Social network as a determinant of pathway to mental health service utilization among psychotic patients in a Nigerian hospital
The main objectives of the study were to determine the relationship between social network and pathway to service utilization among psychotic patients. This descriptive study was carried out in a psychiatric unit in a general hospital in South West Nigeria. Using structured questionnaires, primary d...
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| Veröffentlicht in: | Annals of African medicine 2012-01, Vol.11 (1), p.12-20 |
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| creator | Lasebikan, Victor O Owoaje, Eme T Asuzu, Michael C |
| description | The main objectives of the study were to determine the relationship between social network and pathway to service utilization among psychotic patients.
This descriptive study was carried out in a psychiatric unit in a general hospital in South West Nigeria. Using structured questionnaires, primary data were collected from 652 psychotic patients on their social network, health behaviors and pathway to current service use. Logistic regression analysis was used to assess the effect of social network on patients' use of services, controlling for sociodemographics, health and functional status.
Mean age of the respondents was 29.0 ± 7.5 years, range 14-58 years, males constituted 52.6%. Regarding pathway to services, alternative sources of care such as priests, spiritualists, natural therapists, herbalists, was the first port of call for 78.9% of respondents. Family dominated the social network in 51.1% of patients. The presence of some social network and social support structures were significantly associated with the use of general medical and specialty psychiatric services for patients with schizophrenia (P = 0.03), schizoaffective disorder (P = 0.02), bipolar I disorder (P = 0.01), but not with major depression and symptoms of psychological distress.
Findings indicate that social support and social network enhanced utilization of mental health services for psychiatric patients except for those with psychotic depression or those with symptoms of psychological distress. In addition, alternative sources of care are still relevant in mental health service delivery in South West Nigeria. |
| doi_str_mv | 10.4103/1596-3519.91010 |
| format | Article |
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This descriptive study was carried out in a psychiatric unit in a general hospital in South West Nigeria. Using structured questionnaires, primary data were collected from 652 psychotic patients on their social network, health behaviors and pathway to current service use. Logistic regression analysis was used to assess the effect of social network on patients' use of services, controlling for sociodemographics, health and functional status.
Mean age of the respondents was 29.0 ± 7.5 years, range 14-58 years, males constituted 52.6%. Regarding pathway to services, alternative sources of care such as priests, spiritualists, natural therapists, herbalists, was the first port of call for 78.9% of respondents. Family dominated the social network in 51.1% of patients. The presence of some social network and social support structures were significantly associated with the use of general medical and specialty psychiatric services for patients with schizophrenia (P = 0.03), schizoaffective disorder (P = 0.02), bipolar I disorder (P = 0.01), but not with major depression and symptoms of psychological distress.
Findings indicate that social support and social network enhanced utilization of mental health services for psychiatric patients except for those with psychotic depression or those with symptoms of psychological distress. In addition, alternative sources of care are still relevant in mental health service delivery in South West Nigeria.</description><identifier>ISSN: 1596-3519</identifier><identifier>EISSN: 0975-5764</identifier><identifier>DOI: 10.4103/1596-3519.91010</identifier><identifier>PMID: 22199042</identifier><language>eng</language><publisher>India: Medknow Publications and Media Pvt. Ltd</publisher><subject>Adolescent ; Adult ; Bipolar Disorder - therapy ; Care and treatment ; Clergy ; Depressive Disorder, Major - therapy ; Diagnosis ; Family Relations ; Female ; Friends ; Health services utilization ; Humans ; Logistic Models ; Male ; Medical care ; Mental Disorders - therapy ; Mental health care ; Mental Health Services - utilization ; Middle Aged ; Nigeria ; Patient Acceptance of Health Care ; Patients ; Psychiatric services ; Psychiatry ; Psychoses ; Psychotic Disorders - therapy ; Schizophrenia - therapy ; Services ; Social networks ; Social Support ; Surveys and Questionnaires ; Utilization ; Young Adult</subject><ispartof>Annals of African medicine, 2012-01, Vol.11 (1), p.12-20</ispartof><rights>COPYRIGHT 2012 Medknow Publications and Media Pvt. Ltd.</rights><rights>Copyright Medknow Publications & Media Pvt Ltd Mar 2012</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c421t-6e86963a122845ca63ee9f6339e8dc430dd3aa12d31c8c056738e8999cac0f2e3</citedby><cites>FETCH-LOGICAL-c421t-6e86963a122845ca63ee9f6339e8dc430dd3aa12d31c8c056738e8999cac0f2e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22199042$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lasebikan, Victor O</creatorcontrib><creatorcontrib>Owoaje, Eme T</creatorcontrib><creatorcontrib>Asuzu, Michael C</creatorcontrib><title>Social network as a determinant of pathway to mental health service utilization among psychotic patients in a Nigerian hospital</title><title>Annals of African medicine</title><addtitle>Ann Afr Med</addtitle><description>The main objectives of the study were to determine the relationship between social network and pathway to service utilization among psychotic patients.
This descriptive study was carried out in a psychiatric unit in a general hospital in South West Nigeria. Using structured questionnaires, primary data were collected from 652 psychotic patients on their social network, health behaviors and pathway to current service use. Logistic regression analysis was used to assess the effect of social network on patients' use of services, controlling for sociodemographics, health and functional status.
Mean age of the respondents was 29.0 ± 7.5 years, range 14-58 years, males constituted 52.6%. Regarding pathway to services, alternative sources of care such as priests, spiritualists, natural therapists, herbalists, was the first port of call for 78.9% of respondents. Family dominated the social network in 51.1% of patients. The presence of some social network and social support structures were significantly associated with the use of general medical and specialty psychiatric services for patients with schizophrenia (P = 0.03), schizoaffective disorder (P = 0.02), bipolar I disorder (P = 0.01), but not with major depression and symptoms of psychological distress.
Findings indicate that social support and social network enhanced utilization of mental health services for psychiatric patients except for those with psychotic depression or those with symptoms of psychological distress. In addition, alternative sources of care are still relevant in mental health service delivery in South West Nigeria.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Bipolar Disorder - therapy</subject><subject>Care and treatment</subject><subject>Clergy</subject><subject>Depressive Disorder, Major - therapy</subject><subject>Diagnosis</subject><subject>Family Relations</subject><subject>Female</subject><subject>Friends</subject><subject>Health services utilization</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Medical care</subject><subject>Mental Disorders - therapy</subject><subject>Mental health care</subject><subject>Mental Health Services - utilization</subject><subject>Middle Aged</subject><subject>Nigeria</subject><subject>Patient Acceptance of Health Care</subject><subject>Patients</subject><subject>Psychiatric services</subject><subject>Psychiatry</subject><subject>Psychoses</subject><subject>Psychotic Disorders - therapy</subject><subject>Schizophrenia - therapy</subject><subject>Services</subject><subject>Social networks</subject><subject>Social Support</subject><subject>Surveys and Questionnaires</subject><subject>Utilization</subject><subject>Young Adult</subject><issn>1596-3519</issn><issn>0975-5764</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNptks1v1DAQxS0EotvCmRuyQCqnbP0RO_GxqviSKjgAZ8s4k41LYgfbabVc-Ndx2FJRhHyw5Pm9p_G8QegZJduaEn5GhZIVF1RtFSWUPEAbohpRiUbWD9HmrnqEjlO6IqQWQorH6IgxqhSp2Qb9_BSsMyP2kG9C_IZNwgZ3kCFOzhufcejxbPJwY_Y4BzyBz4UewIx5wAnitbOAl-xG98NkFzw2U_A7PKe9HUJ2dhW7IkrYlRr-4HYQnfF4CGl2xeoJetSbMcHT2_sEfXnz-vPFu-ry49v3F-eXla0ZzZWEVirJDWWsrYU1kgOoXnKuoO1szUnXcVOqHae2tUTIhrfQKqWssaRnwE_Qq4PvHMP3BVLWk0sWxtF4CEvSirKWSN60hXzxD3kVluhLcwUSohFSkQK9PEA7M4J2vg85Grta6nPWSFlCoKvV9j9UOR1MzgYPvSvv9wSnfwkOU05hXNbJpvvg2QG0MaQUoddzdJOJe02JXjdDr9nrNXv9ezOK4vntt5avE3R3_J9V4L8ATKayVg</recordid><startdate>20120101</startdate><enddate>20120101</enddate><creator>Lasebikan, Victor O</creator><creator>Owoaje, Eme T</creator><creator>Asuzu, Michael C</creator><general>Medknow Publications and Media Pvt. 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Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20120101</creationdate><title>Social network as a determinant of pathway to mental health service utilization among psychotic patients in a Nigerian hospital</title><author>Lasebikan, Victor O ; Owoaje, Eme T ; Asuzu, Michael C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c421t-6e86963a122845ca63ee9f6339e8dc430dd3aa12d31c8c056738e8999cac0f2e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Bipolar Disorder - therapy</topic><topic>Care and treatment</topic><topic>Clergy</topic><topic>Depressive Disorder, Major - therapy</topic><topic>Diagnosis</topic><topic>Family Relations</topic><topic>Female</topic><topic>Friends</topic><topic>Health services utilization</topic><topic>Humans</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Medical care</topic><topic>Mental Disorders - therapy</topic><topic>Mental health care</topic><topic>Mental Health Services - utilization</topic><topic>Middle Aged</topic><topic>Nigeria</topic><topic>Patient Acceptance of Health Care</topic><topic>Patients</topic><topic>Psychiatric services</topic><topic>Psychiatry</topic><topic>Psychoses</topic><topic>Psychotic Disorders - therapy</topic><topic>Schizophrenia - therapy</topic><topic>Services</topic><topic>Social networks</topic><topic>Social Support</topic><topic>Surveys and Questionnaires</topic><topic>Utilization</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lasebikan, Victor O</creatorcontrib><creatorcontrib>Owoaje, Eme T</creatorcontrib><creatorcontrib>Asuzu, Michael C</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Annals of African medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lasebikan, Victor O</au><au>Owoaje, Eme T</au><au>Asuzu, Michael C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Social network as a determinant of pathway to mental health service utilization among psychotic patients in a Nigerian hospital</atitle><jtitle>Annals of African medicine</jtitle><addtitle>Ann Afr Med</addtitle><date>2012-01-01</date><risdate>2012</risdate><volume>11</volume><issue>1</issue><spage>12</spage><epage>20</epage><pages>12-20</pages><issn>1596-3519</issn><eissn>0975-5764</eissn><abstract>The main objectives of the study were to determine the relationship between social network and pathway to service utilization among psychotic patients.
This descriptive study was carried out in a psychiatric unit in a general hospital in South West Nigeria. Using structured questionnaires, primary data were collected from 652 psychotic patients on their social network, health behaviors and pathway to current service use. Logistic regression analysis was used to assess the effect of social network on patients' use of services, controlling for sociodemographics, health and functional status.
Mean age of the respondents was 29.0 ± 7.5 years, range 14-58 years, males constituted 52.6%. Regarding pathway to services, alternative sources of care such as priests, spiritualists, natural therapists, herbalists, was the first port of call for 78.9% of respondents. Family dominated the social network in 51.1% of patients. The presence of some social network and social support structures were significantly associated with the use of general medical and specialty psychiatric services for patients with schizophrenia (P = 0.03), schizoaffective disorder (P = 0.02), bipolar I disorder (P = 0.01), but not with major depression and symptoms of psychological distress.
Findings indicate that social support and social network enhanced utilization of mental health services for psychiatric patients except for those with psychotic depression or those with symptoms of psychological distress. In addition, alternative sources of care are still relevant in mental health service delivery in South West Nigeria.</abstract><cop>India</cop><pub>Medknow Publications and Media Pvt. Ltd</pub><pmid>22199042</pmid><doi>10.4103/1596-3519.91010</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Annals of African medicine, 2012-01, Vol.11 (1), p.12-20 |
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| subjects | Adolescent Adult Bipolar Disorder - therapy Care and treatment Clergy Depressive Disorder, Major - therapy Diagnosis Family Relations Female Friends Health services utilization Humans Logistic Models Male Medical care Mental Disorders - therapy Mental health care Mental Health Services - utilization Middle Aged Nigeria Patient Acceptance of Health Care Patients Psychiatric services Psychiatry Psychoses Psychotic Disorders - therapy Schizophrenia - therapy Services Social networks Social Support Surveys and Questionnaires Utilization Young Adult |
| title | Social network as a determinant of pathway to mental health service utilization among psychotic patients in a Nigerian hospital |
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