follow-up at Dilla University Referral Hospital in the southern region of Ethiopia.MethodAn institution-based cross-sectional study was conducted between 8 June and 11 September at Dilla University Referral Hospital in the southern region of Ethiopia in 2022. Epicollect was used to collect data from 414 randomly selected participants using an interviewer-administered questionnaire. Delayed treatment seeking was determined using participants' medical records and a semi-structured questionnaire. The data were analyzed using Statistical Package for Social Sciences (SPSS) version 26. A logistic regression analysis was conducted to identify the explanatory variables for delayed treatment.ResultsThe magnitude of delayed treatment seeking was 49.8% (95%CI = 44.9, 54.3). Study participants with disengaged family cohesion [AOR = 3.97, 95%CI = (2.999, 7.193)], inflexible family adaptability [AOR = 2.00, 95%CI = (1.686, 4.044)], who lack awareness about the availability of psychiatric treatment [AOR = 1.63, 95%CI = (1.362, 2.626)], high internalized stigma [AOR = 3.24, 95%CI = (2.770, 5.514)], and those with a negative attitude toward psychiatric treatment [AOR = 2.88, 95%CI = (2.034, 4.469)] had delayed seeking treatment. However, the participants whose educational status was higher than diploma [AOR = 0.040, 95%CI = (0.026, 0.077)] and high school [AOR = 0.09, 95%CI = (0.071, 0.204)] were less likely to have delayed seeking treatment.ConclusionsThere is a significant delay in seeking modern psychiatric treatment. Stigma, a lack of awareness of where treatment is available, disengaged family cohesion, inflexible family adaptability, distance to a health facility >5 km, and a negative attitude toward psychiatric treatment were barriers to seeking appropriate care.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 55%

Delayed treatment seeking and its associated factors among people with schizophrenia spectrum disorders who are on follow-up at Dilla University Referral Hospital in the southern region of Ethiopia, 2022: a cross-sectional study

Negash,

Temesgen,

Kassaw

et al. 2023

Front. Psychiatry

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“…One of the significant difficulties in managing and controlling mental disorders is the utilization of inadequate mental health services. WHO deemed it a critical factor as there has been a claim that most people with severe mental and neurological issues are those who have reluctant behavior toward utilizing mental health facilities – more than 80% in developing countries like Nigeria and approximately 50% in industrialized countries (Kukoyi et al, 2022 ).…”

Section: Mental Health Challenges In Nigeriamentioning

confidence: 99%

Mental health challenges in Nigeria: Bridging the gap between demand and resources

Fadele,

Igwe,

Toluwalogo

et al. 2024

Camb. prisms Glob. ment. health

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This study discusses the significant topic of mental health challenges in Nigeria, focusing on the shortage of mental health professionals, particularly psychiatrists, and the factors influencing medical students' hesitation to pursue psychiatry as a career path. We examine the multifaceted difficulties in Nigeria's mental health environment using various sources, including research studies and statistical data. The scarcity of psychiatrists, with only 250 for a population of 200 million, underscores the urgent need for attention to mental health within the country. Factors such as brain drain, inadequate learning infrastructure, limited research exposure and insufficient health coverage contribute to this crisis. Additionally, societal stigma and financial constraints discourage students from pursuing psychiatry as a career. To address these challenges comprehensively, we propose a holistic approach that involves cross-disciplinary collaboration, robust mental health education in all healthcare programs, community-based awareness initiatives and transdisciplinary teamwork among mental health providers. We highlight the importance of mentorship, scholarships and national advocacy to encourage more individuals to enter the mental health profession, emphasizing the need for diversity and inclusiveness. Furthermore, our paper stresses the significance of research and innovation in advancing mental health treatment and inspiring passion for mental health among students and aspiring professionals. By embracing this comprehensive set of recommendations, we aim to cultivate a diverse, talented and compassionate workforce capable of effectively addressing Nigeria's pressing mental health challenges. Impact statementIt is no news that mental health challenges and illnesses are on the rise in present times. The socioeconomic and political climate and other biopsychosocial factors have been implicated as factors contributing to the fast-rising burden of mental health. While other parts of the world are catching on to this realization and making an effort to match the demand for mental health care with the supply of caregivers and professionals, Africa and Nigeria in particular still have a long way to go. From trained psychiatrists and psychologists to paramedics and other personalities in mental health, there is a dire need to draw people into the field of mental health and psychiatry. Our paper aims to identify the challenges that plague the wide gap between the demand and supply of health care in Nigeria. From the exposure of medical students to psychiatry to issues like lack of adequate research and health coverage, we break down the factors that contribute to the deficiency of mental health care in Nigeria. We then go on to outline recommendations that can cause positive changes in this detrimental trend. One of our major recommendations is that from medical students and psychiatrists, it is important for students in other departments as well as members of the public to become involved in mental health. We emphasize wh...

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“…Most young people do not seek treatment from medical professionals despite the negative effects of various mental health conditions; instead, they frequently turn to informal sources, which can give them access to false information and make their mental health problems worse (Burgess et al, 2009;Ogorchukwu et al, 2016). Kukoyi et al (2022), found out reasons affecting mental health utilisation in the Nigerian health university among under graduate students. The findings showed that, the most of students had behaviour related to health seeking and positive mindset towards mental health services, although utilisation was low and there was little to moderate social support for these services.…”

Section: Stigmatization and Labellingmentioning

confidence: 99%

The Economic Impact of Mental Health Illness and Public Perceptions: A Critical Investigation of the Nigerian State.

2024

IJFMR

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The role of mental health is critical to any economy. With the high incidence of social economic problems within the Nigerian economy, thus leads to high rate of mental health illness. There are very few researches that have investigated the prevalence of mental health issues within the Nigerian economy and critical identify and discuss the prevalence factors impacting the perception of Nigerian public about mental health. This paper examined existing literature on the mental health Issues and illness, identified the critical features of the theory that are relevant to this paper and robustly discuss the impact of mental health issues on the Nigerian Economy. This study spanned the years 2012 through 2023 and a systematic literature review (SLR) was performed, and the research revealed crucial supply chain management and environmental analysis to enable this paper identify suitable articles and journals. A SLR was performed using a sample of 120 research articles chosen from a pool of 350 papers obtained from Scopus, Web of Science, Google Scholar, ABS journal and, among other sources. The paper concluded that mental health illness is prevalence in Nigeria and without a robust policy implementation, this will impact the Nigerian Economy.

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Factors affecting the utilization of mental health services among undergraduate students in a Nigerian University

Cited by 7 publications

References 67 publications

Delayed treatment seeking and its associated factors among people with schizophrenia spectrum disorders who are on follow-up at Dilla University Referral Hospital in the southern region of Ethiopia, 2022: a cross-sectional study

Delayed treatment seeking and its associated factors among people with schizophrenia spectrum disorders who are on follow-up at Dilla University Referral Hospital in the southern region of Ethiopia, 2022: a cross-sectional study

Mental health challenges in Nigeria: Bridging the gap between demand and resources

The Economic Impact of Mental Health Illness and Public Perceptions: A Critical Investigation of the Nigerian State.

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