Youth-led co-production of mental health promotion in Pakistan: intergenerational influences.

Autor:	Vostanis P; Department of School of Media, Communication and Sociology, University of Leicester, University Road, Leicester LE1 7RH, UK., Hassan S; Icon for Child and Adult Nurturing (ICAN), Empire Square 501, Sharfabad, Karachi 75400, Pakistan., Fatima SZ; Icon for Child and Adult Nurturing (ICAN), Empire Square 501, Sharfabad, Karachi 75400, Pakistan., O'Reilly M; Department of School of Media, Communication and Sociology, University of Leicester, University Road, Leicester LE1 7RH, UK.; Leicestershire Partnership NHS Trust, Groby Road, Leicester LE3 9PQ, UK.
Jazyk:	angličtina
Zdroj:	Health promotion international [Health Promot Int] 2024 Feb 01; Vol. 39 (1).
DOI:	10.1093/heapro/daae010
Abstrakt:	Youth with mental health needs face barriers in seeking and accessing help, especially in resource-constrained settings in Majority World Countries. Community engagement is thus important for mental health promotion, particularly in addressing stigma. Engagement can be enhanced by involving peer educators and by relating to intergenerational experiences in the sociocultural context of the community. The aim of this study was to explore how intergenerational experiences and perspectives can inform the co-production of youth-led mental health promotion in a Majority World Country, Pakistan. We recruited 11 families (one grandmother, mother and granddaughter in each family) as advisers from two disadvantaged areas of Karachi, and 14 peer educators. Training for peer educators included seminars, experiential activities, three participatory workshops with family advisers and supervision. A sub-sample of family advisers and peer educators attended four focus groups, and peer educators completed reflective diaries following each activity. Data were integrated and subjected to thematic codebook analysis. The three themes related to enabling and hindering factors towards co-production of mental health promotion, incorporation of intergenerational resilience and cascading knowledge to communities. The findings highlighted potential benefits of youth-led mental health promotion that contextualizes intergenerational experiences for those communities. Peer educator roles should be supported by training, and mental health promotion should be integrated within local service systems. (© The Author(s) 2024. Published by Oxford University Press.)
Databáze:	MEDLINE
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