Magnitude of psychological distress and associated factors among war survivor women in Northern, Ethiopia, 2022: a community-based cross-sectional survey.

Journal: BMC women's health

Volume: 24

Issue: 1

Year of Publication: 2024

Affiliated Institutions:  Department of psychiatry, School of Medicine, University of Gondar, Gondar, Ethiopia. esalelew@gmail.com. Department of occupational therapy, School of Medicine, University of Gondar, Gondar, Ethiopia. Department of psychiatry, School of Medicine, University of Gondar, Gondar, Ethiopia. Department of Health system and Policy, Institute of Public Health, University of Gondar, Gondar, Ethiopia. Department of Health Promotion and Health Behavior, Institute of Public Health, University of Gondar, Gondar, Ethiopia. Department of Physiotherapy, School of Medicine, University of Gondar, Gondar, Ethiopia. Department of Medical Nursing, School of Nursing, University of Gondar, Gondar, Ethiopia. Department of Human Nutrition, Institute of Public Health, University of Gondar, Gondar, Ethiopia. Department of Environmental and Occupational Health and Safety, Institute of Public Health, University of Gondar, Gondar, Ethiopia. Department of Epidemiology and Biostatics, Institute of Public Health, University of Gondar, Gondar, Ethiopia.

Abstract summary 

Civilian war and internal conflicts increase the incidences of mental health conditions among war survivors. It is crucial to assess war-related psychological consequences in war-affected areas in Ethiopia to intervene in the future. Thus, this study aimed to determine the magnitude of psychological distress and associated factors of psychological distress among war survivor women in Northern, Ethiopia.A community-based cross-sectional survey was conducted, and 1596 war survivor women were recruited to participate using a face-to-face interviews with a census sampling technique from May 1-30, 2022. The psychological distress was assessed using a Kessler psychological distress scale (K10). Bi-variable and multi-variable logistic regression analyses were used, and variables with a p-value less than 0.05 in the multivariable analyses were considered statistically significant.In this study, the response rate was 100% and the prevalence of psychological distress was 44.90% at a 95% CI: (42.40, 47.40). Psychological distress was significantly associated with the education of ability to read and write (AOR = 2.92; 95% CI: 2.12, 4.01), primary education and above (AOR = 3.08; 95% CI: 2.09, 4.54), housewife (AOR = 5.07; 95%CI: 2.64, 9.74), farmer (AOR = 8.92; 95%CI: 4.03, 19.70), emotional violence (AOR = 1.52; 95%CI: 1.05, 2.18), physical violence (AOR = 3.85; 95%CI: 2.37, 6.26) and sexual violence (AOR = 3.25; 95%CI: 1.98, 5.33) whereas being separate was protective for psychological distress (AOR = 0.38; 95%CI: 0.16, 0.92).The prevalence of psychological distress was found to be high. Therefore, women who are housewives, married, farmers, educated, and who have experienced violence must be the focus of governmental and private collaborative interventions to prevent war-related psychological morbidity and mortality.

Authors & Co-authors:  Salelew Endalamaw E Assefa Yohannes Awoke YA Getachew Rediet R Nenko Goshu G Fanta Biruk B Amare Tadele T Demilew Demeke D Dellie Endalkachew E Aschalew Andualem Yalew AY Asrade Geta G Demeke Zelalem Z Shitu Kegnie K Eriku Getachew Azeze GA Worku Chanyalew C Kibret Alemu Kassaw AK Haile Tsegaye Gebremedhin TG Hunegnaw Melkamu Tamir MT Fekadu Haileab H Molla Ayenew A Belew Aysheshim Kassahun AK Atnafu Asmamaw A Guadu Tadesse T Yitayal Mezgebu M Worku Netsanet N Gelaye Kassahun Alemu KA Azale Telake T Awoke Tadesse T

Study Outcome 

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Statistics
Citations :  Bormann N-C, Cederman L-E, Vogt M. Language, religion, and ethnic civil war. J Conflict Resolut. 2017;61(4):744–71. doi: 10.1177/0022002715600755.
Authors :  27
Identifiers
Doi : 356
SSN : 1472-6874
Study Population
Women
Mesh Terms
Humans
Other Terms
Community;Northern Ethiopia;Psychological distress;War;Women mental health
Study Design
Cross Sectional Study
Study Approach
Country of Study
Ethiopia
Publication Country
England