Physical and sexual victimization of persons with severe mental illness seeking care in central and southwestern Uganda
PurposeThis study established the prevalence of physical and sexual victimization, associated factors and psychosocial consequences of victimization among 1,201 out-patients with severe mental illness at Butabika and Masaka hospitals in Uganda.MethodsParticipants completed structured, standardized a...
| Main Authors: | , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2023-08-01
|
| Series: | Frontiers in Public Health |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1167076/full |
| _version_ | 1797746219860099072 |
|---|---|
| author | Richard Stephen Mpango Richard Stephen Mpango Richard Stephen Mpango Wilber Ssembajjwe Wilber Ssembajjwe Godfrey Zari Rukundo Philip Amanyire Carol Birungi Allan Kalungi Rwamahe Rutakumwa Christine Tusiime Kenneth D. Gadow Vikram Patel Moffat Nyirenda Moffat Nyirenda Eugene Kinyanda Eugene Kinyanda |
| author_facet | Richard Stephen Mpango Richard Stephen Mpango Richard Stephen Mpango Wilber Ssembajjwe Wilber Ssembajjwe Godfrey Zari Rukundo Philip Amanyire Carol Birungi Allan Kalungi Rwamahe Rutakumwa Christine Tusiime Kenneth D. Gadow Vikram Patel Moffat Nyirenda Moffat Nyirenda Eugene Kinyanda Eugene Kinyanda |
| author_sort | Richard Stephen Mpango |
| collection | DOAJ |
| description | PurposeThis study established the prevalence of physical and sexual victimization, associated factors and psychosocial consequences of victimization among 1,201 out-patients with severe mental illness at Butabika and Masaka hospitals in Uganda.MethodsParticipants completed structured, standardized and locally translated instruments. Physical and sexual victimization was assessed using the modified adverse life events module of the European Para-suicide Interview Schedule. We used logistic regression to determine the association between victimization, the associated factors and psychosocial consequences.ResultsThe prevalence of physical abuse was 34.1% and that of sexual victimization was 21.9%. The age group of > = 50 years (aOR 1.02;95% CI 0.62–1.66; p = 0.048) was more likely to have suffered physical victimization, while living in a rural area was protective against physical (aOR 0.59; 95% CI 0.46–0.76; p = <0.001) and sexual (aOR 0.48, 95% CI 0.35–0.65; p < 0.001) victimization. High socioeconomic status (SES) (aOR 0.56; 95% CI 0.34–0.92; p = <0.001) was protective against physical victimization. Females were more likely to have been sexually victimized (aOR 3.38; 95% CI 2.47–4.64; p = <0.001), while being a Muslim (aOR 0.60; 95% CI 0.39–0.90; p = 0.045) was protective against sexual victimization. Risky sexual behavior was a negative outcome associated with physical (aOR 2.19; 95% CI 1.66–2.90; p = <0.001) and sexual (aOR 3.09; 95% CI 2.25–4.23; p < 0.001) victimization. Mental health stigma was a negative outcome associated with physical (aOR 1.03; 95% CI 1.01–1.05; p < 0.001) and sexual (aOR 1.03; 95% CI 1.01–1.05; p = 0.002) victimization. Poor adherence to oral anti-psychotic medications was a negative outcome associated with physical (aOR 1.51; 95% CI 1.13–2.00; p = 0.006) and sexual (aOR 1.39; 95% CI 0.99–1.94; p = 0.044) victimization.ConclusionThere is a high burden of physical and sexual victimization among people with SMI in central Uganda. There is need to put in place and evaluate complex interventions for improving detection and response to abusive experiences within mental health services. Public health practitioners, policymakers, and legislators should act to protect the health and rights of people with SMI in resource poor settings. |
| first_indexed | 2024-03-12T15:33:48Z |
| format | Article |
| id | doaj.art-d7be4d0d0c214de6a2640cd838bd523d |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-03-12T15:33:48Z |
| publishDate | 2023-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-d7be4d0d0c214de6a2640cd838bd523d2023-08-09T17:11:06ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-08-011110.3389/fpubh.2023.11670761167076Physical and sexual victimization of persons with severe mental illness seeking care in central and southwestern UgandaRichard Stephen Mpango0Richard Stephen Mpango1Richard Stephen Mpango2Wilber Ssembajjwe3Wilber Ssembajjwe4Godfrey Zari Rukundo5Philip Amanyire6Carol Birungi7Allan Kalungi8Rwamahe Rutakumwa9Christine Tusiime10Kenneth D. Gadow11Vikram Patel12Moffat Nyirenda13Moffat Nyirenda14Eugene Kinyanda15Eugene Kinyanda16Mental Health Section, MRC/UVRI and LSHTM Uganda Research Unit, Entebbe, UgandaBrown School, Washington University in St. Louis, St. Louis, MO, United StatesDepartment of Mental Health, School of Health Sciences, Soroti University, Soroti, UgandaMental Health Section, MRC/UVRI and LSHTM Uganda Research Unit, Entebbe, UgandaStatistical Section, MRC/UVRI and LSHTM Uganda Research Unit, Entebbe, UgandaDepartment of Psychiatry, Mbarara University of Science and Technology, Mbarara, UgandaDepartment of Nursing, Mbarara University of Science and Technology, Mbarara, UgandaDepartment of Psychiatry, College of Health Sciences, Makerere University, Kampala, UgandaMental Health Section, MRC/UVRI and LSHTM Uganda Research Unit, Entebbe, UgandaMental Health Section, MRC/UVRI and LSHTM Uganda Research Unit, Entebbe, UgandaButabika National Psychiatric Hospital, Kampala, UgandaDepartment of Psychiatry, Stony Brook University, Stony Brook, NY, United States0Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, United StatesMental Health Section, MRC/UVRI and LSHTM Uganda Research Unit, Entebbe, Uganda1Global Non-Communicable Diseases (NCD) Section, MRC/UVRI and LSHTM Uganda Research Unit, Entebbe, UgandaMental Health Section, MRC/UVRI and LSHTM Uganda Research Unit, Entebbe, UgandaDepartment of Psychiatry, College of Health Sciences, Makerere University, Kampala, UgandaPurposeThis study established the prevalence of physical and sexual victimization, associated factors and psychosocial consequences of victimization among 1,201 out-patients with severe mental illness at Butabika and Masaka hospitals in Uganda.MethodsParticipants completed structured, standardized and locally translated instruments. Physical and sexual victimization was assessed using the modified adverse life events module of the European Para-suicide Interview Schedule. We used logistic regression to determine the association between victimization, the associated factors and psychosocial consequences.ResultsThe prevalence of physical abuse was 34.1% and that of sexual victimization was 21.9%. The age group of > = 50 years (aOR 1.02;95% CI 0.62–1.66; p = 0.048) was more likely to have suffered physical victimization, while living in a rural area was protective against physical (aOR 0.59; 95% CI 0.46–0.76; p = <0.001) and sexual (aOR 0.48, 95% CI 0.35–0.65; p < 0.001) victimization. High socioeconomic status (SES) (aOR 0.56; 95% CI 0.34–0.92; p = <0.001) was protective against physical victimization. Females were more likely to have been sexually victimized (aOR 3.38; 95% CI 2.47–4.64; p = <0.001), while being a Muslim (aOR 0.60; 95% CI 0.39–0.90; p = 0.045) was protective against sexual victimization. Risky sexual behavior was a negative outcome associated with physical (aOR 2.19; 95% CI 1.66–2.90; p = <0.001) and sexual (aOR 3.09; 95% CI 2.25–4.23; p < 0.001) victimization. Mental health stigma was a negative outcome associated with physical (aOR 1.03; 95% CI 1.01–1.05; p < 0.001) and sexual (aOR 1.03; 95% CI 1.01–1.05; p = 0.002) victimization. Poor adherence to oral anti-psychotic medications was a negative outcome associated with physical (aOR 1.51; 95% CI 1.13–2.00; p = 0.006) and sexual (aOR 1.39; 95% CI 0.99–1.94; p = 0.044) victimization.ConclusionThere is a high burden of physical and sexual victimization among people with SMI in central Uganda. There is need to put in place and evaluate complex interventions for improving detection and response to abusive experiences within mental health services. Public health practitioners, policymakers, and legislators should act to protect the health and rights of people with SMI in resource poor settings.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1167076/fullphysical victimizationsexual victimizationmental illnessseeking careUganda |
| spellingShingle | Richard Stephen Mpango Richard Stephen Mpango Richard Stephen Mpango Wilber Ssembajjwe Wilber Ssembajjwe Godfrey Zari Rukundo Philip Amanyire Carol Birungi Allan Kalungi Rwamahe Rutakumwa Christine Tusiime Kenneth D. Gadow Vikram Patel Moffat Nyirenda Moffat Nyirenda Eugene Kinyanda Eugene Kinyanda Physical and sexual victimization of persons with severe mental illness seeking care in central and southwestern Uganda Frontiers in Public Health physical victimization sexual victimization mental illness seeking care Uganda |
| title | Physical and sexual victimization of persons with severe mental illness seeking care in central and southwestern Uganda |
| title_full | Physical and sexual victimization of persons with severe mental illness seeking care in central and southwestern Uganda |
| title_fullStr | Physical and sexual victimization of persons with severe mental illness seeking care in central and southwestern Uganda |
| title_full_unstemmed | Physical and sexual victimization of persons with severe mental illness seeking care in central and southwestern Uganda |
| title_short | Physical and sexual victimization of persons with severe mental illness seeking care in central and southwestern Uganda |
| title_sort | physical and sexual victimization of persons with severe mental illness seeking care in central and southwestern uganda |
| topic | physical victimization sexual victimization mental illness seeking care Uganda |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1167076/full |
| work_keys_str_mv | AT richardstephenmpango physicalandsexualvictimizationofpersonswithseverementalillnessseekingcareincentralandsouthwesternuganda AT richardstephenmpango physicalandsexualvictimizationofpersonswithseverementalillnessseekingcareincentralandsouthwesternuganda AT richardstephenmpango physicalandsexualvictimizationofpersonswithseverementalillnessseekingcareincentralandsouthwesternuganda AT wilberssembajjwe physicalandsexualvictimizationofpersonswithseverementalillnessseekingcareincentralandsouthwesternuganda AT wilberssembajjwe physicalandsexualvictimizationofpersonswithseverementalillnessseekingcareincentralandsouthwesternuganda AT godfreyzarirukundo physicalandsexualvictimizationofpersonswithseverementalillnessseekingcareincentralandsouthwesternuganda AT philipamanyire physicalandsexualvictimizationofpersonswithseverementalillnessseekingcareincentralandsouthwesternuganda AT carolbirungi physicalandsexualvictimizationofpersonswithseverementalillnessseekingcareincentralandsouthwesternuganda AT allankalungi physicalandsexualvictimizationofpersonswithseverementalillnessseekingcareincentralandsouthwesternuganda AT rwamaherutakumwa physicalandsexualvictimizationofpersonswithseverementalillnessseekingcareincentralandsouthwesternuganda AT christinetusiime physicalandsexualvictimizationofpersonswithseverementalillnessseekingcareincentralandsouthwesternuganda AT kennethdgadow physicalandsexualvictimizationofpersonswithseverementalillnessseekingcareincentralandsouthwesternuganda AT vikrampatel physicalandsexualvictimizationofpersonswithseverementalillnessseekingcareincentralandsouthwesternuganda AT moffatnyirenda physicalandsexualvictimizationofpersonswithseverementalillnessseekingcareincentralandsouthwesternuganda AT moffatnyirenda physicalandsexualvictimizationofpersonswithseverementalillnessseekingcareincentralandsouthwesternuganda AT eugenekinyanda physicalandsexualvictimizationofpersonswithseverementalillnessseekingcareincentralandsouthwesternuganda AT eugenekinyanda physicalandsexualvictimizationofpersonswithseverementalillnessseekingcareincentralandsouthwesternuganda |