Public Perceptions and Correlates Regarding the Potential Role of Community Pharmacists in Mental Healthcare: A Cross-sectional Study in Jordan

Authors

  • Asma' M. Ayasreh Faculty of Pharmacy, Jerash University, Jerash 26150, Jordan
  • Amjad H. Bazzari Department of Basic Scientific Sciences, Faculty of Science, Applied Science Private University, Amman 11931, Jordan
  • Firas H. Bazzari Faculty of Pharmacy, Jerash University, Jerash 26150, Jordan

DOI:

https://doi.org/10.35516/jjps.v19i1.3535

Keywords:

Mental Health, Stigma, Pharmacy Practice, Community Pharmacy, Healthcare System

Abstract

Background: Accumulating evidence suggests significant benefits for incorporating community pharmacists in mental healthcare in the face of the increasing prevalence of mental disorders worldwide with a substantial socioeconomic burden.

Objectives: Herein, we aim to investigate the Jordanian public perceptions in this regard and identify associated factors in terms of demographics, attitudes, and experiences.

Methods: The study was conducted via an online questionnaire composed of three components: demographics, attitudes and experiences regarding mental illness, and attitudes towards a role for community pharmacists in mental healthcare, and a total of 1042 adults participated.

Results: The results revealed a high prevalence of mental illness, with 23.8% having suffered a mental illness and 20.6% having been prescribed medication for it. The latter was higher among males (OR: 1.59, P<0.01) and health-uninsured individuals (OR: 1.71, P<0.01) as well as those with lower income (P<0.05) and educational level (P<0.01). A high degree of shame regarding mental illness (30.4%), especially among lower-income individuals (P<0.05), was also observed, with 26.5% not knowing where to find mental health support, which associated with lower education (P<0.05) and lack of insurance (OR: 1.82, P<0.01). Most participants support the idea of mental healthcare by community pharmacists (80.1%), would not be shy about it (65.1%), believe it provides enough privacy (60.8%), trust their advice (87.9%) and qualifications (63.6%), believe in their roles in mental illness management (69.6%) and that these extend beyond dispensing medications (82.7%). A significantly higher level of support for mental healthcare by pharmacists was observed among females (P<0.05), younger (P<0.05), less-educated (P<0.01), and non-working individuals (P<0.01) as well as those who have been prescribed a medication for a mental illness (P<0.05).

Conclusions: The findings indicate an adequate degree of public acceptance for integrating community pharmacists in mental healthcare in Jordan and identify various factors to be considered for raising awareness and promoting pharmacists’ roles in mental healthcare.

References

World Health Organization, Mental Disorders. https://www.who.int/news-room/fact-sheets/detail/mental-disorders, 2022 [Accessed 18 September 2024].

Arias D., Saxena S. and Verguet S. Quantifying the global burden of mental disorders and their economic value. EClinicalMedicine 2022; 54:101675. DOI: https://doi.org/10.1016/j.eclinm.2022.101675

World Health Organization, WHO European framework for action on mental health 2021–2025. https://iris.who.int/bitstream/handle/10665/352549/9789289057813-eng.pdf, 2021 [Accessed 18 September 2024].

Roth C., Wensing M., Kuzman M.R., Bjedov S., Medved S., Istvanovic A., Grbic D.S., Simetin I.P., Tomcuk A., Dedovic J., Djurisic T. Experiences of healthcare staff providing community-based mental healthcare as a multidisciplinary community mental health team in Central and Eastern Europe: findings from the RECOVER-E project. BMC Psychiatry 2021; 21:525. DOI: https://doi.org/10.1186/s12888-021-03542-2

Bazzari F.H., Bazzari A.H. Attitudes and knowledge regarding the therapeutic use of cannabinoids among community pharmacists: a pilot cross-sectional study in Amman, Jordan. Healthcare 2023; 11:694. DOI: https://doi.org/10.3390/healthcare11050694

Kyle J.A. The role of the community pharmacist in mental health. US Pharm. 2018; 43:13-20.

El-Den S., Collins J.C., Chen T.F., O'reilly C.L. Pharmacists' roles in mental healthcare: past, present and future. Pharm. Pract. 2021; 19:2545. DOI: https://doi.org/10.18549/PharmPract.2021.3.2545

Alshorman D.Z., Bazzari A.H., Bazzari F.H. Comprehensive assessment of demographic and occupational factors influencing burnout amongst community pharmacists in Jordan. Pharmacia 2024;71:e123247. DOI: https://doi.org/10.3897/pharmacia.71.e123247

He M., Li K., Tan X., Zhang L., Su C., Luo K., Luo X., Liu C., Zhao M., Zhan X., Wang Q. Association of burnout with depression in pharmacists: a network analysis. Front. Psychiatry 2023; 14:1145606. DOI: https://doi.org/10.3389/fpsyt.2023.1145606

Bazzari A.H., Bazzari F.H. Assessing stigma towards mental illness in relation to demographics, attitudes, and past experiences among pharmacy students in a Jordanian university sample. Behav. Sci. 2023; 13:884. DOI: https://doi.org/10.3390/bs13110884

Batarseh Y., Abukhalaf M., Fakhoury R., Alfalah L., Wazaify M. Mental health literacy and stigma towards patients with mental health disorders among pharmacists in the MENA region. J. Pharm. Health Serv. Res. 2022; 13:143-150. DOI: https://doi.org/10.1093/jphsr/rmac017

Crespo-Gonzalez C., Dineen-Griffin S., Rae J., Hill R.A. Mental health training programs for community pharmacists, pharmacy staff and students: A systematic review. Res. Social Adm. Pharm. 2022; 18:3895-3910. DOI: https://doi.org/10.1016/j.sapharm.2022.06.006

Gregory P.A., Austin Z. Understanding the psychology of trust between patients and their community pharmacists. Can. Pharm. J. 2021; 154:120-128. DOI: https://doi.org/10.1177/1715163521989760

El-Kholy A.A., Abdelaal K., Alqhtani H., Abdel-Wahab B.A., Abdel-Latif M.M. Publics’ perceptions of community pharmacists and satisfaction with pharmacy services in Al-Madinah City, Saudi Arabia: a cross-sectional study. Medicina 2022; 58:432. DOI: https://doi.org/10.3390/medicina58030432

Jordan Pharmacists Association (JPA), Our Association in Short Lines. https://www.jpa.org.jo/fy-stwr, 2024 [Accessed 18 September 2024].

Mukattash T.L., Bazzi N.H., Nuseir K.Q., Jarab A.S., Abu-Farha R.K., Khdour M.R. Pharmaceutical care in community pharmacies in Jordan: a public survey. Pharm. Pract. 2018; 16:1126. DOI: https://doi.org/10.18549/PharmPract.2018.02.1126

Worldometer, Jordan Population. https://www.worldometers.info/world-population/jordan-population/, 2024 [Accessed 28 March 2024].

SurveyMonkey, Sample size calculator. https://www.surveymonkey.com/mp/sample-size-calculator/, 2024 [Accessed 28 March 2024].

World Medical Association, WMA Declaration of Helsinki—Ethical Principles for Medical Research Involving Human Subjects. https://www.wma.net/policies-post/wma-declaration-of-helsinki-ethical-principles-for-medical-research-involving-human-subjects/, 1964 [Accessed 28 March 2024].

Department of Statistics, Jordan Statistical Yearbook 2023. https://dosweb.dos.gov.jo/product/jordan-statistical-yearbook-2023/, 2023 [Accessed 20 September 2024].

Li B., Allebeck P., Burstöm B., Danielsson A.K., Degenhardt L., Eikemo T.A., Ferrari A., Knudsen A., Lundin A., Manhica H., Newton J. Educational level and the risk of mental disorders, substance use disorders, and self-harm in different age groups: a cohort study covering 1.6 million subjects in the Stockholm region. Int. J. Methods Psychiatr. Res. 2023; 32. DOI: https://doi.org/10.1002/mpr.1964

Halme M., Rautava P., Sillanmäki L., Sumanen M., Suominen S., Vahtera J., Virtanen P., Salo P. Educational level and the use of mental health services, psychotropic medication and psychotherapy among adults with a history of physician diagnosed mental disorders. Int. J. Soc. Psychiatry 2023; 69:493-502. DOI: https://doi.org/10.1177/00207640221111091

Niemeyer H., Bieda A., Michalak J., Schneider S., Margraf J. Education and mental health: do psychosocial resources matter? SSM Popul. Health 2019; 7:100392. DOI: https://doi.org/10.1016/j.ssmph.2019.100392

Kristiansen S.T., Videbech P., Kragh M., Thisted C.N., Bjerrum M.B. Patient experiences of patient education on psychiatric inpatient wards: a systematic review. Patient Educ. Couns. 2018; 101:389-398. DOI: https://doi.org/10.1016/j.pec.2017.09.005

Bjørnsen H.N., Espnes G.A., Eilertsen M.E., Ringdal R., Moksnes U.K. The relationship between positive mental health literacy and mental well-being among adolescents: implications for school health services. J. Sch. Nurs. 2019; 35:107-116. DOI: https://doi.org/10.1177/1059840517732125

Abd El Salam A.E., AbdAllah A.M., El Maghawry H.A. Effect of health education program on improving knowledge and attitude towards mental health stigma and professional help-seeking among adolescents. Middle East Curr. Psychiatr. 2023; 30:32. DOI: https://doi.org/10.1186/s43045-023-00298-1

Shim Y.R., Eaker R., Park J. Mental health education, awareness and stigma regarding mental illness among college students. J. Ment. Health Clin. Psychol. 2022; 6:6-15. DOI: https://doi.org/10.29245/2578-2959/2022/2.1258

Pengpid S., Peltzer K., Anantanasuwong D. Marital status, marital transition and health behaviour and mental health outcomes among middle-aged and older adults in Thailand: a national longitudinal study. Arch. Gerontol. Geriatr. 2024; 117:105196. DOI: https://doi.org/10.1016/j.archger.2023.105196

Spiker R.L., Mental Health and Marital Status, In: Cockerham W.C., Dingwall R., Quah S. (Eds.), The Wiley Blackwell Encyclopedia of Health, Illness, Behavior, and Society, Wiley Blackwell, 2014. DOI: https://doi.org/10.1002/9781118410868.wbehibs256

Vaingankar J.A., Abdin E., Chong S.A., Shafie S., Sambasivam R., Zhang Y.J., Chang S., Chua B.Y., Shahwan S., Jeyagurunathan A., Kwok K.W. The association of mental disorders with perceived social support, and the role of marital status: results from a national cross-sectional survey. Arch. Public Health 2020; 78:108. DOI: https://doi.org/10.1186/s13690-020-00476-1

DeRigne L., Porterfield S., Metz S. The influence of health insurance on parents’ reports of children’s unmet mental health needs. Matern. Child Health J. 2009; 13:176-186. DOI: https://doi.org/10.1007/s10995-008-0346-0

Bartelink V.H., K Z.Y., Guldbrandsson K., Bremberg S. Unemployment among young people and mental health: A systematic review. Scand. J. Public Health 2020; 48:544-558. DOI: https://doi.org/10.1177/1403494819852847

Knifton L., Inglis G. Poverty and mental health: policy, practice and research implications. BJPsych. Bull. 2020; 44:193-196. DOI: https://doi.org/10.1192/bjb.2020.78

Ibrahim N.K., Epidemiology of Mental Health Problems in the Middle East, In: Laher I. (Eds.), Handbook of Healthcare in the Arab World, Springer, Cham, 2021. DOI: https://doi.org/10.1007/978-3-030-36811-1_12

Sewilam A.M., Watson A.M., Kassem A.M., Clifton S., McDonald M.C., Lipski R., Deshpande S., Mansour H., Nimgaonkar V.L. Suggested avenues to reduce the stigma of mental illness in the Middle East. Int. J. Soc. Psychiatry 2015; 61:111-120. DOI: https://doi.org/10.1177/0020764014537234

Downloads

Published

2026-01-12

How to Cite

Ayasreh, A. M., Bazzari, A. H., & Bazzari, F. H. (2026). Public Perceptions and Correlates Regarding the Potential Role of Community Pharmacists in Mental Healthcare: A Cross-sectional Study in Jordan. Jordan Journal of Pharmaceutical Sciences, 19(1), 36–51. https://doi.org/10.35516/jjps.v19i1.3535

Issue

Section

Articles
Received 2024-10-18
Accepted 2024-12-12
Published 2026-01-12

Similar Articles

1 2 3 4 5 6 7 8 9 10 > >> 

You may also start an advanced similarity search for this article.