Sexual and nonsexual violence and mental health among male refugees from the Democratic Republic of Congo residing in Kampala, Uganda: a population-based survey.

Journal: Medicine, conflict, and survival

Volume: 39

Issue: 4

Year of Publication: 2023

Affiliated Institutions:  Division of Global HIV and TB, Centers for Disease Control and Prevention, Atlanta, USA. Division of Global HIV and TB, Centers for Disease Control and Prevention, Kampala, Uganda. Department of Psychiatry, Michigan State University, East Lansing, Michigan. Center for Victims of Torture and War, Swiss Red Cross, Bern, Switzerland. School of Public Health, Makerere University, Kampala, Uganda. Action Marguerite, Winnipeg, Manitoba, Canada. Global Sustainable Development Department, Warwick University, Coventry, UK.

Abstract summary 

We conducted a population-based survey in 2013 in Kampala, Uganda, to examine violence and mental health outcomes among self-settled male refugees from the Eastern Democratic Republic of Congo (DRC). Male DRC refugees aged 18+ years were sampled through respondent-driven sampling. Key interview domains included demographics, experiences of sexual and nonsexual violence, social support, PTSD, depression and suicide ideation. Data analysis was weighted to generate population-level estimates. We sampled 718 men (mean age: 33 years), most of whom had lived in North or South Kivu. Nonsexual violence, such as beatings (79.4%) and torture (63.8%), was frequent. A quarter (26.2%) had been raped; 49.9% of rape victims had been raped on multiple occasions, and 75.7% of rape victims had been gang raped. We estimated 52.8% had post-traumatic stress disorder (PTSD); 44.4% reported suicidal ideation. Numerous traumas were significantly ( < 0.05) associated with PTSD such as rape (adjusted odds ratio [aOR] = 1.82), war-related injuries (aOR = 2.90) or having been exposed to >15 traumas (compared to ≤10; aOR = 6.89). Traumata are frequent experiences in this self-settled male refugee population and are often accompanied by adverse mental health outcomes. Screening for trauma and adverse mental health outcomes and providing targeted services are paramount to improve these refugees' lives.

Authors & Co-authors:  Hladik Nasirumbi Muniina Familiar Kaiser Ogwal Serwadda Sande Kiyingi Siya Bahinduka Dolan

Study Outcome 

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Statistics
Citations : 
Authors :  10
Identifiers
Doi : 10.1080/13623699.2023.2263730
SSN : 1362-3699
Study Population
Men,Male
Mesh Terms
Male
Other Terms
DR Congo;conflict;male;mental health;refugees;sexual and nonsexual violence
Study Design
Study Approach
Country of Study
Uganda
Publication Country
England