Sociodemographic correlates and associated factors of depression and anxiety among internally displaced adults in Ogoja, Nigeria.

Journal: General psychiatry

Volume: 35

Issue: 2

Year of Publication: 

Affiliated Institutions:  Public Health, University of Calabar, Calabar, Cross River, Nigeria.

Abstract summary 

Displaced persons in Nigeria experience various difficulties at different stages of their displacement, including mental and physical problems. These experiences have been associated with different types of mental disorders.This study sought to identify sociodemographic correlates and other factors associated with depression and anxiety among internally displaced adults in Ogoja, Cross River State, Nigeria.A cross-sectional study was conducted using non-probability and probability sampling techniques. Internally displaced adults (n=335) were identified in Ogoja locations with a high prevalence of internally displaced persons (IDPs). Their mental health symptoms were assessed using the Common Mental Disorder Questionnaire, and a semistructured questionnaire was employed to collect data on sociodemographic and displacement-related characteristics. Data were analysed using descriptive statistics, χ analysis and multivariable logistic regression.The prevalence of subtypes was 66.0% for anxiety disorder and 73.4% for depression. Factors found to be significant in each bivariate χ analysis were modelled for each outcome. The multivariate analysis revealed that prolonged displacement (adjusted odds ratio (AOR)=3.64; p0.048), reduced family size (AOR=0.28; p<0.001) and fears of reprisal attacks (AOR=4.19; p0.004) were significantly associated with anxiety disorder. Male gender (AOR=2.09; p0.015), prolonged displacement (AOR=3.55; p0.020), reduced family size (AOR=0.55; p0.049), financial strain (AOR=5.43; p0.023) and loss of loved ones (AOR=1.92; p=0.040) were significantly associated with depression.The implications of the findings underline the complex aetiology of these two mental problems and the need to cater to the well-being of those at risk who have been exposed to trauma-related events. Accessible and affordable mental health services should be provided for these persons while also considering a social welfare scheme that covers their health expenses. Moreover, socioeconomic conditions targeting IDPs in the Ogoja Local Government Area should be improved by conducting large-scale mapping to identify this population.

Authors & Co-authors:  Ugbe Ugbe Maurice-Joel UM Esu Ekpereonne Babatunde EB Efut Joseph Ajah JA Bisongedam Marvin Muji MM Awa Theresa Mark TM Ekpo Ofem Irom OI

Study Outcome 

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Statistics
Citations :  Internal Displacement Monitoring Center . Global report on internal displacement, 2020. Available: http://www.internal–displacement.org/sites/default/files/publications/documents/2020-IDMC-GRID.pdf
Authors :  6
Identifiers
Doi : e100749
SSN : 2517-729X
Study Population
Male
Mesh Terms
Other Terms
anxiety;depression;mental health
Study Design
Descriptive Study,Cross Sectional Study
Study Approach
Country of Study
Niger
Publication Country
England