Physical and sexual victimization of persons with severe mental illness seeking care in central and southwestern Uganda.

Autor:	Mpango RS; Mental Health Section, MRC/UVRI and LSHTM Uganda Research Unit, Entebbe, Uganda.; Brown School, Washington University in St. Louis, St. Louis, MO, United States.; Department of Mental Health, School of Health Sciences, Soroti University, Soroti, Uganda., Ssembajjwe W; Mental Health Section, MRC/UVRI and LSHTM Uganda Research Unit, Entebbe, Uganda.; Statistical Section, MRC/UVRI and LSHTM Uganda Research Unit, Entebbe, Uganda., Rukundo GZ; Department of Psychiatry, Mbarara University of Science and Technology, Mbarara, Uganda., Amanyire P; Department of Nursing, Mbarara University of Science and Technology, Mbarara, Uganda., Birungi C; Department of Psychiatry, College of Health Sciences, Makerere University, Kampala, Uganda., Kalungi A; Mental Health Section, MRC/UVRI and LSHTM Uganda Research Unit, Entebbe, Uganda., Rutakumwa R; Mental Health Section, MRC/UVRI and LSHTM Uganda Research Unit, Entebbe, Uganda., Tusiime C; Butabika National Psychiatric Hospital, Kampala, Uganda., Gadow KD; Department of Psychiatry, Stony Brook University, Stony Brook, NY, United States., Patel V; Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, United States., Nyirenda M; Mental Health Section, MRC/UVRI and LSHTM Uganda Research Unit, Entebbe, Uganda.; Global Non-Communicable Diseases (NCD) Section, MRC/UVRI and LSHTM Uganda Research Unit, Entebbe, Uganda., Kinyanda E; Mental Health Section, MRC/UVRI and LSHTM Uganda Research Unit, Entebbe, Uganda.; Department of Psychiatry, College of Health Sciences, Makerere University, Kampala, Uganda.
Jazyk:	angličtina
Zdroj:	Frontiers in public health [Front Public Health] 2023 Aug 09; Vol. 11, pp. 1167076. Date of Electronic Publication: 2023 Aug 09 (Print Publication: 2023).
DOI:	10.3389/fpubh.2023.1167076
Abstrakt:	Purpose: This study established the prevalence of physical and sexual victimization, associated factors and psychosocial consequences of victimization among 1,201 out-patients with severe mental illness at Butabika and Masaka hospitals in Uganda. Methods: Participants completed structured, standardized and locally translated instruments. Physical and sexual victimization was assessed using the modified adverse life events module of the European Para-suicide Interview Schedule. We used logistic regression to determine the association between victimization, the associated factors and psychosocial consequences. Results: The prevalence of physical abuse was 34.1% and that of sexual victimization was 21.9%. The age group of > = 50 years (aOR 1.02;95% CI 0.62-1.66; p = 0.048) was more likely to have suffered physical victimization, while living in a rural area was protective against physical (aOR 0.59; 95% CI 0.46-0.76; p = <0.001) and sexual (aOR 0.48, 95% CI 0.35-0.65; p < 0.001) victimization. High socioeconomic status (SES) (aOR 0.56; 95% CI 0.34-0.92; p = <0.001) was protective against physical victimization. Females were more likely to have been sexually victimized (aOR 3.38; 95% CI 2.47-4.64; p = <0.001), while being a Muslim (aOR 0.60; 95% CI 0.39-0.90; p = 0.045) was protective against sexual victimization. Risky sexual behavior was a negative outcome associated with physical (aOR 2.19; 95% CI 1.66-2.90; p = <0.001) and sexual (aOR 3.09; 95% CI 2.25-4.23; p < 0.001) victimization. Mental health stigma was a negative outcome associated with physical (aOR 1.03; 95% CI 1.01-1.05; p < 0.001) and sexual (aOR 1.03; 95% CI 1.01-1.05; p = 0.002) victimization. Poor adherence to oral anti-psychotic medications was a negative outcome associated with physical (aOR 1.51; 95% CI 1.13-2.00; p = 0.006) and sexual (aOR 1.39; 95% CI 0.99-1.94; p = 0.044) victimization. Conclusion: There is a high burden of physical and sexual victimization among people with SMI in central Uganda. There is need to put in place and evaluate complex interventions for improving detection and response to abusive experiences within mental health services. Public health practitioners, policymakers, and legislators should act to protect the health and rights of people with SMI in resource poor settings. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2023 Mpango, Ssembajjwe, Rukundo, Amanyire, Birungi, Kalungi, Rutakumwa, Tusiime, Gadow, Patel, Nyirenda and Kinyanda.)
Databáze:	MEDLINE
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