关键词: Depression IDP Tigray War

Mesh : Humans Depression / psychology Stress Disorders, Post-Traumatic / psychology Prevalence Cross-Sectional Studies Depressive Disorder / complications

来  源:   DOI:10.1186/s12888-023-05333-3   PDF(Pubmed)

Abstract:
Displacement is a psychologically stressful event. Since the war began, the people of Tigray were subjected to stressful events such as torture, rape, the killing of a family member, forced displacement, and even ethnic cleansing in their home countries. Especially displaced individuals are faced mental health problems. This study aimed to assess the prevalence of depression and associated factors among community internally displaced people due to the war on Tigray, in 2021.
The community-based cross-sectional study design was applied from August 06 to 30, 2021 in all Weredas of Tigray. A total of 1,990 cIDP were recruited through a two-stage sampling technique. A structured and standardized questionnaire was used to collect data. Both bivariate and multivariable logistic regression was applied to identify associated risk factors and AOR with 95% confidence interval was used to select statistically significant variables.
The prevalence of depression among internally displaced people was 81.2% (95% CI: 79.4-83%), with more than 60% categorized as moderate and severe depression. The married and divorced marital status, being government employee, having family size >  = 4, destruction of household fixed assets, looting of cereals, and having disabled family members due to the war were the significantly associated risk factors of depression.
The prevalence of depression among community internally displaced people during the war on Tigray is very high compared to other studies conducted elsewhere. Almost 8 of 10 IDPs are developed depression and this is a very series health issue that needs immediate intervention by local, international organizations and communities around the world.
摘要:
背景:位移是一种心理压力事件。自从战争开始,提格雷的人民遭受了诸如酷刑之类的压力事件,强奸,杀害一个家庭成员,强迫流离失所,甚至在他们的祖国进行种族清洗。特别是流离失所者面临心理健康问题。这项研究旨在评估由于提格雷战争而导致的社区国内流离失所者中抑郁症的患病率和相关因素。2021年。
方法:基于社区的横断面研究设计于2021年8月6日至30日在Tigray的所有Weredas中应用。通过两阶段抽样技术共招募了1,990名cIDP。使用结构化和标准化的问卷来收集数据。应用双变量和多变量逻辑回归来识别相关的危险因素,并使用具有95%置信区间的AOR来选择具有统计学意义的变量。
结果:国内流离失所者的抑郁症患病率为81.2%(95%CI:79.4-83%),超过60%被归类为中度和重度抑郁症。已婚和离婚的婚姻状况,作为政府雇员,家庭规模>=4,家庭固定资产破坏,掠夺谷物,和有残疾的家庭成员由于战争是抑郁症的显著相关的危险因素。
结论:与其他地方进行的其他研究相比,在提格雷战争期间,社区国内流离失所者的抑郁症患病率非常高。10名国内流离失所者中几乎有8名患有抑郁症,这是一个非常系列的健康问题,需要当地立即干预,世界各地的国际组织和社区。
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