Prevalence of severe mental distress and its correlates in a population-based study in rural south-west Uganda 英文参考文献.docVIP

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Prevalence of severe mental distress and its correlates in a population-based study in rural south-west Uganda 英文参考文献.doc

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Prevalence of severe mental distress and its correlates in a population-based study in rural south-west Uganda 英文参考文献

Kinyandaetal.BMCPsychiatry2011,11:97 /1471-244X/11/97 RESEARCH ARTICLE OpenAccess Prevalenceofseverementaldistressandits correlatesinapopulation-basedstudyinrural south-westUganda EugeneKinyanda1*,LabanWaswa1,KathyBaisley2andDermotMaher1,2 Abstract Background:Theproblemofseverementaldistress(SMD)insub-SaharanAfricaisdifficulttoinvestigategiven thatasubstantialproportionofpatientswithSMDneveraccessformalhealthcare. ThisstudysetouttoinvestigateSMDandit’sassociatedfactorsinaruralpopulation-basedcohortinsouth-west Uganda. Methods:6,663respondentsaged13yearsandaboveinageneralpopulationcohortinsouthwesternUganda werescreenedforprobableSMDandpossibleassociatedfactors. Results:0.9%screenedpositiveforprobableSMD.ThefactorssignificantlyassociatedwithSMDincludedolder age,malesex,lowsocio-economicstatus,beingacurrentsmoker,havingmultipleornosexualpartnersinthe pastyear,reportedepilepsyandconsultingatraditionalhealer. Conclusion:SMDinthisstudywasassociatedwithbothsocio-demographicandbehaviouralfactors.The associationbetweenSMDandhighrisksexualbehaviourcallsfortheintegrationofHIVpreventioninmental healthcareprogrammesinhighHIVprevalencesettings. Background themajority,thecommunitiesstillbelievethattheseill- Governments in sub-Saharan Africa including those in nesses are due tonon-medical causes. We also desired Uganda,LiberiaandSouthernSudanareslowlyrealizing to use a category amendable to use by non-medical that mental illness makes a significant contribution to the overall health burden which is projected to rise. interviewers. SMDasconceivedinthisstudyandinthissocio-cul- Governments have therefore started to include mental tural setting may be due to the following causes: i) healthintheminimumhealthcarepackagetobedeliv- severe mental illnesses- schizophrenia, paranoid psy- ered through an integrated approach in the existing chosesandmanic-depressivedisorder;ii)acutetransient primaryhealthcaresystem[1-3].Mentalillnessencom- psychosessecondarytosocio-cultur