The prevalence and factors associated with mental disorders in a community setting in central Uganda.

Journal: PloS one

Volume: 18

Issue: 5

Year of Publication: 2023

Affiliated Institutions:  Department of Psychiatry, Makerere University College of Health Sciences, Kampala, Uganda. Department of Pharmacology, Makerere University College of Health Sciences, Kampala, Uganda. Health Systems Strengthening Cluster, World Health Organization, Kenya Country Office, Gigiri, Kenya. Grants office, Makerere University College of Health Sciences, Kampala, Uganda. Department of Mental Health, Ministry of Health of Uganda, Kampala, Uganda.

Abstract summary 

Mental disorders are known to predict poverty, morbidity and mortality. In resource limited settings, low levels of mental health literacy (MHL) and high mental illness stigma (MIS) have been sighted as possible factors that may impede access to mental health care. However, little has been done to examine the association between mental disorders and these factors (MHL and MIS) in sub-Saharan Africa.We assessed for the prevalence of major depressive disorders (MDD), substance use disorders (SUD), post-traumatic stress disorder (PTSD), generalized anxiety disorder (GAD), documented MHL and MIS among 814 participants from 24 villages in central Uganda. We conducted regression analyses to examine the association between the prevalence of mental disorders, demographic factors as well as MIS and MHL.Over two thirds of the participants 581 (70%) were female. The mean age of the participants was 38 years (SD± 13.5). The prevalence of mental disorders ranged from 6.8-32%. Participants who were older were less likely to screen positive for GAD (OR 0.98; 0.96-0.99), female gender was protective against SUD (OR 0.46; 0.3-0.68) and those with MDD had lower education level (OR 0.23; 0.1-0.53). The mean MIS score was 11.3 (SD± 5.4) with a range of 6-30 and the mean MHL score was 21.7 (SD ±3.0) with a range of 10-30. MIS was negatively associated with GAD [β = -1.211 (-2.382 to -0.040)]. There no statistically significant association between MHL and a mental disorder.There was a high prevalence of mental disorders in the community that we studied. Adequate resources should be allocated to address this burden.

Authors & Co-authors:  Akena Kiguba Muwhezi Kwesiga Kigozi Lukwata Nakasujja

Study Outcome 

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Statistics
Citations :  Jörns-Presentati Astrid, Napp Ann-Kathrin, Dessauvagie Anja S., Stein Dan J., Jonker Deborah, Breet Elsie, et al.. The prevalence of mental health problems in sub-Saharan adolescents: A systematic review. PLoS ONE 2021;16(5):e0251689. 10.1371/journal.pone.
Authors :  7
Identifiers
Doi : e0285091
SSN : 1932-6203
Study Population
Female
Mesh Terms
Humans
Other Terms
Study Design
Study Approach
Country of Study
Uganda
Publication Country
United States