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首页> 外文期刊>International Journal of Women s Health >Factors associated with psychological distress among young women in Kisumu, Kenya
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Factors associated with psychological distress among young women in Kisumu, Kenya

机译：肯尼亚基苏木年轻女性心理困扰的相关因素

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Background: Attention to mental health issues is growing globally. In many countries, including Kenya, however, assessment of psychological distress, especially in rural areas, is limited. Methods: We analyzed data from young women screened for a longitudinal contraceptive ring study in Kisumu, Kenya. Multivariable regression analysis was used to assess factors associated with recent moderate and high psychological distress, as measured by the Kessler (K-6) psychological distress scale. Results: Among the 461 women screened, most (58.4%) were categorized as having moderate psychological distress, 20.8% were categorized as having low or no psychological distress, and 20.8% were categorized as having high psychological distress. Moderate psychological distress (vs lowo) was significantly more likely among women who reported a history of forced sex and were concerned about recent food insecurity. High (vs lowo) psychological distress was significantly more likely among women who reported a history of forced sex, who were concerned about recent food insecurity, and who self-reported a sexually transmitted infection. Conclusion: To reduce psychological distress, a focus on prevention as well as care methods is needed. Girls need a path toward a healthy and productive adulthood with a focus on education, which would help them gain skills to avoid forced sex. Women would benefit from easy access to social services and supports that would help them with basic needs like food security among other things. A holistic or ecological approach to services that would address mental, educational, social, health, and economic issues may have the highest chance of having a long-term positive impact on public health.
机译：背景：全球对精神健康问题的关注日益增加。但是，在包括肯尼亚在内的许多国家中，对心理困扰的评估尤其是在农村地区是有限的。方法：我们分析了来自在肯尼亚基苏木进行纵向避孕环研究的年轻女性的数据。多变量回归分析用于评估与近期中度和高度心理困扰相关的因素，以凯斯勒（K-6）心理困扰量表进行衡量。结果：筛查的461名女性中，大多数（58.4％）被归类为中度心理困扰，20.8％被归类为低或没有心理困扰，20.8％被归类为高心理困扰。在报告有强迫性病史并担心近期粮食不安全的女性中，中度心理困扰（相对于低/否）的可能性更大。在报告有强迫性病史，担心最近的粮食不安全以及自我报告性传播感染的妇女中，较高的（比低/没有）心理困扰更大。结论：为减少心理困扰，需要重视预防和护理方法。女孩需要一条通向健康，多产的成年期的道路，重点是教育，这将有助于她们获得避免强迫性行为的技能。妇女将从容易获得的社会服务和支持中受益，这将帮助她们满足诸如粮食安全等基本需求。可以解决精神，教育，社会，健康和经济问题的整体或生态服务方法可能对公共卫生产生长期积极影响的最大机会。

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