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October 18, 2019South African Journal of PsychiatryOpen Access

Barriers to care among people with schizophrenia attending a tertiary psychiatric hospital in Nigeria

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Authors

BJBawo Onesirosan JamesFederal Neuro Psychiatric HospitalFTFelicia Ibironke ThomasOSOmonefe Joy Seb‐AkahomenSouth Essex Partnership University Foundation NHS Trust

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Implication

Cross-sectional study reveals significant stigma and financial barriers to psychiatric care in schizophrenia, indicating that targeted attitudinal interventions are needed to improve access.

Key Points

  • To determine stigma- and non-stigma-related barriers to care-seeking among persons with schizophrenia attending psychiatric outpatient services.
  • Cross-sectional study of dyads consisting of persons with schizophrenia and their caregivers (n = 161) at an outpatient psychiatric clinic in Nigeria.
  • Assessed stigma-related and non-stigma-related barriers using the 30-item Barriers to Access to Care Evaluation (BACE) scale.
  • Lack of insight, preference for alternative care, illness severity, and financial constraints emerged as primary barriers to care-seeking.
  • Female participants reported significantly greater overall treatment barriers (p = 0.01) and stigma-related barriers (p = 0.02) compared to male participants.

Cite This Study

James et al. (2019) studied this question.

synapsesocial.com/papers/6ab07e5eadccb5471defaa35https://doi.org/10.4102/sajpsychiatry.v25i0.1392
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