Prevalence of posttraumatic stress disorder and associated factors among displaced people in Africa: a systematic review and meta-analysis
BackgroundThe number of people who have been displaced from their homes due to violence, conflict, and natural disasters. The displaced persons are vulnerable to PTSD; however, being women, individuals with lower socio-economic status and intense exposure to physical assault are more vulnerable. The...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2024-03-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1336665/full |
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| author | Fantahun Andualem Mamaru Melkam Girmaw Medfu Takelle Girum Nakie Techilo Tinsae Setegn Fentahun Gidey Rtbey Tesfaye Derbie Begashaw Jemal Seid Lidiya Fasil Tegegn Getachew Muluye Gedef Desalegn Anmut Bitew Tilahun Nega Godana |
| author_facet | Fantahun Andualem Mamaru Melkam Girmaw Medfu Takelle Girum Nakie Techilo Tinsae Setegn Fentahun Gidey Rtbey Tesfaye Derbie Begashaw Jemal Seid Lidiya Fasil Tegegn Getachew Muluye Gedef Desalegn Anmut Bitew Tilahun Nega Godana |
| author_sort | Fantahun Andualem |
| collection | DOAJ |
| description | BackgroundThe number of people who have been displaced from their homes due to violence, conflict, and natural disasters. The displaced persons are vulnerable to PTSD; however, being women, individuals with lower socio-economic status and intense exposure to physical assault are more vulnerable. The reviews stated that the pooled prevalence of PTSD among refugees in high-income countries was higher than the general population. However, there has been no review done on PTSD among displaced persons in Africa. Therefore, the aim of this review was to summarise the most recent data evidence on the pooled prevalence of posttraumatic stress disorder and the pooled effect of associated factors on adult displaced people in Africa.MethodsWe used an appropriate guideline for systematic reviews and meta-analyses reports, which is the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). This review protocol was registered in PROSPERO (CRD42023411371). The publications were identified from PubMed/Medline, EMBASE, the Cochrane Library, Scopus databases, and other grey searches of Google Scholar and World Health Organisation (WHO) reports. The data was extracted in Microsoft Excel, and then it will be imported into STATA 11.0 for analysis.ResultsWe have included 10 studies conducted in African countries with 5287 study participants. In this meta-analysis, the pooled prevalence of PTSD among displaced people in Africa was 55.64 (95% CI: 42.76–68.41%). Further, in subgroup analysis regarding the study participants, the pooled prevalence of PTSD among internally displaced people and refugees was 56.35% and 54.04%, respectively. Among the associated factors, being female, unemployed, and depression were significantly related to PTSD among displaced people.ConclusionsIn this review, the pooled prevalence of PTSD among displaced people in Africa was high. Demographic characteristics (female, single, and unemployed), substance use disorder, and depression were risk factors for PTSD among displaced people. This finding might help the stakeholders (mental health policy makers, administrators, and mental health professionals) to address the prevention, early screening, and management of PTSD among displaced people and to give attention to more vulnerable bodies.Systematic review registrationPROSPERO, identifier CRD42023411371. |
| first_indexed | 2024-03-07T15:45:41Z |
| format | Article |
| id | doaj.art-915116f342924cb09e250c466314f98c |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-04-25T01:56:32Z |
| publishDate | 2024-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-915116f342924cb09e250c466314f98c2024-03-07T16:27:12ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402024-03-011510.3389/fpsyt.2024.13366651336665Prevalence of posttraumatic stress disorder and associated factors among displaced people in Africa: a systematic review and meta-analysisFantahun Andualem0Mamaru Melkam1Girmaw Medfu Takelle2Girum Nakie3Techilo Tinsae4Setegn Fentahun5Gidey Rtbey6Tesfaye Derbie Begashaw7Jemal Seid8Lidiya Fasil Tegegn9Getachew Muluye Gedef10Desalegn Anmut Bitew11Tilahun Nega Godana12Department of Psychiatry, College of Medicine and Health Science, University of Gondar, Gondar, EthiopiaDepartment of Psychiatry, College of Medicine and Health Science, University of Gondar, Gondar, EthiopiaDepartment of Psychiatry, College of Medicine and Health Science, University of Gondar, Gondar, EthiopiaDepartment of Psychiatry, College of Medicine and Health Science, University of Gondar, Gondar, EthiopiaDepartment of Psychiatry, College of Medicine and Health Science, University of Gondar, Gondar, EthiopiaDepartment of Psychiatry, College of Medicine and Health Science, University of Gondar, Gondar, EthiopiaDepartment of Psychiatry, College of Medicine and Health Science, University of Gondar, Gondar, EthiopiaDepartment of Psychiatry College of Medicine and Health Science, Wollo University, Dessie, EthiopiaDepartment of Psychiatry College of Medicine and Health Science, Wollo University, Dessie, EthiopiaDepartment of Nursing, College of Medicine and Health Science, Arsi University, Asella, EthiopiaDepartment of General Midwifery, College of Medicine and Health Science, University of Gondar, Gondar, EthiopiaDepartment of Reproductive Health, Institute of Public Health, College of Medicine and Health Science, University of Gondar, Gondar, EthiopiaDepartment of Internal Medicine, University of Gondar College of Medicine and Health Science, Comprehensive Specialized Hospital, Gondar, EthiopiaBackgroundThe number of people who have been displaced from their homes due to violence, conflict, and natural disasters. The displaced persons are vulnerable to PTSD; however, being women, individuals with lower socio-economic status and intense exposure to physical assault are more vulnerable. The reviews stated that the pooled prevalence of PTSD among refugees in high-income countries was higher than the general population. However, there has been no review done on PTSD among displaced persons in Africa. Therefore, the aim of this review was to summarise the most recent data evidence on the pooled prevalence of posttraumatic stress disorder and the pooled effect of associated factors on adult displaced people in Africa.MethodsWe used an appropriate guideline for systematic reviews and meta-analyses reports, which is the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). This review protocol was registered in PROSPERO (CRD42023411371). The publications were identified from PubMed/Medline, EMBASE, the Cochrane Library, Scopus databases, and other grey searches of Google Scholar and World Health Organisation (WHO) reports. The data was extracted in Microsoft Excel, and then it will be imported into STATA 11.0 for analysis.ResultsWe have included 10 studies conducted in African countries with 5287 study participants. In this meta-analysis, the pooled prevalence of PTSD among displaced people in Africa was 55.64 (95% CI: 42.76–68.41%). Further, in subgroup analysis regarding the study participants, the pooled prevalence of PTSD among internally displaced people and refugees was 56.35% and 54.04%, respectively. Among the associated factors, being female, unemployed, and depression were significantly related to PTSD among displaced people.ConclusionsIn this review, the pooled prevalence of PTSD among displaced people in Africa was high. Demographic characteristics (female, single, and unemployed), substance use disorder, and depression were risk factors for PTSD among displaced people. This finding might help the stakeholders (mental health policy makers, administrators, and mental health professionals) to address the prevention, early screening, and management of PTSD among displaced people and to give attention to more vulnerable bodies.Systematic review registrationPROSPERO, identifier CRD42023411371.https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1336665/fullepidemiologyprevalenceposttraumatic stress disorderPTSDdisplaced peoplerefugees |
| spellingShingle | Fantahun Andualem Mamaru Melkam Girmaw Medfu Takelle Girum Nakie Techilo Tinsae Setegn Fentahun Gidey Rtbey Tesfaye Derbie Begashaw Jemal Seid Lidiya Fasil Tegegn Getachew Muluye Gedef Desalegn Anmut Bitew Tilahun Nega Godana Prevalence of posttraumatic stress disorder and associated factors among displaced people in Africa: a systematic review and meta-analysis Frontiers in Psychiatry epidemiology prevalence posttraumatic stress disorder PTSD displaced people refugees |
| title | Prevalence of posttraumatic stress disorder and associated factors among displaced people in Africa: a systematic review and meta-analysis |
| title_full | Prevalence of posttraumatic stress disorder and associated factors among displaced people in Africa: a systematic review and meta-analysis |
| title_fullStr | Prevalence of posttraumatic stress disorder and associated factors among displaced people in Africa: a systematic review and meta-analysis |
| title_full_unstemmed | Prevalence of posttraumatic stress disorder and associated factors among displaced people in Africa: a systematic review and meta-analysis |
| title_short | Prevalence of posttraumatic stress disorder and associated factors among displaced people in Africa: a systematic review and meta-analysis |
| title_sort | prevalence of posttraumatic stress disorder and associated factors among displaced people in africa a systematic review and meta analysis |
| topic | epidemiology prevalence posttraumatic stress disorder PTSD displaced people refugees |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1336665/full |
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