Health in Conflict Zones: Analyzing Inequalities in Mental Health in Colombian Conflict-Affected Territories.
Health in Conflict Zones: Analyzing Inequalities in Mental Health in Colombian Conflict-Affected Territories.
复制标题
冲突地区的健康：分析受哥伦比亚受冲突影响领土的心理健康不平等现象。
DOI：
10.3389/ijph.2021.595311
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发表时间：
2021
影响因子：
4.6
通讯作者：
Suhrcke M
中科院分区：
文献类型：
--
作者：
León-Giraldo S;Casas G;Cuervo-Sanchez JS;González-Uribe C;Bernal O;Moreno-Serra R;Suhrcke M
目标：哥伦比亚的国内冲突和持续的社会经济差距加剧了受冲突影响地区的精神健康不平等。我们探讨了心理健康不平等的严重程度，造成这些差异的社会经济因素，以及解释这些差异的社会人口特征。方法：这项研究利用了2018年收集的数据，使用了适用于哥伦比亚梅塔1309户家庭的家庭调查Conflicto，Paz y Salud(CONPAS)。采用Logistic回归和分解分析方法，采用自评问卷(SRQ-20)对心理健康障碍的危险因素进行分析。结果：社会经济地位较低的人患精神健康障碍的风险更高。强迫流离失所占测量到的精神健康不平等的31%。就业、教育水平、残疾和市政当局之间冲突发生率方面的差距也是其他促成因素。女性和残疾人患精神健康障碍的可能性分别是后者的2.3倍和1.2倍。结论：有必要处理造成受冲突影响地区精神健康不平等的已查明的风险因素和社会人口状况，因为这些因素阻碍了充分/公平地获得精神健康服务。
Objectives: Colombia’s civil conflict and persistent socio-economic disparities have contributed to mental health inequalities in conflict-affected territories. We explore the magnitude of mental health inequalities, contributing socio-economic factors, and sociodemographic characteristics that explain these differences. Methods: The study draws on data collected in 2018, using the household survey Conflicto, Paz y Salud (CONPAS) applied to 1,309 households in Meta, Colombia. Logistic regression and decomposition analysis were used to analyze the risk of mental health disorders, measured with the Self-Reporting Questionnaire -20 (SRQ-20). Results: Individuals with lower socio-economic status are at a higher risk for mental health disorders. Forced displacement accounts for 31% of the measured mental health inequalities. Disparities in employment, education level, disability and conflict incidence between municipalities are other contributing factors. Women and people with disabilities are respectively 2.3 and 1.2 times more prone to present a mental health disorder. Conclusion: It is necessary to tackle the identified risk factors and sociodemographic circumstances that contribute to mental health inequalities in conflict-affected territories, as these hinder adequate/equitable access to mental health services.
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影响因子：
4.8
作者：
Morasae EK;Forouzan AS;Majdzadeh R;Asadi-Lari M;Noorbala AA;Hosseinpoor AR
通讯作者：
Hosseinpoor AR
影响因子：
6.9
作者：
Maria Ibanez, Ana;Moya, Andres
通讯作者：
Moya, Andres
影响因子：
6.3
作者：
Richards, Anne;Ospina-Duque, Jorge;Marmar, Charles
通讯作者：
Marmar, Charles
影响因子：
3.5
作者：
Filmer, D;Pritchett, LH
通讯作者：
Pritchett, LH
影响因子：
4.6
作者：
Ricaurte, Jorge Cuartas;Lievano Karim, Laura;Hessel, Philipp
通讯作者：
Hessel, Philipp