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首页> 外文期刊>Conflict and Health >The association between armed conflict, violence and mental health: a cross sectional study comparing two populations in Cundinamarca department, Colombia
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The association between armed conflict, violence and mental health: a cross sectional study comparing two populations in Cundinamarca department, Colombia

机译：武装冲突，暴力与心理健康之间的关联：一项横断面研究，比较了哥伦比亚昆迪纳马卡省的两个人口

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Background Exposure to violence in general and to armed conflict in particular has been consistently associated with an increased prevalence of mental illness. Colombia has sustained an internal armed conflict for decades and is considered one of the most violent countries in the world. However, certain areas have been more exposed to the conflict than others. Methods This is a cross sectional study comparing two communities from different villages in the department of Cundinamarca, Colombia. One, Guasca, was directly impacted by armed conflict. The other one; Guatavita has never been affected by armed conflict. We applied two different instruments: the PHQ scale and a short standardized interview in order to estimate the prevalence of major psychiatric disorders and their link to violent events. Forty-two volunteers from each village were evaluated through a personal interview using these two instruments. Findings Of the population surveyed in Guatavita, 2.4% reported direct exposure to violence compared to 23.8% from Guasca. In the population exposed directly to violent events, the prevalence of all disorders was greater than in the non-exposed population with an OR of 1.46 (95% CI 0.3809 - 5.5989) for anxiety; 4.54 (95% CI 1.1098 - 18.5984) for depression; 6.0 (95% CI 1.2298 - 30.2263) for somatization disorder; and 4.4 (95% CI 1.2037 - 16.0842) for alcohol abuse. Interpretation There is a statistically significant association between the history of armed conflict, violence and the presence of mental illnesses, particularly depression, somatization disorder and alcohol abuse. Special attention should be paid to the detection, prevention and treatment of these disorders when dealing with populations exposed to violence and to armed conflict in particular.
机译：背景技术普遍的暴力行为尤其是武装冲突一直与精神疾病的患病率上升有关。哥伦比亚数十年来一直爆发内部武装冲突，被认为是世界上最暴力的国家之一。但是，某些地区比其他地区更容易受到冲突的影响。方法这是一项横断面研究，比较了哥伦比亚昆迪纳马卡省不同村庄的两个社区。其中之一，Guasca，受到武装冲突的直接影响。另一个; Guatavita从未受到武装冲突的影响。我们使用两种不同的工具：PHQ量表和简短的标准化访谈，以估计主要精神疾病的患病率及其与暴力事件的联系。使用这两种工具通过个人访谈对来自每个村庄的42名志愿者进行了评估。调查结果在Guatavita进行调查的人口中，有2.4％的人直接遭受暴力侵害，而Guasca的人为23.8％。在直接暴露于暴力事件的人群中，所有疾病的患病率均高于未暴露人群，其焦虑症的OR值为1.46（95％CI 0.3809-5.5989）;抑郁症4.54（95％CI 1.1098-18.5984）; 6.0（95％CI 1.2298-30.2263）适用于躯体化障碍;以及4.4（95％CI 1.2037-16.0842）用于酗酒。解释在武装冲突，暴力的历史和精神疾病（尤其是抑郁症，躯体疾病和酗酒）的存在之间，有统计学上的显着联系。在与遭受暴力特别是武装冲突的人们打交道时，应特别注意发现，预防和治疗这些疾病。

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