Caring for persons with drug use disorders in the Yangon Region, Myanmar: Socioeconomic and psychological burden, coping strategies and barriers to coping.

Drug use disorder (DUD) is a serious health condition that imposes a heavy burden on the persons who have a drug addiction experience and their families, especially in countries, such as Myanmar, where few formal support mechanisms are in place and repressive drug laws exacerbate the situation. Yet,...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Khin Zar Khaing Thein, Chantal Herberholz, Win Pa Sandar, Yadanar
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/4b5387fff23c462cbff94f39c3b22751
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:4b5387fff23c462cbff94f39c3b22751
record_format	dspace
spelling	oai:doaj.org-article:4b5387fff23c462cbff94f39c3b227512021-12-02T20:13:47ZCaring for persons with drug use disorders in the Yangon Region, Myanmar: Socioeconomic and psychological burden, coping strategies and barriers to coping.1932-620310.1371/journal.pone.0258183https://doaj.org/article/4b5387fff23c462cbff94f39c3b227512021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0258183https://doaj.org/toc/1932-6203Drug use disorder (DUD) is a serious health condition that imposes a heavy burden on the persons who have a drug addiction experience and their families, especially in countries, such as Myanmar, where few formal support mechanisms are in place and repressive drug laws exacerbate the situation. Yet, in Myanmar, little is known about how informal caregivers are affected. This qualitative study aims at exploring the socioeconomic and psychological burden that informal caregivers in Myanmar encounter, coping strategies they employ, as well as barriers to coping they face. Thirty primary informal caregivers were chosen purposively from a mental health hospital in Yangon for in-depth interviews. The recorded interviews were transcribed and the data were analysed using framework analysis. The results revealed that financial constraint, income loss, social limitation and negative impact on family cohesion are important dimensions of socioeconomic burden, whereas sadness, anger, helplessness, worry, fear and guilt are the main psychological distress factors encountered by caregivers of persons with DUD. Key coping strategies employed by caregivers include religious coping, financial coping, acceptance and planning. Moreover, perceived stigma towards persons with DUD and their caregivers was very high and caregivers received hardly any social support, inter alia because of the country's drug law which reinforces stigma and discrimination. Neither the government nor any other organization in Myanmar provided financial support to the caregivers. The results of this study showed that caring for persons with DUD has devastating effects on caregivers and their families. While the 2018 National Drug Control Policy can potentially help alleviate the burden on substance users and their families, further amendments of the existing drug law are urgently needed. Moreover, strengthening prevention and harm reduction approaches, improving treatment and rehabilitation services, as well as stigma-reducing educational campaigns should be considered a priority.Khin Zar Khaing TheinChantal HerberholzWin Pa SandarYadanarPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 10, p e0258183 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Khin Zar Khaing Thein Chantal Herberholz Win Pa Sandar Yadanar Caring for persons with drug use disorders in the Yangon Region, Myanmar: Socioeconomic and psychological burden, coping strategies and barriers to coping.
description	Drug use disorder (DUD) is a serious health condition that imposes a heavy burden on the persons who have a drug addiction experience and their families, especially in countries, such as Myanmar, where few formal support mechanisms are in place and repressive drug laws exacerbate the situation. Yet, in Myanmar, little is known about how informal caregivers are affected. This qualitative study aims at exploring the socioeconomic and psychological burden that informal caregivers in Myanmar encounter, coping strategies they employ, as well as barriers to coping they face. Thirty primary informal caregivers were chosen purposively from a mental health hospital in Yangon for in-depth interviews. The recorded interviews were transcribed and the data were analysed using framework analysis. The results revealed that financial constraint, income loss, social limitation and negative impact on family cohesion are important dimensions of socioeconomic burden, whereas sadness, anger, helplessness, worry, fear and guilt are the main psychological distress factors encountered by caregivers of persons with DUD. Key coping strategies employed by caregivers include religious coping, financial coping, acceptance and planning. Moreover, perceived stigma towards persons with DUD and their caregivers was very high and caregivers received hardly any social support, inter alia because of the country's drug law which reinforces stigma and discrimination. Neither the government nor any other organization in Myanmar provided financial support to the caregivers. The results of this study showed that caring for persons with DUD has devastating effects on caregivers and their families. While the 2018 National Drug Control Policy can potentially help alleviate the burden on substance users and their families, further amendments of the existing drug law are urgently needed. Moreover, strengthening prevention and harm reduction approaches, improving treatment and rehabilitation services, as well as stigma-reducing educational campaigns should be considered a priority.
format	article
author	Khin Zar Khaing Thein Chantal Herberholz Win Pa Sandar Yadanar
author_facet	Khin Zar Khaing Thein Chantal Herberholz Win Pa Sandar Yadanar
author_sort	Khin Zar Khaing Thein
title	Caring for persons with drug use disorders in the Yangon Region, Myanmar: Socioeconomic and psychological burden, coping strategies and barriers to coping.
title_short	Caring for persons with drug use disorders in the Yangon Region, Myanmar: Socioeconomic and psychological burden, coping strategies and barriers to coping.
title_full	Caring for persons with drug use disorders in the Yangon Region, Myanmar: Socioeconomic and psychological burden, coping strategies and barriers to coping.
title_fullStr	Caring for persons with drug use disorders in the Yangon Region, Myanmar: Socioeconomic and psychological burden, coping strategies and barriers to coping.
title_full_unstemmed	Caring for persons with drug use disorders in the Yangon Region, Myanmar: Socioeconomic and psychological burden, coping strategies and barriers to coping.
title_sort	caring for persons with drug use disorders in the yangon region, myanmar: socioeconomic and psychological burden, coping strategies and barriers to coping.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/4b5387fff23c462cbff94f39c3b22751
work_keys_str_mv	AT khinzarkhaingthein caringforpersonswithdrugusedisordersintheyangonregionmyanmarsocioeconomicandpsychologicalburdencopingstrategiesandbarrierstocoping AT chantalherberholz caringforpersonswithdrugusedisordersintheyangonregionmyanmarsocioeconomicandpsychologicalburdencopingstrategiesandbarrierstocoping AT winpasandar caringforpersonswithdrugusedisordersintheyangonregionmyanmarsocioeconomicandpsychologicalburdencopingstrategiesandbarrierstocoping AT yadanar caringforpersonswithdrugusedisordersintheyangonregionmyanmarsocioeconomicandpsychologicalburdencopingstrategiesandbarrierstocoping
_version_	1718374700952846336

Caring for persons with drug use disorders in the Yangon Region, Myanmar: Socioeconomic and psychological burden, coping strategies and barriers to coping.

Ejemplares similares