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dc.rights.licenseCreative Commons Attribution 4.0 International License
dc.contributor.authorHorn, Rebeccaen
dc.contributor.authorArakelyan, Stellaen
dc.contributor.authorWurie, Hajaen
dc.contributor.authorAger, Alastairen
dc.date.accessioned2021-05-19T12:29:41Z
dc.date.available2021-05-19T12:29:41Z
dc.date.issued2021-06-11
dc.identifierhttps://eresearch.qmu.ac.uk/bitstream/handle/20.500.12289/11253/11253.pdf
dc.identifier.citationHorn, R., Arakelyan, S., Wurie, H. & Ager, A. (2021) Factors contributing to emotional distress in Sierra Leone: A socio-ecological analysis. International Journal of Mental Health Systems, 15:58.en
dc.identifier.issn1752-4458en
dc.identifier.urihttps://doi.org/10.1186/s13033-021-00474-y
dc.identifier.urihttps://eresearch.qmu.ac.uk/handle/20.500.12289/11253
dc.descriptionStella Arakelyan - ORCID: 0000-0003-0326-707X https://orcid.org/0000-0003-0326-707Xen
dc.descriptionAlastair Ager - ORCID: 0000-0002-9474-3563 https://orcid.org/0000-0002-9474-3563
dc.descriptionReplaced AM with VoR 2021-06-24.
dc.description.abstractBackground There is increasing global evidence that mental health is strongly determined by social, economic and environmental factors, and that strategic action in these areas has considerable potential for improving mental health and preventing and alleviating mental disorders. Prevention and promotion activities in mental health must address the needs prioritised by local actors. The aim of this study was to identify stressors with the potential to influence emotional wellbeing and distress within the general population of Sierra Leone, in order to contribute to an inter-sectoral public mental health approach to improving mental health within the country.en
dc.description.abstractMethodology Respondents were a convenience sample of 153 respondents (60 women, 93 men) from five districts of Sierra Leone. Using freelisting methodology, respondents were asked to respond to the open question ‘What kind of problems do women/men have in your community?’. Data analysis involved consolidation of elicited problems into a single list. These were then organised thematically using an adaptation of the socio-ecological model, facilitating exploration of the interactions between problems at individual, family, community and societal levels
dc.description.abstractResults Overall, respondents located problems predominantly at community and societal levels. Although few respondents identified individual-level issues, they frequently described how problems at other levels contributed to physical health difficulties and emotional distress. Women identified significantly more problems at the family level than men, particularly related to relationships with an intimate partner. Men identified significantly more problems at the societal level than women, primarily related to lack of infrastructure. Men and women were equally focused on problems related to poverty and lack of income generating opportunities.
dc.description.abstractConclusion Poverty and inability to earn an income underpinned many of the problems described at individual, family and community level. Actions to address livelihoods, together with improving infrastructure and addressing gender norms which are harmful to both men and women, are likely key to improving the wellbeing of the Sierra Leone population.
dc.description.sponsorshipThis research was funded by the National Institute for Health Research (NIHR) Global Health Research programme 16/136/100. The views expressed are those of the authors and not necessarily those of the National Health Service, the NIHR or the UK Department of Health and Social Care.en
dc.description.urihttps://doi.org/10.1186/s13033-021-00474-yen
dc.language.isoenen
dc.publisherBMCen
dc.relation.ispartofInternational Journal of Mental Health Systemsen
dc.rights© The Author(s) 2021
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectPsychosocialen
dc.subjectMental Healthen
dc.subjectSierra Leoneen
dc.subjectSocio-ecologicalen
dc.subjectFreelistingen
dc.subjectQualitativeen
dc.titleFactors contributing to emotional distress in Sierra Leone: A socio-ecological analysisen
dc.typeArticleen
dcterms.accessRightspublic
dcterms.dateAccepted2021-05-19
dc.date.updated2021-06-24
dc.description.volume15
dc.description.ispublishedpub
rioxxterms.typeJournal Article/Reviewen
rioxxterms.publicationdate2021-06-11
refterms.dateFCD2021-05-19
refterms.depositExceptionpublishedGoldOAen
refterms.accessExceptionNAen
refterms.technicalExceptionNAen
refterms.panelUnspecifieden
qmu.authorHorn, Rebeccaen
qmu.authorArakelyan, Stellaen
qmu.authorAger, Alastairen
qmu.centreInstitute for Global Health and Developmenten
dc.description.statuspub
refterms.versionVoRen
refterms.dateDeposit2021-05-19


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Creative Commons Attribution 4.0 International License
Except where otherwise noted, this item's license is described as Creative Commons Attribution 4.0 International License