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[哥伦比亚原住民的心理健康、情感痛苦、心理问题与障碍。来自2015年全国心理健康调查的数据]

[Mental Health, Emotional Suffering, Mental Problems and Disorders in Indigenous Colombians. Data From the National Mental Health Survey 2015].

作者信息

Gómez-Restrepo Carlos, Rincón Carlos Javier, Urrego-Mendoza Zulma

机构信息

Departamento de Epidemiología Clínica y Bioestadística, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana, Bogotá, Colombia; Departamento de Psiquiatría y Salud Mental, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana, Bogotá, Colombia.

Departamento de Epidemiología Clínica y Bioestadística, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana, Bogotá, Colombia.

出版信息

Rev Colomb Psiquiatr. 2016 Dec;45 Suppl 1:119-126. doi: 10.1016/j.rcp.2016.09.005. Epub 2016 Dec 2.

Abstract

BACKGROUND

Indigenous people represent 5% of the world population and one-third of the poor ones. Alcoholism rates, substance abuse problems, and mental disorders are shown to be higher than the general population.

METHODS

An analysis was made of the data from the National Mental Health Survey 2015. In this survey, it was asked if self-recognition as a native was according to the culture, the people, or physical features.

RESULTS

A total of 902 indigenous people were surveyed, corresponding to 8.3% of the surveyed adult population. The majority (39.5%) lived in the Pacific region, with 23.7% Atlantic region, and 20% in the Eastern region. More than one-quarter (26.6%) reported a status of poverty, 31.7% spoke the language of their people, and 17.8% reported displacement due to violence. Mental health was defined as, "having good physical health, to eat, sleep and rest, by 42.9%. As regards problems and mental disorders, 8% reported excessive consumption and 7.9% a risk consumption of alcohol. As regards general psychopathology, measured by the (Self-reporting questionnaire) SRQ, 8.1% of the population had symptoms. The life prevalences of anxiety and depressive mental disorders were reported by 6.7% women and 8.4% men, and the associated risk factors that show higher risk were: aged between 18 to 44 years, not speaking the language of their people, living in Bogota, living in urban areas, and consuming psychoactive substances and tobacco.

CONCLUSIONS

People who recognised themselves as indigenous have higher rates of displacement by violence, report problems and common mental disorders that are associated with factors consistent with loss of cultural characteristics.

摘要

背景

原住民占世界人口的5%,占贫困人口的三分之一。酗酒率、药物滥用问题和精神障碍的发生率高于普通人群。

方法

对2015年全国心理健康调查的数据进行了分析。在这项调查中,询问了自我认同为原住民是基于文化、民族还是身体特征。

结果

共调查了902名原住民,占被调查成年人口的8.3%。大多数人(39.5%)生活在太平洋地区,23.7%生活在大西洋地区,20%生活在东部地区。超过四分之一(26.6%)的人报告处于贫困状态,31.7%的人说本民族语言,17.8%的人报告因暴力而流离失所。42.9%的人将心理健康定义为“身体健康良好,能饮食、睡眠和休息”。关于问题和精神障碍,8%的人报告饮酒过量,7.9%的人报告有饮酒风险。以(自填问卷)SRQ衡量的一般精神病理学方面,8.1%的人口有症状。焦虑和抑郁性精神障碍的终生患病率,女性报告为6.7%,男性报告为8.4%,显示出较高风险的相关危险因素为:年龄在18至44岁之间、不说本民族语言、居住在波哥大、居住在城市地区以及使用精神活性物质和烟草。

结论

自我认同为原住民的人因暴力而流离失所的比例较高,报告的问题和常见精神障碍与与文化特征丧失相关的因素有关。

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