The Knowledge Of Mental Health And The Attitude Towards Mentaldisorder In Communities At Ningxia

Objectives :To understand the level of mental health knowledge and the attitude towards mental disorder in Ningxia. And to analyze the relevant factors of awareness about mental health knowledge and attitude, in order to put forward relevant mental health policies and enhance the overall performance of the mental health services in Ningxia. Methods :Cross-sectional survey carried out in a sample of 3,054 adults aged 18 and over that selected using probability proportional sampling method in the communities of Ningxia. Face to face interviews were conducted to collect the data. Knowledge of mental health questionary and attitude towards mental disorder scale were used to evaluate the knowledge and attitude, and using the self-made questionnaire to collect demographic data. Religious involvements was measured using a Chinese version Duke University Religion Index. Then case-control design used to identify the influencing factors of the mental health knowledge and attitude towards mental disorder. Logistic regression model performed to detect the correlation between religious involvements and mental health knowledge, attitude. Results: Part I ①A total number of 2,425 participants completed the whole survey with a response rate of 79.4%. ②The mental health knowledge awareness rate was 40.95% in total sample, while 42.4%in male and 39.7%in female. ③The total scores of attitude towards mental disorder scale was(37.94±5.68) in residents of Ningxia. The influencing factors of mental health knowledge were age(40~49)(OR=1.11,95%CI:1.03~1.18), education(10~ 12)(OR=0.61,95%CI:0.43~0.87), attitudes towards mental disorders(OR=1.36, 95%CI:1.14~1.62); the influencing factors of mental disorders attitude were age(50~ 59)(OR=0.43,95%CI:0.29~0.63),age(40~49)(OR=0.37,95%CI:0.25~0.54),age(30~39)(OR=0.55,95%CI:0.39~0.78),education(10~12)(OR=3.08,95%CI:2.13~4.44),education(7~9)(OR=2.24,95%CI:1.60~3.15), education(1~6)( OR=1.79,95%CI:1.34~2.39),income level(OR=0.84, 95%CI:0.77~0.92), the IR dimension(OR=1.03,95%CI:1.01~1.05).Part II NORA of DUREL scale religious dimension positively associated with the attitudes towards mental disorders in whole sample(r=0.06,P<0.001).The influencing factors of religious beliefs were age(50~59)(OR=2.69,95%CI:1.86~3.90), age(40~49)(OR=2.42, 95%CI:1.55~3.24),age(30~39)(OR=2.62,95%CI:1.86~3.68),age(18~29)(OR=1.67,95%CI:1.20~2.33),education(10~12)(OR=2.94,95%CI:2.05~4.22),education(7~9)(OR=2.19,95%CI:1.57~3.05),education(1~6)(OR=1.82,95%CI:1.36~2.41) mental disorders attitude(OR=1.02, 95%CI:1.01~1.04).Part III The study shows that the accumulate factor load of DUREL scale(Chinese version) was 85.36%, coupled with acceptable internal consistency of Cronbach ? was 0.84, while Cronbach ? of each item and total scores were ranged from 0.77 to 0.85,the total intraclass correlation coefficient was 0.89, ICC ranged from 0.58 to 0.89 for each items. Religious people of DUREL score significantly higher than that without religious believers(Islamic faith scored is 16.84±4.61, the buddhist faith scored is 8.13±2.89, no religion scored is 6.62±2.58.) Conclusion:1. A relatively low level mental health knowledge awareness of residents in Ningxia was found, when compared with similar region, indicate that strengthen community mental health education indeed;2. The attitude towards mental disorders in community residents likely more negative than positive;3. Influencing factors of mental health knowledge were age, education, attitudes towards mental disorders; the influencing factors of attitude to mental disorders were age, education, income level, the IR dimension, the knowledge of mental health.4. Chinese version DUREL scale has good reliability, shall be applied to measurethe religion in community residents of the PRC.