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Religious involvement and mental disorders in mainland china.

ABSTRACT: The present study aims to examine the association between religious involvement and mental disorder (anxiety disorder, mood disorder, alcohol use disorder) in a general Chinese population, and explore connections between religious belief and mental disorders in the Hui and Han ethnic groups.Data were examined from a representative sample of 2,770 community-dwelling adults in the province of Ningxia located in western China. Self-reported religious attendance and the importance of religious in daily life were measured. The WHO Composite International Diagnostic Interview was used to diagnose mental disorders.In the overall sample, the importance of religious affiliation was positively associated with mental disorders (especially anxiety) (p<0.01). No association was found between any religious characteristic and mood disorders or alcohol use disorders. With regard to analyses within different ethnic groups, religious affiliation was positively associated with mental disorder in Han ethnicity (p<0.01), but not in Hui ethnicity. When stratified by age and ethnic group, religious affiliation was associated positively with mental disorder in younger Han (p<0.01); whereas high religiosity was associated positively with mental disorder in older Hui (p<0.05). Among older Hui, however, religious affiliation was inversely associated with mood disorder (p<0.05).In contrast to most previous studies in Western populations, religious involvement is less likely to be inversely related to mental disorder in Mainland China, although this association varies by age and ethnic group.

SUBMITTER: Wang Z

PROVIDER: S-EPMC4451992 | biostudies-other | 2015

REPOSITORIES: biostudies-other

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Project description:PurposeIn resource-limited contexts in low- and middle-income countries (LMICs), a considerable proportion of individuals seeking care for mental disorders consult traditional and religious healers in their pathway to mental health care. Reports from Africa suggest that early involvement of healers may result in delays in the care pathway; a potential barrier to early identification and intervention.MethodsA systematic review was conducted to evaluate the proportion of patients attending formal health services after making first contact for treatment of mental disorders with traditional or religious healers or other informal and formal care providers within published research in Africa. Electronic databases were searched for the period from January 1990 to February 2014. Quality assessment of included studies was conducted the SAQOR tool.ResultsFourteen papers were identified with data on category of first care provider. Utilizing random effects modelling with inverse variance method, the pooled proportion of participants making first contact for treatment of mental disorders with two broadly categorised providers (informal and formal) was 48.1 % (95 % CI 36.4-60.0 %) and 49.2 % (95 % CI 38.0-60.4 %), respectively. The pooled proportion of participants making first contact with specific providers was: traditional healers (17.0 %, 95 % CI 10.9-24.1 %); religious healers (26.2 %, 95 % CI 18.1-35.1 %); general health services (24.3 %, 95 % CI 16.9-32.5 %); and mental health services (13.0 %, 95 % CI 5.1-23.5 %). Substantial regional variation in patterns of first provider choice was evident.ConclusionsConclusions of this review must be qualified in the light of several limitations. Approximately half of individuals seeking formal health care for mental disorders in Africa, choose traditional and religious healers as their first care provider. Previous reports suggest that this choice is associated with delays in accessing formal mental health services. Strategies to improve pathways to mental health care in Africa must include innovative programmes aimed at fostering collaboration between biomedical mental health services and these key community-based providers.

Project description:Wide-coverage spatial information on irrigated croplands is a vital foundation for food security and water resources studies at the regional level. Several global irrigated-cropland maps have been released to the public over the past decade due to the efforts of the remote sensing community. However, the consistency and discrepancy between these maps is largely unknown because of a lack of comparative studies, limiting their use and improvement. To close this knowledge gap, we compared the latest four irrigated-cropland datasets (GMIA, GRIPC, GlobCover, and GFSAD) in mainland China. First, the four maps were compared quantitatively and neutral regional- and provincial-level statistics of the relative proportions of irrigated land were obtained through regression analysis. Second, we compared the similarities and discrepancies of the datasets on spatial grids. Furthermore, the contributions of mosaic cropland pixels in GlobCover and GFSAD were also analyzed because of their extensive distribution and ambiguous content. Results showed that GMIA has the lowest dispersion and best statistical correlation followed by GRIPC, while the corresponding features of GlobCover and GFSAD are approximately equal. Spatial agreement of the four maps is higher in eastern than western China, and disagreement is contributed mostly by GlobCover and GFSAD. However, divergence exists in the ratios of the different agreement levels, as well as their sources, on a regional scale. Mosaic pixels provide more than half of the irrigated areas for GlobCover and GFSAD, and they include both correct and incorrect information. Our results indicate a need for a uniform quantitative classification system and for greater focus on heterogeneous regions. Furthermore, the results demonstrate the advantage of numerical restriction in the calculations. Therefore, special attention should be paid to integrating databases and to exploring remote sensing features and methods for spatial reconstruction and identification of untypical irrigation areas.

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Religious involvement and mental disorders in mainland china.

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