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埃塞俄比亚南部锡尔特地区成年居民常见精神障碍的患病率及相关因素

Prevalence and Associated Factors of Common Mental Disorders Among Adult Residents in Silte Zone, Southern Ethiopia.

作者信息

Muze Mohammed, Denur Mehbub, Hussein Mubarek, Muzemil Mufta, Yesse Mubarek, Kedir Shemsu

机构信息

Department of Nursing, College of Medicine and Health Sciences, Werabe University, Southern Ethiopia.

Department of psychiatry, Werabe Comprehensive Specialized Hospital, Southern Ethiopia.

出版信息

Clin Pract Epidemiol Ment Health. 2021 Oct 15;17:128-135. doi: 10.2174/1745017902117010128. eCollection 2021.

Abstract

INTRODUCTION

Mental health problems appear to be increasing in importance in Africa. Mental and substance use disorders were the leading cause of yearly lived with disability in Sub-Saharan Africa. Evidence from previous studies shows considerable variation in the prevalence of these disorders. The most acceptable explanation for this wide variation is likely to be the fact that socio cultural factors are major determinants of mental disorders. Therefore a mental disorder has to be understood in a specific setting to develop effective and tailored interventions.

OBJECTIVE

The objective of this study was to determine the prevalence and associated factors of common mental disorders among adult residents in Silte Zone, southern Ethiopia.

METHODS

Community based cross-sectional study was conducted in the study area. A total of 1178 adults were selected by using a three-stage systematic sampling technique. The Self-Reporting Questionnaire (SRQ-20) was used to determine the prevalence of common mental disorders. Data were analyzed by using SPSS version 20. Both bivariate and multiple logistic regression analyses were employed to identify factors associated with common mental disorders.

RESULTS

The prevalence of common mental disorders among adults found to be 39.7%. Increased age (OR = 1.114; 95% CI = 1.095, 1.134), being female (OR = 9.421; 95% CI = 5.947, 14.926), poor social support (OR = 1.987; 95% CI = 1.358, 2.907) and having life threatening experience (OR = 2.162; 95% CI = 1.825, 2.562) were significantly associated with common mental disorders.

CONCLUSION

In the study, the magnitude of common mental disorders remains high in the study area. Increased age, being female, poor social support and having life-threatening experience were significantly associated with common mental disorders.

摘要

引言

心理健康问题在非洲的重要性似乎日益增加。精神和物质使用障碍是撒哈拉以南非洲地区每年导致残疾生活年数的主要原因。以往研究的证据表明,这些障碍的患病率存在很大差异。对这种广泛差异最合理的解释可能是社会文化因素是精神障碍的主要决定因素。因此,必须在特定环境中理解精神障碍,以便制定有效且量身定制的干预措施。

目的

本研究的目的是确定埃塞俄比亚南部锡尔特地区成年居民中常见精神障碍的患病率及其相关因素。

方法

在研究区域进行了基于社区的横断面研究。采用三阶段系统抽样技术共选取了1178名成年人。使用自评问卷(SRQ - 20)来确定常见精神障碍的患病率。数据采用SPSS 20版进行分析。采用双变量和多元逻辑回归分析来确定与常见精神障碍相关的因素。

结果

发现成年人中常见精神障碍的患病率为39.7%。年龄增加(比值比 = 1.114;95%置信区间 = 1.095,1.134)、女性(比值比 = 9.421;95%置信区间 = 5.947,14.926)、社会支持差(比值比 = 1.987;95%置信区间 = 1.358,2.907)以及有危及生命的经历(比值比 = 2.162;95%置信区间 = 1.825,2.562)与常见精神障碍显著相关。

结论

在该研究中,研究区域内常见精神障碍的患病率仍然很高。年龄增加、女性、社会支持差以及有危及生命的经历与常见精神障碍显著相关。

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