Disability associated with exposure to traumatic events: results from a cross-sectional community survey in South Sudan
Open Access
- 14 May 2013
- journal article
- research article
- Published by Springer Science and Business Media LLC in BMC Public Health
- Vol. 13 (1), 469-11
- https://doi.org/10.1186/1471-2458-13-469
Abstract
There is a general lack of knowledge regarding disability and especially factors that are associated with disability in low-income countries. We aimed to study the overall and gender-specific prevalence of disability, and the association between exposure to traumatic events and disability in a post-conflict setting. We conducted a cross-sectional community based study of four Greater Bahr el Ghazal States, South Sudan (n = 1200). The Harvard Trauma Questionnaire (HTQ) was applied to investigate exposure to trauma events. Disability was measured using the Washington Group Short Measurement Set on Disability, which is an activity-based scale derived from the WHO’s International Classification of Disability, Functioning and Health. The estimated prevalence of disability (with severe difficulty) was 3.6% and 13.4% for disability with moderate difficulties. No gender differences were found in disability prevalence. Almost all participants reported exposure to at least one war-related traumatic event. The result of a hierarchical regression analysis showed that, for both men and women, exposure to traumatic events, older age and living in a polygamous marriage increased the likelihood of having a disability. The finding of association between traumatic experience and disability underlines the precariousness of the human rights situation for individuals with disability in low-income countries. It also has possible implications for the construction of disability services and for the provision of health services to individuals exposed to traumatic events.This publication has 28 references indexed in Scilit:
- Exposures to war-related traumatic events and post-traumatic stress disorder symptoms among displaced Darfuri female university students: an exploratory studyBMC Public Health, 2012
- Post-conflict mental health needs: a cross-sectional survey of trauma, depression and associated factors in Juba, Southern SudanBMC Psychiatry, 2009
- Polygyny and women's health in sub-Saharan AfricaSocial Science & Medicine (1982), 2009
- Daily Stressors, War Experiences, and Mental Health in AfghanistanTranscultural Psychiatry, 2008
- Symptoms of anxiety and depression and mother's marital status: An exploratory analysis of polygyny and psychosocial stressAmerican Journal of Human Biology, 2008
- Psychological distress and associated factors among the attendees of traditional healing practices in Jinja and Iganga districts, Eastern Uganda: a cross-sectional studyInternational Journal of Mental Health Systems, 2008
- Disability, Poverty, and Schooling in Developing Countries: Results from 14 Household SurveysThe World Bank Economic Review, 2008
- Exposure to War-Related Traumatic Events, Prevalence of PTSD, and General Psychiatric Morbidity in a Civilian Population From Southern LebanonJournal of Transcultural Nursing, 2006
- The post-war public health effects of civil conflictSocial Science & Medicine (1982), 2004
- 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