
medRxiv (Cold Spring Harbor Laboratory), Год журнала: 2024, Номер unknown
Опубликована: Дек. 17, 2024
Abstract Background Data on the burden and determinants of mental substance use problems among women in urban rural informal settlements Kenya is sparse, thus limiting preventive treatment efforts these areas. To bridge gap, we (a) determined prevalence depressive, anxiety post-traumatic stress disorder (PTSD) symptoms alcohol drug compared to their spouses (b) examined risk protective indicators associated with outcomes. Methods collection for this cross-sectional survey was conducted 2022 Mombasa, Kwale Nairobi counties Kenya. A total 1528 adults (1048 women) took part. The 9-Item Patient Health Questionnaire, 7-Item Generalized Anxiety Disorder Scale, Primary Care PTSD Screen DSM-5, Alcohol Use Disorders Identification Test, Drug Test were administered alongside other measures. Logistic regression used examine correlates problems. Results Overall, 28% vs 22% (depressive symptoms), 12% 8% (general 21% (PTSD 4% 15% (alcohol problems), 2% (drug problems) respectively. depressive significantly higher male counterparts. On hand, both current past-year men than women. Among women, stressful life events, residence, food insecurity, family debt, unemployment, poor self-rated health, eyesight, educational level elevated symptoms. Conversely, sexual abuse, living rented houses, verbal somatic complaints men. Protective against health included social support, subjective wellbeing, older age (>50 years), increased vigorous exercise household income (in sexes). Risk being sexually active, a single family. men, use. married, larger (>5), Muslim having multimorbidity unemployment abuse. Female sex reduced odds Conclusion most conditions assessed. However, needs vary by gender study location, highlighting importance targeted approaches services. Our results also highlight need multicomponent strategies mitigate risks population.
Язык: Английский