ArticleBMJ open2018
Multiple barriers to participation for people with psychosocial disability in Dehradun district, North India: a cross-sectional study.
Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 21 citations in OpenAlex.
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- Barriers and Facilitators for Accessing Mental Health Care and Support for Adolescents in India - A Systematic Review.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine · 2025Review
- Reimagining Innovation in Health Equity: Making a Case for a Community embedded Participatory Learning Site for Adivasi Health Research.Journal of community systems for health · 2025Article
- Advancing psychosocial disability and psychosocial rehabilitation research through large language models and computational text mining.Global mental health (Cambridge, England) · 2024Article
- Rapid methods for identifying barriers and solutions to improve access to community health services: a scoping review.BJGP open · 2023Article
- Evaluation of the Impact of the First Wave of COVID-19 and Associated Lockdown Restrictions on Persons with Disabilities in 14 States of India.International journal of environmental research and public health · 2022Article
- "We've got through hard times before: acute mental distress and coping among disadvantaged groups during COVID-19 lockdown in North India - a qualitative study".International journal for equity in health · 2020Article
- A Qualitative Study Exploring the Lived Experience of Unemployment Among People with Severe Mental Illness.Indian journal of psychological medicine · 2020Article
- Peer support for frequent users of inpatient mental health care in Uganda: protocol of a quasi-experimental study.BMC psychiatry · 2019Article
- Acceptability of Mental Health Facilities and De-addiction Centers in India.Journal of experimental neuroscience · 2019Article
Corrections and comments
- Erratum issuedCorrection:2018
Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThis study used a population-based cross-sectional survey to describe the prevalence of psychosocial disability and unmet need for access to services in North India.
settingThis study was conducted in Dehradun district, Uttarakhand, in 2014.
participantsA population-based sample of 2441 people over the age of 18 years. PRIMARY OUTCOME MEASURES: The Rapid Assessment of Disability survey tool identified people with disability and used an adapted version of the Kessler scale to identify those with psychosocial disability. It additionally collected information on socioeconomic variables, access to community services and barriers to participation. Prevalence of psychosocial disability and unmet needs and descriptions of barriers to services were calculated, and multivariable logistic regression was used to assess associations between risk factors and psychosocial disability.
resultsPrevalence of psychosocial disability was 4.8% and 75% of participants with psychological distress also reported comorbid functional impairments. Adjusted ORs for depression of more than two were found for people who were unschooled, unemployed and of moderate or poor socioeconomic status. The unmet need for access to services was significantly higher in every domain for people with psychosocial disability and was more than 25% in the areas of employment, health service access and community consultation. People with psychosocial disability encountered greater barriers in each domain compared with controls.
conclusionsPeople who are poor, uneducated and unemployed are two to four times more likely to have psychosocial disability in Dehradun district. They face unmet needs in accessing community services and perceive negative social attitudes, lack of physical accessibility and lack of information as barriers limiting their participation. Social policy must increase access to education and reduce poverty but additionally ensure action is taken in all community services to increase information, physical accessibility and social inclusion of people with psychosocial and other forms of disability.
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