Factors Associated With Physical Restraint (Pasung) among People with Mental Health Disorder in Pacitan, East Java


Rahsunji Intan Nurvitasari, Veterina Riski Amalia,

Puspita Mayangsari Prabowo

 

Masters Program in Public Health, Universitas Sebelas Maret

 

ABSTRACT

Background: In Indonesia, the use of physical restraint (pasung) is a common way of dealing with mental illness, resulting from the lack of available viable treatment options. The purpose of this was to determine factors associated with the practice of “pasung” among people with mental dis­orders in Pacitan, East Java.

Subjects and Method: A cross sectional study was carried out at 10 community health cen­ters, in Pacitan, East Java. A sample of 384 people with mental health dis­order was selected for this study. The dependent variable was “pasung”. The inde­pen­dent variables were gender and medical diagnosis. The data were analyzed by a multi­ple logistic regression.

Results: The risk of “pasung” among people with mental health disorder increased with psy­chotic diagnosis (OR= 2.41; 95% CI= 0.97 to 5.99; p= 0.058), but decreased with female gender (OR= 0.36; 95% CI= 0.17 to 0.75; p= 0.006).

Conclusion: The risk of “pasung” among people with mental health disorder increases with psy­chotic diagnosis, but decreases with female gender.

Keywords: pasung, mental health disorder

CorrespondenceRahsunji Intan Nurvitasari, Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: intan.­nurvi­tasari@gmail.com. Mobile: 081232599161.

DOI: https://doi.org/10.26911/theicph.2019.02.34

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