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Prevalence and associated factors of mental disorders among prisoners in Mbarara municipality, southwestern Uganda: a cross-sectional study

BACKGROUND: Research in high income countries reports higher prevalence of mental disorders among prisoners than in the general population. Lack of published data from low resource settings affects planning and eventual service provision to the prisoners. This study aimed to determine the burden of...

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Autores principales: Forry, Jimmy Ben, Ashaba, Scholastic, Rukundo, Godfrey Zari
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6561756/
https://www.ncbi.nlm.nih.gov/pubmed/31185947
http://dx.doi.org/10.1186/s12888-019-2167-7
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author Forry, Jimmy Ben
Ashaba, Scholastic
Rukundo, Godfrey Zari
author_facet Forry, Jimmy Ben
Ashaba, Scholastic
Rukundo, Godfrey Zari
author_sort Forry, Jimmy Ben
collection PubMed
description BACKGROUND: Research in high income countries reports higher prevalence of mental disorders among prisoners than in the general population. Lack of published data from low resource settings affects planning and eventual service provision to the prisoners. This study aimed to determine the burden of mental disorders and associated factors among prisoners in Mbarara municipality in southwestern Uganda. METHODS: This was a prison facility based cross sectional study among 414 inmates in Mbarara municipality. We consecutively enrolled them by simple random sampling from 3 prison facilities. Participants completed a sociodemographic and clinical factor questionnaire, and the M.I.N.I. Version 6.0. Data were analyzed using STATA 12.0. Univariate, bivariate and multivariate logistic regression analyses were conducted to determine the prevalence, and associated factors using the individual odds ratios with their 95% Confidence Intervals and P-values as a measure of association, clinical and statistical significance respectively. RESULTS: A total of 354 (86%) prison-inmates met criteria for a psychiatric disorder. Of these, 338 (95%) had one or more diagnoses. Major depression was the most common diagnosis (44%). Factors associated with mental disorders included history of traumatic brain injury (OR = 2.57; 95% CI = 1.22–5.42; P-value = 0.01), low income status (OR = 0.32; 95% CI = 0.16–0.63; P-value = 0.001) and authoritarian parenting (OR = 0.37; 95% CI = 0.18–0.75; P-value = 0.006). CONCLUSIONS: There is a high prevalence of psychiatric illness among prisoners in Mbarara municipality with most of them having more than one diagnosis. Majority of the prisoners with mental illness go undiagnosed and untreated.
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spelling pubmed-65617562019-06-17 Prevalence and associated factors of mental disorders among prisoners in Mbarara municipality, southwestern Uganda: a cross-sectional study Forry, Jimmy Ben Ashaba, Scholastic Rukundo, Godfrey Zari BMC Psychiatry Research Article BACKGROUND: Research in high income countries reports higher prevalence of mental disorders among prisoners than in the general population. Lack of published data from low resource settings affects planning and eventual service provision to the prisoners. This study aimed to determine the burden of mental disorders and associated factors among prisoners in Mbarara municipality in southwestern Uganda. METHODS: This was a prison facility based cross sectional study among 414 inmates in Mbarara municipality. We consecutively enrolled them by simple random sampling from 3 prison facilities. Participants completed a sociodemographic and clinical factor questionnaire, and the M.I.N.I. Version 6.0. Data were analyzed using STATA 12.0. Univariate, bivariate and multivariate logistic regression analyses were conducted to determine the prevalence, and associated factors using the individual odds ratios with their 95% Confidence Intervals and P-values as a measure of association, clinical and statistical significance respectively. RESULTS: A total of 354 (86%) prison-inmates met criteria for a psychiatric disorder. Of these, 338 (95%) had one or more diagnoses. Major depression was the most common diagnosis (44%). Factors associated with mental disorders included history of traumatic brain injury (OR = 2.57; 95% CI = 1.22–5.42; P-value = 0.01), low income status (OR = 0.32; 95% CI = 0.16–0.63; P-value = 0.001) and authoritarian parenting (OR = 0.37; 95% CI = 0.18–0.75; P-value = 0.006). CONCLUSIONS: There is a high prevalence of psychiatric illness among prisoners in Mbarara municipality with most of them having more than one diagnosis. Majority of the prisoners with mental illness go undiagnosed and untreated. BioMed Central 2019-06-11 /pmc/articles/PMC6561756/ /pubmed/31185947 http://dx.doi.org/10.1186/s12888-019-2167-7 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Forry, Jimmy Ben
Ashaba, Scholastic
Rukundo, Godfrey Zari
Prevalence and associated factors of mental disorders among prisoners in Mbarara municipality, southwestern Uganda: a cross-sectional study
title Prevalence and associated factors of mental disorders among prisoners in Mbarara municipality, southwestern Uganda: a cross-sectional study
title_full Prevalence and associated factors of mental disorders among prisoners in Mbarara municipality, southwestern Uganda: a cross-sectional study
title_fullStr Prevalence and associated factors of mental disorders among prisoners in Mbarara municipality, southwestern Uganda: a cross-sectional study
title_full_unstemmed Prevalence and associated factors of mental disorders among prisoners in Mbarara municipality, southwestern Uganda: a cross-sectional study
title_short Prevalence and associated factors of mental disorders among prisoners in Mbarara municipality, southwestern Uganda: a cross-sectional study
title_sort prevalence and associated factors of mental disorders among prisoners in mbarara municipality, southwestern uganda: a cross-sectional study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6561756/
https://www.ncbi.nlm.nih.gov/pubmed/31185947
http://dx.doi.org/10.1186/s12888-019-2167-7
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