Physical injury and psychotic experiences in 48 low- and middle-income countries
| Autor: | Hans Oh, Ai Koyanagi, Andrew Stickley, Louis Jacob, Tomiki Sumiyoshi, Jordan E. DeVylder, Zui Narita |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male World Health Survey medicine.medical_specialty Poison control Comorbidity Logistic regression Odds Young Adult 03 medical and health sciences 0302 clinical medicine Injury prevention Epidemiology Prevalence medicine Humans epidemiology Developing Countries Poverty Applied Psychology Depression (differential diagnoses) Depressive Disorder Delusion business.industry injuries hallucination Odds ratio Middle Aged Health Surveys Confidence interval 030227 psychiatry Psychiatry and Mental health Cross-Sectional Studies Logistic Models Psychotic Disorders Multivariate Analysis Wounds and Injuries Female business human activities 030217 neurology & neurosurgery Demography |
| Zdroj: | PSYCHOLOGICAL MEDICINE r-FSJD: Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu Fundació Sant Joan de Déu r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu instname |
| ISSN: | 1469-8978 0033-2917 |
| Popis: | BackgroundPsychotic experiences (PEs) may be associated with injuries, but studies focusing specifically on low- and middle-income countries (LAMICs) are scarce. Thus, the current study examined the link between injuries and PEs in a large number of LAMICs.MethodCross-sectional data were used from 242 952 individuals in 48 LAMICs that were collected during the World Health Survey in 2002–2004 to examine the association between traffic-related and other (non-traffic-related) forms of injury and PEs. Multivariable logistic regression analysis and meta-analysis were used to examine associations while controlling for a variety of covariates including depression.ResultsIn fully adjusted analyses, any injury [odds ratio (OR) 2.07, 95% confidence interval (CI) 1.85–2.31], traffic injury (OR 1.84, 95% CI 1.53–2.21) and other injury (OR 2.09, 95% CI 1.84–2.37) were associated with higher odds for PEs. Results from a country-wise analysis showed that any injury was associated with significantly increased odds for PEs in 39 countries with the overall pooled OR estimated by meta-analysis being 2.46 (95% CI 2.22–2.74) with a moderate level of between-country heterogeneity (I2 = 56.3%). Similar results were observed across all country income levels (low, lower-middle and upper-middle).ConclusionsDifferent types of injury are associated with PEs in LAMICs. Improving mental health systems and trauma capacity in LAMICs may be important for preventing injury-related negative mental health outcomes. |
| Databáze: | OpenAIRE |
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