Abstract：
OBJECTIVE: To characterise social determinants of health, mental health problems and potentially problematic symptoms in the adult population displaced by internal armed conflict in Colombia.
METHODS: Cross-sectional descriptive study with a random sample of 98 adults forcefully displaced to Soacha, Colombia, due to internal armed conflict. The Self Report Questionnaire to detect potentially problematic mental health problems and symptoms, and a structured questionnaire on social determinants of health were applied.
RESULTS: The median age was 38 [interquartile range, 28-46] years, and women predominated (69.39%). The median time since displacement was 36 [16-48] months, and time since settlement in Soacha, 48 [5-48] months. 86.32% survived on less than the minimum wage per month and 93.87% did not have an employment contract. 42.86% and 7.14% reported being owners of their homes before and after displacement, respectively. Upon arriving in Soacha, 79.60% went to primary support networks and 3% to institutions. Before displacement, 16.33% lacked health insurance and 27.55% afterwards. Regarding mental health problems; there were possible depressive or anxious disorders in 57.29%; possible psychosis in 36.73%; and potentially problematic symptoms in 91.66%, being more prevalent and serious in women (p = 0.0025).
CONCLUSIONS: A deterioration in living conditions and a higher prevalence of potentially problematic mental health problems and symptoms was reported in displaced adult populations settled in Soacha compared to other regions of the country. Analyses with complementary perspectives are required to evaluate these differences.
METHODS: Cross-sectional descriptive study with a random sample of 98 adults forcefully displaced to Soacha, Colombia, due to internal armed conflict. The Self Report Questionnaire to detect potentially problematic mental health problems and symptoms, and a structured questionnaire on social determinants of health were applied.
RESULTS: The median age was 38 [interquartile range, 28-46] years, and women predominated (69.39%). The median time since displacement was 36 [16-48] months, and time since settlement in Soacha, 48 [5-48] months. 86.32% survived on less than the minimum wage per month and 93.87% did not have an employment contract. 42.86% and 7.14% reported being owners of their homes before and after displacement, respectively. Upon arriving in Soacha, 79.60% went to primary support networks and 3% to institutions. Before displacement, 16.33% lacked health insurance and 27.55% afterwards. Regarding mental health problems; there were possible depressive or anxious disorders in 57.29%; possible psychosis in 36.73%; and potentially problematic symptoms in 91.66%, being more prevalent and serious in women (p = 0.0025).
CONCLUSIONS: A deterioration in living conditions and a higher prevalence of potentially problematic mental health problems and symptoms was reported in displaced adult populations settled in Soacha compared to other regions of the country. Analyses with complementary perspectives are required to evaluate these differences.
摘要：
目标：表征健康的社会决定因素，哥伦比亚因内部武装冲突而流离失所的成年人口的心理健康问题和潜在问题症状。
方法：横断面描述性研究，随机抽取98名被强行转移到Soacha的成年人，哥伦比亚,由于国内武装冲突。自我报告问卷，以检测潜在的问题心理健康问题和症状，并应用了关于健康社会决定因素的结构化问卷。
结果：中位年龄为38[四分位距，28-46年，女性占主导地位(69.39%)。流离失所以来的中位时间为36[16-48]个月，以及在索阿查定居以来的时间，48[5-48]个月。86.32％的人每月工资低于最低工资，93.87％的人没有劳动合同。42.86%和7.14%的人报告说在流离失所之前和之后是他们的房屋所有者，分别。一到达Soacha,79.60％用于主要支持网络，3％用于机构。在流离失所之前，16.33％的人缺乏健康保险，之后的27.55％。关于心理健康问题；57.29%的人可能有抑郁或焦虑障碍；36.73%的人可能有精神病；91.66%的人可能有问题症状，在女性中更为普遍和严重（p=0.0025）。
结论：据报道，与该国其他地区相比，定居在Soacha的流离失所成年人群的生活条件恶化，潜在有问题的心理健康问题和症状的患病率更高。需要具有互补观点的分析来评估这些差异。
方法：横断面描述性研究，随机抽取98名被强行转移到Soacha的成年人，哥伦比亚,由于国内武装冲突。自我报告问卷，以检测潜在的问题心理健康问题和症状，并应用了关于健康社会决定因素的结构化问卷。
结果：中位年龄为38[四分位距，28-46年，女性占主导地位(69.39%)。流离失所以来的中位时间为36[16-48]个月，以及在索阿查定居以来的时间，48[5-48]个月。86.32％的人每月工资低于最低工资，93.87％的人没有劳动合同。42.86%和7.14%的人报告说在流离失所之前和之后是他们的房屋所有者，分别。一到达Soacha,79.60％用于主要支持网络，3％用于机构。在流离失所之前，16.33％的人缺乏健康保险，之后的27.55％。关于心理健康问题；57.29%的人可能有抑郁或焦虑障碍；36.73%的人可能有精神病；91.66%的人可能有问题症状，在女性中更为普遍和严重（p=0.0025）。
结论：据报道，与该国其他地区相比，定居在Soacha的流离失所成年人群的生活条件恶化，潜在有问题的心理健康问题和症状的患病率更高。需要具有互补观点的分析来评估这些差异。
