Psychological distress and associated factors among the attendees of traditional healing practices in Jinja and Iganga districts, Eastern Uganda: a cross-sectional study.
Psychological distress and associated factors among the attendees of traditional healing practices in Jinja and Iganga districts, Eastern Uganda: a cross-sectional study.
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DOI：
10.1186/1752-4458-2-16
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发表时间：
2008-12-23
影响因子：
3.6
通讯作者：
Musisi, Seggane
中科院分区：
文献类型：
--
作者：
Abbo, Catherine;Ekblad, Solvig;Musisi, Seggane
背景：心理健康问题是全球主要的公共卫生问题。有证据表明，包括乌干达在内的非洲社区既使用现代治疗系统，也使用传统治疗系统。关于传统治疗实践参与者的心理困扰程度和相关因素的文献有限。本研究的目的是确定的患病率和相关因素的心理困扰之间的传统治疗的做法在两个地区在乌干达。方法：面对面的采访与自我报告问卷（SRQ-20）的Lusoga版本进行了400例患者的年龄在18岁以上参加传统的愈合在乌干达东部的伊甘加和金贾区。在该地区可以参观的所有传统治疗师圣地连续招募病人。对SRQ有6个或更多积极回答的人被确定为有心理困扰。结果：共回收问卷387份，进行多因素Logistic回归分析。与前往传统治疗师的圣地有关的心理困扰的发生率为65.1%。有一个共同的妻子和有四个以上的孩子与心理困扰显著相关。在社会经济指标中，缺乏食物和债务与心理困扰显著相关。而处于痛苦中的那一组更可能需要对健康状况不佳的解释。那些谁访问了医治者和健康unit.CONCLUSION：这项研究提供的证据表明，相当大比例的传统治疗方法的与会者遭受心理困扰的可能性较小。相关因素包括贫困、子女人数、一夫多妻制、求医的原因以及同时使用传统治疗和生物医学保健单位。这些发现可能有助于政策制定者和生物医学卫生工作者与传统治疗师的接触。
BACKGROUND: Mental health problems are a major public health concern worldwide. Evidence shows that African communities, including Uganda, use both modern and traditional healing systems. There is limited literature about the magnitude of psychological distress and associated factors among attendees of traditional healing practices. This study aimed to determine the prevalence and associated factors of psychological distress among attendees of traditional healing practices in two districts in Uganda.METHODS: Face-to-face interviews with the Lusoga version of the Self Reporting Questionnaire (SRQ-20) were carried out with 400 patients over the age of 18 years attending traditional healing in Iganga and Jinja districts in Eastern Uganda. Patients were recruited consecutively in all the traditional healers' shrines that could be visited in the area. Persons with 6 or more positive responses to the SRQ were identified as having psychological distress. Prevalence was estimated and odds ratios of having psychological distress were obtained with multiple logistic regression analysis.RESULTS: 387 questionnaire responses were analyzed. The prevalence of psychological distress in connection with attendance at the traditional healers' shrines was 65.1%. Having a co-wife and having more than four children were significantly associated with psyclogical distress. Among the socioeconomic indicators, lack of food and having debts were significantly associated with psychological distress. The distressed group was more likely to need explanations for ill health. Those who visited both the healer and a health unit were less likely to be distressed.CONCLUSION: This study provides evidence that a substantial proportion of attendees of traditional healing practices suffer from psychological distress. Associated factors include poverty, number of children, polygamy, reason for visiting the healer and use of both traditional healing and biomedical health units. These findings may be useful for policy makers and biomedical health workers for the engagement with traditional healers.