Still unseen and ignored: Tracking community knowledge and attitudes about child abuse and child protection in Australia.

In September 2003, we released the first results of a national community attitude tracking study about child abuse and child protection. At that time, we concluded that as a community, violence against children was tolerated. The community did not understand or appreciate the seriousness, size and cost of child abuse in Australia. There was evidence that child abuse was not viewed as an important challenge facing children in Australia. A second study conducted in 2006 found that nothing much had changed, indeed community engagement with the issue of child abuse may have even deteriorated. A third study in 2010 found that the community actively avoids the problem of child abuse rating it less concerning than high petrol prices. In 2021, 18 years after the first report was published, we have concluded again that child abuse remains out of sight and out of mind as a community concern. This article describes the findings of this fourth iteration of our survey and analyses the implications for ensuring that individuals are more engaged and committed to taking action to preventing child abuse and/or protecting children from violation.

Human-Gelada Conflict and Attitude of the Local Community toward the Conservation of the Southern Gelada (Theropithecus gelada obscurus) around Borena Saynit National Park, Ethiopia.

Understanding the extent of human-primate conflict in areas where habitat overlap reaches at maximum level between local farmers and primates is crucial to developing conservation and management strategies. One of the threats of southern geladas (Theropithecus gelada obscurus) is conflict with the local farmers due to cereal crop raiding. This study was carried out to compare the intensity of human-gelada conflicts and the attitude of local farmers toward the conservation of geladas among local communities neighboring Borena Sayint National Park (BSNP) and an unprotected site far from the BSNP. Data from 356 randomly selected respondents were collected using questionnaire interview method. Overall, 92.13% of the respondents considered southern geladas as cereal crop pests. Those major complaints against geladas did not differ significantly between the two study sites: crop raiding (p = 0.435) and competition with livestock for pasture (p = 0.990). Overall, 61.78% of the respondents surrounding the Park had positive attitude while 60.00% from the unprotected villages had negative attitude toward geladas, and the difference was significant (p < 0.001). Most of the respondents from both sites had labor bottleneck and station themselves in the sites to guard their cereal crops from being raided by southern geladas. Respondents from the Park boundaries had more interest on the conservation of geladas than those respondents from the unprotected site (p < 0.001). Conservation education program and better human-gelada conflict mitigation measures should be taken to change the negative conservation attitude of local famers toward the southern geladas.

Factors Associated with Willingness to Visit Psychiatric Clinic among General Adult Population in Bucheon City / 신경정신의학

OBJECTIVES: The aim of this study was to investigate various factors associated with the willingness to visit psychiatric clinics among the general adult population in Bucheon city, South Korea. METHODS: One thousand seventy-five adults completed a self-questionnaire assessing their willingness to visit psychiatric clinics, family history of mental illnesses, frequency of contact with the mentally ill, stigma and discrimination toward the mentally ill, and the Community Attitude toward the Mentally Ill (CAMI). Logistic regression analyses were performed to identify variables associated with the willingness to visit psychiatric clinics. RESULTS: Study results showed that being single was associated with reduced willingness to visit psychiatric clinics. Subjects who had more frequent contact with mentally ill patients were more willing to visit psychiatric clinics. Concerning the CAMI scale, higher scores in authoritarianism and lower scores in benevolence subscales were associated with greater willingness to visit psychiatric clinic. Subjects who strongly admitted the existence of the stigma, and discrimination, toward mentally ill patients were more willing to visit psychiatric clinics. CONCLUSION: Enhanced understanding of the factors associated with the willingness to visit psychiatric clinics would be helpful in reducing barriers to mental health services utilization in the community.

Perception of stigma toward mental illness in South India.

BACKGROUND: Stigma associated with mental illnesses is one of the principal causes for mentally ill people not receiving adequate mental health care and treatment. The study was conducted to assess the extent of stigma associated with mental illness and knowledge of mental illness among the community. MATERIALS AND METHODS: Community-based, cross-sectional study was conducted among 445 respondents from Udupi district; the community attitude toward the mentally ill (CAMI) scale was used to assess stigma. The probability proportional to sampling size technique was adopted to select the wards/blocks. Household from blocks/wards were selected using convenience sampling. Self- administered semi-structured questionnaire was used to collect the information. Data was analyzed using the software SPSS version 15. RESULTS: Of the total 445 respondents, the prevalence of stigma toward mentally ill people was 74.61% (95% confidence interval, 0.7057, 0.7866). The prevalence of stigma was high under all the four domains of CAMI scale. High prevalence of stigma was seen among females and people with higher income. CONCLUSIONS: The overall prevalence of stigma toward PWMI was found to be high. The stigma toward PWMI was associated with gender with respect to AU, BE and CMHI. Hence, the study suggests that there is a strong need to eliminate stigma associated with mental illness to improve the mental health status of the region.

Stigma of mental illness: An interventional study to reduce its impact in the community.

BACKGROUND: Research literature has documented the nature of stigma associated with mental illness (MI) and its consequences in all spheres of life of ill persons and their families. It is also suggested that there is a need to develop intervention strategies to reduce stigma. However, very little is reported about these initiatives in the Indian context. AIM: To understand the nature of stigma associated with MI in a rural and semi-urban community in India and to develop an intervention package and study its impact. MATERIALS AND METHODS: The study adopted a pre- and post-experimental/action research design with a random sample of community members including persons with chronic MI and their caregivers from rural and semi-urban areas. A semi structured interview schedule was used to assess the nature of stigma. An intervention package, developed on the basis of initial findings, was administered, and two post assessments were carried out. RESULTS: Stigmatized attitude related to various aspects of MI were endorsed by the respondents. Caregivers had less stigmatizing attitude than the members of the community. Postintervention assessments (PIAs) revealed significant changes in attitudes towards some aspects of MI and this improved attitude was sustained during the second PIA, that is, after 3 months of intervention. CONCLUSION: People in the rural and semi-urban community have stigmatizing attitude toward MI. Intervention package focusing on the relevant aspect of MI can be used for reducing stigma of MI.

Survey on knowledge, attitude and practice (KAP) and information, education and communication (IEC) in malaria control for Raglai people, Khanh Vinh district, Khanh Hoa province

A cross-sectional survey on KAP and local IEC activities in malaria control for the ethnic minority people of Raglay was carried out in Khanh Hoa province's Khanh Vinh district in order to produce appropriate IEC materials for this group of population. The interviews of 400 random samples from 8 villages of two communes showed that 85.93% of respondents correctly understood the causes of malaria, 94.47% seek treatment in the health center if they got ill, and 82.22% correctly knew how to prevent from malaria. IEC for malaria control was made mainly through the local mass media of loudspeakers and health workers. Posters and leaflets were found to be poor and not highly effective. It is recommended to implement IEC campaigns on the face to face basis, community meetings, and network of local health communicators.