Common mental disorders in primary care in Harare, Zimbabwe : associations and risk factors.
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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0402088
Code Inist : 002B18C14. Création : 19/12/1997.