Evidence map›Paper›PMID 34622288›Full record

ArticleJournal of public health (Oxford, England)2021

Factors influencing care-seeking behaviour for mental illness in India: a situational analysis in Tamil Nadu.

Anant Jani, Sindhu Ravishankar, Naresh Kumar, J Vimitha, Soleil Shah, Anees Pari, C Ramasubramaniam

Open access · hybridAbstract read
In one paragraph

Article in Journal of public health (Oxford, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.5field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 9 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 3 countries.

Anant JaniOxford Martin School, University of Oxford, Oxford, OX1 3BD, UK.
Sindhu RavishankarOxford Department of International Development, University of Oxford, Oxford, OX1 3TB, UK.
Naresh KumarJSS Institute of Naturopathy and Yogic Sciences, Coimbatore, Tamil Nadu 641105, India.
J VimithaSouth India Aids Action programme, Chennai, Tamil Nadu, 600041, India.
Soleil ShahStanford University Medical School, Stanford, CA, 94305, USA.
Anees PariEast of England and Midlands, Public Health England, Nottingham, NG2 4UU, UK.
C RamasubramaniamTamil Nadu Ministry of Health, Chennai, Tamil Nadu, 600 009, India.
University of Oxford · GBGovernment of Tamil Nadu · INJindal Naturecure Institute · INPublic Health England · GBStanford University · US

Funding

Global Health Policy Programme, Green Templeton College, University of Oxford
6 · The paper itself

Abstract

backgroundThe contribution of mental illness to the total burden of disease in India nearly doubled from 1990 to 2017, increasing from 2.5% of the total disability-adjusted life years in 1990 to 4.7% in 2017. Despite efforts by the Indian government, a treatment gap of 75-85%, with heterogeneity across multiple dimensions, exists across India. We conducted a qualitative study in Tamil Nadu, India, to better understand the contextual factors affecting the care-seeking behaviour for mental illness.

methodsQualitative methods, including semi-structured interviews and focus groups (FGs), were conducted with stakeholders involved in the mental health care pathway in Tamil Nadu. Ten semi-structured interviews and five FGs were conducted and analysed using an inductive approach to identify codes, using Dedoose v7, related to the emerging themes and categories.

resultsOur analyses identified three key areas that influence care-seeking: views on what causes and/or constitutes mental illness, stigma and discrimination associated with mental illness and broader factors influencing decision-making.

conclusionsThe specific contextual factors identified by our study can be used to design and implement approaches that can help to address some of the issues that influence the care-seeking behaviour and manifest in the treatment gaps seen in Tamil Nadu and in India, more generally.

Indexed as

Mental DisordersPatient Acceptance of Health CareHumansIndiaQualitative ResearchSocial Stigmahealth servicesmanagement and policymental health

Identifiers

PMID34622288
PMCPMC8832222
OpenAlexW3204957584

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.