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  1. Common mental disorders in primary care in Harare, Zimbabwe : associations and risk factors.

    Article - En anglais

    Background This study aimed to investigate the associations for common mental disorders (CMD) among primary care attenders in Harare.

    Method This was an unmatched case-control study of attenders at primary health clinics, general practitioner surgeries and traditional medical practitioner clinics ; 199 cases with CMD as identified by an indigenously developed case-finding questionnaire, and 197 controls (non-cases), were interviewed using measures ofsociodemographic data, disability, care-giver diagnoses and treatment, explanatory models, life events and alcohol use.

    Results CMD was associated with female gender (P=0.04) and older age (P=0.02).

    After adjustment for age, gender and site of recruitment CMD was significantly associated with chronicity of illness ; number of presenting complaints ; beliefs in « thinking too much » and witchcraft as a causal model ; economic impoverishment ; infertility ; recent unemployment ; an unhappy childhood for females ; disability ; and consultations with traditional medical practitioners and religious priests.

    Conclusions Mental disorders are associated with female gender, disability, economic deprivation, and indigenous labels of distress states.

    Mots-clés Pascal : Trouble psychiatrique, Facteur risque, Zimbabwe, Afrique, Soin santé primaire, Démographie, Statut social, Croyance, Attribution, Evénement existentiel, Antécédent, Diagnostic, Traitement, Personnel sanitaire, Epidémiologie, Homme, Filière soins

    Mots-clés Pascal anglais : Mental disorder, Risk factor, Zimbabwe, Africa, Primary health care, Demography, Social status, Belief, Attribution, Life events, Antecedent, Diagnosis, Treatment, Health staff, Epidemiology, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0402088

    Code Inist : 002B18C14. Création : 19/12/1997.