Previous Violent Events and Mental Health Outcomes in Guatemala.
Objectives. We analyzed a probability sample of Guatemalans to determine if a relationship exists between previous violent events and development of mental health outcomes in various sociodemographic groups, as well as during and after the Guatemalan Civil War. Methods. We used regression modeling,...
| Published in: | American Journal of Public Health Vol. 105; no. 4; pp. 764 - 772 |
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| Main Authors: | , , , , , |
| Format: | Journal Article |
| Published: |
American Public Health Association
Apr2015
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| Subjects: | |
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=107780676&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 107780676 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00900036 APH jtl: American Journal of Public Health issn: 00900036 maglogo: N pubinfo: dt: Apr2015 vid: 105 iid: 4 pid: 44 pub: American Public Health Association artinfo: ui: 107780676 10.2105/AJPH.2014.302328 ppf: 764 ppct: 8 formats: tig: atl: Previous Violent Events and Mental Health Outcomes in Guatemala. aug: au: Puac-Polanco, Victor D. Lopez-Soto, Victor A. Kohn, Robert Dawei Xie Richmond, Therese S. Branas, Charles C. su: Guatemala Alcoholism risk factors Mental depression risk factors Mental illness risk factors Post-traumatic stress disorder History of war History of violence Violence Indigenous peoples Interviewing Sex distribution City dwellers Socioeconomic factors Cross-sectional method Anxiety risk factors Cluster analysis (Statistics) Confidence intervals Statistical correlation Maps Questionnaires Research funding Statistical sampling Logistic regression analysis Environmental exposure Predictive validity Disease prevalence Statistical models Descriptive statistics Odds ratio sug: subj: Alcoholism risk factors Mental depression risk factors Mental illness risk factors Post-traumatic stress disorder History of war History of violence Violence Indigenous peoples Interviewing Sex distribution City dwellers Socioeconomic factors Cross-sectional method Guatemala Other printing Book, Periodical, and Newspaper Merchant Wholesalers Marketing Research and Public Opinion Polling Anxiety risk factors Cluster analysis (Statistics) Confidence intervals Statistical correlation Maps Questionnaires Research funding Statistical sampling Logistic regression analysis Environmental exposure Predictive validity Disease prevalence Statistical models Descriptive statistics Odds ratio ab: Objectives. We analyzed a probability sample of Guatemalans to determine if a relationship exists between previous violent events and development of mental health outcomes in various sociodemographic groups, as well as during and after the Guatemalan Civil War. Methods. We used regression modeling, an interaction test, and complex survey design adjustments to estimate prevalences and test potential relationships between previous violent events and mental health. Results. Many (20.6%) participants experienced at least 1 previous serious violent event. Witnessing someone severely injured or killed was the most common event. Depression was experienced by 4.2% of participants, with 6.5% experiencing anxiety, 6.4% an alcohol-related disorder, and 1.9% posttraumatic stress disorder (PTSD). Persons who experienced violence during the war had 4.3 times the adjusted odds of alcohol-related disorders (P < .05) and 4.0 times the adjusted odds of PTSD (P < .05) compared with the postwar period. Women, indigenous Maya, and urban dwellers had greater odds of experiencing postviolence mental health outcomes. Conclusions. Violence that began during the civil war and continues today has had a significant effect on the mental health of Guatemalans. However, mental health outcomes resulting from violent events decreased in the postwar period, suggesting a nation in recovery. pubtype: Academic Journal doctype: Journal Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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