Study protocol of personal characteristics and socio-cultural factors associated with mental health and quality of life of residents living in violent territories

Study protocol of personal characteristics and socio-cultural factors associated with mental health and quality of life of residents living in violent territories
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DOI:
10.1186/s12888-020-02487-2
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发表时间:
2020-03-03
期刊:
影响因子:
4.4
通讯作者:
Heritage, Paul
Heritage, Paul
中科院分区:
医学2区
文献类型:
--
作者:
Cruz, Marcelo Santos;Silva, Eliana;Heritage, Paul

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背景 在世界各地,数以百万计的人生活在贫困的城市环境中,经常遭受暴力,遭受精神困扰。几乎没有证据表明生活在这种环境中的人们的哪些特征与较低或较高程度的精神痛苦有关,以及他们如何应对暴力经历。方法/设计本研究是“构建路障”研究项目(ES/S000720/1 ESRC-AHRC GCRF 心理健康 2017)的一部分,该项目采用混合方法。定量和定性研究将在巴西里约热内卢马雷地区的 16 个贫民窟进行。这项定量研究包括对 1200 名随机选择的居住在马雷的成年人和 200 名经常光顾开放式毒品场所的人进行调查。该调查将评估社会人口特征、不同形式暴力的经历、身心健康状况(包括吸毒)以及对文化消费和生产的积极参与。在定性研究中,我们将进行 60 次深度访谈和从调查受访者中选出的 8 个焦点小组参与者,以更详细地评估他们的暴力经历和应对策略。为了分析定量数据,我们将使用描述性统计并探索单变量和多变量分析中的关联。定性数据将进行主题分析。讨论 这是一项探索性研究,旨在确定特征和应对策略,这些特征和应对策略似乎可以帮助人们克服贫困地区的暴力经历,而不会产生精神困扰。研究结果可以为减少精神困扰和改善生活在受暴力影响的城市地区的人们的生活质量的政策提供参考。
Background Throughout the world, millions of people living in deprived urban environments with frequent experiences of violence are mentally distressed. There is little evidence about which characteristics of people living in such environments are associated with lower or higher levels of mental distress and how they may cope with experiences of violence. Methods/Design This study is part of the research project 'Building the Barricades' (ES/S000720/1 ESRC-AHRC GCRF Mental Health 2017), which uses a mixed-method approach. Quantitative and qualitative studies will be conducted in 16 favelas in the area of Mare in Rio de Janeiro, Brazil. The quantitative study consists of a survey of 1200 randomly selected adults living in Mare and of 200 individuals who frequent the open-use drug sites. The survey will assess sociodemographic characteristics, experiences of different forms of violence, physical and mental health status (including drug use) and active participation in cultural consumption and production. In the qualitative study we will conduct 60 in-depth interviews and 8 focus groups of participants selected from respondents to the survey to assess in more detail their experiences of violence and coping strategies. In order to analyze the quantitative data we will use descriptive statistics and explore associations in uni- and multi-variable analyses. Qualitative data will be subjected to thematic analysis. Discussion This is an exploratory study to identify characteristics and coping strategies that appear to help people to overcome experiences of violence in deprived areas without developing mental distress. The findings could inform policies to reduce mental distress and improve the quality of life of people living in urban areas affected by violence.