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Int J Public Health ; 64(5): 703-711, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31119303

RESUMO

ABSTARCT: OBJECTIVES: We analyzed the relation between exposure to the armed conflict and violence with mental health disorders in Colombia and assessed the extent and determinants of socioeconomic inequalities in mental health related to differential exposure to the conflict and violence. METHODS: Regression and decomposition analyses were used in combination with the 2015 nationally representative Mental Health Survey (N = 10,853). Mental health disorders were assessed using the Self-Reporting Questionnaire (SRQ 20), and socioeconomic status by a Multidimensional Poverty Index. RESULTS: 3% of adults have been victim of a violent crime and 13% victim of the armed conflict. Victims of the armed conflict have 1.74 times higher odds (p < .05) of suffering mental health disorders compared to non-victims. Differential exposure to the armed conflict among lower socioeconomic groups explains 86% of total inequality in mental health disorders. CONCLUSIONS: Interventions that increase quality and access of mental health treatments among victims of the conflict will not only lead to improvements in mental health among victims but also significantly reduce inequalities in mental health in Colombia.


Assuntos
Conflitos Armados/psicologia , Conflitos Armados/estatística & dados numéricos , Transtornos Mentais/epidemiologia , Pobreza/psicologia , Pobreza/estatística & dados numéricos , Violência/psicologia , Violência/estatística & dados numéricos , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Colômbia/epidemiologia , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Autorrelato , Classe Social , Fatores Socioeconômicos , Inquéritos e Questionários , Adulto Jovem
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