Prevalence and associated factors of common mental disorders in primary care settings in Sofala Province, Mozambique
Background In Mozambique, the prevalence of common mental illness in primary care is not well established. Aims This study aimed to assess the prevalence of, and associated factors for, common mental illness in patients accessing primary care services in three Ministry of Health clinics in Mozambiq...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2023-01-01
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| Series: | BJPsych Open |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S2056472422006135/type/journal_article |
| _version_ | 1811156834108571648 |
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| author | Alberto Muanido Vasco Cumbe Nelia Manaca Lee Hicks Katrin E. Fabian Bradley H. Wagenaar |
| author_facet | Alberto Muanido Vasco Cumbe Nelia Manaca Lee Hicks Katrin E. Fabian Bradley H. Wagenaar |
| author_sort | Alberto Muanido |
| collection | DOAJ |
| description | Background
In Mozambique, the prevalence of common mental illness in primary care is not well established.
Aims
This study aimed to assess the prevalence of, and associated factors for, common mental illness in patients accessing primary care services in three Ministry of Health clinics in Mozambique.
Method
Adult patients were recruited from the waiting rooms of prenatal, postpartum and general out-patient consultations. A mental health professional administered a diagnostic interview to examine prevalence of major depressive disorder (MDD), generalised anxiety disorder (GAD), post-traumatic stress disorder (PTSD) and any substance misuse or dependence. Generalised linear mixed models were used to examine the odds of each disorder and sociodemographic associations.
Results
Of 502 patients interviewed, 74.1% were female (n = 372) and the average age was 27.8 years (s.d. = 7.4). Of all participants, 23.9% (n = 120) met diagnostic criteria for at least one common mental disorder; 8.6% were positive for MDD (n = 43), 13.3% were positive for GAD (n = 67), 4.8% were positive for PTSD (n = 24) and 4.0% were positive for any substance misuse or dependence (n = 20). Patients attending prenatal or postpartum consultations had significantly lower odds of any common mental disorder than patients attending out-patient primary care. Age was negatively associated with MDD, but positively associated with substance misuse or dependence.
Conclusions
Over 20% of patients attending primary care in Mozambique may have common mental disorders. A specific focus on patients attending general out-patient visits, young people for depression, and older people and men for substance misuse/dependence would provide a targeted response to high-risk demographics.
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| first_indexed | 2024-04-10T04:57:43Z |
| format | Article |
| id | doaj.art-1abece345182442ebd8cfaaea98cc6c8 |
| institution | Directory Open Access Journal |
| issn | 2056-4724 |
| language | English |
| last_indexed | 2024-04-10T04:57:43Z |
| publishDate | 2023-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | BJPsych Open |
| spelling | doaj.art-1abece345182442ebd8cfaaea98cc6c82023-03-09T12:29:27ZengCambridge University PressBJPsych Open2056-47242023-01-01910.1192/bjo.2022.613Prevalence and associated factors of common mental disorders in primary care settings in Sofala Province, MozambiqueAlberto Muanido0https://orcid.org/0000-0002-6602-7834Vasco Cumbe1Nelia Manaca2Lee Hicks3Katrin E. Fabian4https://orcid.org/0000-0002-8958-4916Bradley H. Wagenaar5Health Alliance International, MozambiqueSofala Provincial Health Directorate, Department of Mental Health, Ministry of Health, MozambiqueHealth Alliance International, MozambiqueHealth Alliance International, Washington, USADepartment of Global Health, University of Washington, Washington, USAHealth Alliance International, Washington, USA; Department of Global Health, University of Washington, Washington, USA; and Department of Epidemiology, University of Washington, Washington, USABackground In Mozambique, the prevalence of common mental illness in primary care is not well established. Aims This study aimed to assess the prevalence of, and associated factors for, common mental illness in patients accessing primary care services in three Ministry of Health clinics in Mozambique. Method Adult patients were recruited from the waiting rooms of prenatal, postpartum and general out-patient consultations. A mental health professional administered a diagnostic interview to examine prevalence of major depressive disorder (MDD), generalised anxiety disorder (GAD), post-traumatic stress disorder (PTSD) and any substance misuse or dependence. Generalised linear mixed models were used to examine the odds of each disorder and sociodemographic associations. Results Of 502 patients interviewed, 74.1% were female (n = 372) and the average age was 27.8 years (s.d. = 7.4). Of all participants, 23.9% (n = 120) met diagnostic criteria for at least one common mental disorder; 8.6% were positive for MDD (n = 43), 13.3% were positive for GAD (n = 67), 4.8% were positive for PTSD (n = 24) and 4.0% were positive for any substance misuse or dependence (n = 20). Patients attending prenatal or postpartum consultations had significantly lower odds of any common mental disorder than patients attending out-patient primary care. Age was negatively associated with MDD, but positively associated with substance misuse or dependence. Conclusions Over 20% of patients attending primary care in Mozambique may have common mental disorders. A specific focus on patients attending general out-patient visits, young people for depression, and older people and men for substance misuse/dependence would provide a targeted response to high-risk demographics. https://www.cambridge.org/core/product/identifier/S2056472422006135/type/journal_articleMozambiqueprimary carecommon mental disordersmental health prevalencelow- and middle-income countries |
| spellingShingle | Alberto Muanido Vasco Cumbe Nelia Manaca Lee Hicks Katrin E. Fabian Bradley H. Wagenaar Prevalence and associated factors of common mental disorders in primary care settings in Sofala Province, Mozambique BJPsych Open Mozambique primary care common mental disorders mental health prevalence low- and middle-income countries |
| title | Prevalence and associated factors of common mental disorders in primary care settings in Sofala Province, Mozambique |
| title_full | Prevalence and associated factors of common mental disorders in primary care settings in Sofala Province, Mozambique |
| title_fullStr | Prevalence and associated factors of common mental disorders in primary care settings in Sofala Province, Mozambique |
| title_full_unstemmed | Prevalence and associated factors of common mental disorders in primary care settings in Sofala Province, Mozambique |
| title_short | Prevalence and associated factors of common mental disorders in primary care settings in Sofala Province, Mozambique |
| title_sort | prevalence and associated factors of common mental disorders in primary care settings in sofala province mozambique |
| topic | Mozambique primary care common mental disorders mental health prevalence low- and middle-income countries |
| url | https://www.cambridge.org/core/product/identifier/S2056472422006135/type/journal_article |
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