The influence of demographic characteristics, living conditions, and trauma exposure on the overall health of a conflict-affected population in Southern Sudan
Open Access
- 27 August 2010
- journal article
- Published by Springer Science and Business Media LLC in BMC Public Health
- Vol. 10 (1), 518
- https://doi.org/10.1186/1471-2458-10-518
Abstract
There remains limited evidence on how armed conflict affects overall physical and mental well-being rather than specific physical or mental health conditions. The aim of this study was to investigate the influence of demographic characteristics, living conditions, and violent and traumatic events on general physical and mental health in Southern Sudan which is emerging from 20 years of armed conflict. A cross-sectional survey of 1228 adults was conducted in November 2007 in the town of Juba, the capital of Southern Sudan. Multivariate linear regression analysis was used to investigate the associations and relative influence of variables in three models of demographic characteristics, living conditions, and trauma exposure, on general physical and mental health status. These models were run separately and also as a combined model. Data quality and the internal consistency of the health status instrument (SF-8) were assessed. The variables in the multivariate analysis (combined model) with negative coefficients of association with general physical health and mental health (i.e. worse health), respectively, were being female (coef. -2.47; -2.63), higher age (coef.-0.16; -0.17), absence of soap in the household (physical health coef. -2.24), and experiencing within the past 12 months a lack of food and/or water (coef. -1.46; -2.27) and lack of medical care (coef.-3.51; -3.17). A number of trauma variables and cumulative exposure to trauma showed an association with physical and mental health (see main text for data). There was limited variance in results when each of the three models were run separately and when they were combined, suggesting the pervasive influence of these variables. The SF-8 showed good data quality and internal consistency. This study provides evidence on the pervasive influence of demographic characteristics, living conditions, and violent and traumatic events on the general physical and mental health of a conflict-affected population in Southern Sudan, and highlights the importance of addressing all these influences on overall health.Keywords
This publication has 32 references indexed in Scilit:
- Post-conflict mental health needs: a cross-sectional survey of trauma, depression and associated factors in Juba, Southern SudanBMC Psychiatry, 2009
- Factors associated with the health status of internally displaced persons in northern UgandaJournal of Epidemiology and Community Health, 2009
- Daily Stressors, War Experiences, and Mental Health in AfghanistanTranscultural Psychiatry, 2008
- Conflict in the Indian Kashmir Valley II: psychosocial impactConflict and Health, 2008
- Precarious peace has brought little improvement to health in southern Sudan, charity saysBMJ, 2008
- The reliability and validity of the SF-8 with a conflict-affected population in northern UgandaHealth and Quality of Life Outcomes, 2008
- Peace has come to southern Sudan, but challenges remainThe Lancet, 2006
- Health-related quality of life in breast cancer: A cross-cultural survey of German, Japanese, and South Korean patientsBreast Cancer Research and Treatment, 2006
- Dose-effect relationships of trauma to symptoms of depression and post-traumatic stress disorder among Cambodian survivors of mass violenceThe British Journal of Psychiatry, 1998
- A 12-Item Short-Form Health SurveyMedical Care, 1996