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Báo cáo y học: "The mental health of populations directly and indirectly exposed to violent conflict in Indonesia"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: The mental health of populations directly and indirectly exposed to violent conflict in Indonesia. | Turnip et al. Conflict and Health 2010 4 14 http www.conflictandhealth.eom content 4 1 14 I CONFLICT AND HEALTH RESEARCH Open Access The mental health of populations directly and indirectly exposed to violent conflict in Indonesia Sherly S Turnip1 2 Ole Klungs0yr3 Edvard Hauff1 3 Abstract Background Large disasters affect people who live both near and far from the areas in which they occur. The mental health impact is expected to be similar to a ripple effect where the risk of mental health consequences generally decreases with increasing distance from the disaster center. However we have not been able to identify studies of the ripple effect of man-made disaster on mental health in low-income countries. Objectives The objective was to examine the hypothesis of a ripple effect on the mental health consequences in populations exposed to man-made disasters in a developing country context through a comparison of two different populations living in different proximities from the center of disaster in Mollucas. Methods Cross-sectional longitudinal data were collected from 510 Internally Displaced Persons IDPs living in Ambon who were directly exposed to the violence and non-IDPs living in remote villages in Mollucas Indonesia who had never been directly exposed to violence in Mollucas. Data were collected during home visits and statistical comparisons were conducted by using chi square tests t-test and logistic regression. Results There was significantly more psychological distress caseness in IDPs than non-IDPs. The mental health consequences of the violent conflict in Ambon supported the ripple effect hypothesis as displacement status appears to be a strong risk factor for distress both as a main effect and interaction effect. Significantly higher percentages of IDPs experienced traumatic events than non-IDPs in all six event types reported. Conclusions This study indicates that the conflict had an impact on mental health and economic conditions far beyond the area .