Jorge Cuartas Ricaurte1, Laura Liévano Karim2, María Alejandra Martínez Botero3, Philipp Hessel4. 1. Graduate School of Education, Harvard University, Cambridge, MA, USA. 2. Alberto Lleras Camargo School of Government, University of the Andes, Bogotá, Colombia. 3. Department of Economics, University of the Andes, Bogotá, Colombia. 4. Alberto Lleras Camargo School of Government, University of the Andes, Bogotá, Colombia. p.hessel@uniandes.edu.co.
Abstract
ABSTARCT: OBJECTIVES: We analyzed the relation between exposure to the armed conflict and violence with mental health disorders in Colombia and assessed the extent and determinants of socioeconomic inequalities in mental health related to differential exposure to the conflict and violence. METHODS: Regression and decomposition analyses were used in combination with the 2015 nationally representative Mental Health Survey (N = 10,853). Mental health disorders were assessed using the Self-Reporting Questionnaire (SRQ 20), and socioeconomic status by a Multidimensional Poverty Index. RESULTS: 3% of adults have been victim of a violent crime and 13% victim of the armed conflict. Victims of the armed conflict have 1.74 times higher odds (p < .05) of suffering mental health disorders compared to non-victims. Differential exposure to the armed conflict among lower socioeconomic groups explains 86% of total inequality in mental health disorders. CONCLUSIONS: Interventions that increase quality and access of mental health treatments among victims of the conflict will not only lead to improvements in mental health among victims but also significantly reduce inequalities in mental health in Colombia.
ABSTARCT: OBJECTIVES: We analyzed the relation between exposure to the armed conflict and violence with mental health disorders in Colombia and assessed the extent and determinants of socioeconomic inequalities in mental health related to differential exposure to the conflict and violence. METHODS: Regression and decomposition analyses were used in combination with the 2015 nationally representative Mental Health Survey (N = 10,853). Mental health disorders were assessed using the Self-Reporting Questionnaire (SRQ 20), and socioeconomic status by a Multidimensional Poverty Index. RESULTS: 3% of adults have been victim of a violent crime and 13% victim of the armed conflict. Victims of the armed conflict have 1.74 times higher odds (p < .05) of suffering mental health disorders compared to non-victims. Differential exposure to the armed conflict among lower socioeconomic groups explains 86% of total inequality in mental health disorders. CONCLUSIONS: Interventions that increase quality and access of mental health treatments among victims of the conflict will not only lead to improvements in mental health among victims but also significantly reduce inequalities in mental health in Colombia.
Authors: Sebastián León-Giraldo; Germán Casas; Juan Sebastián Cuervo-Sánchez; Catalina González-Uribe; Antonio Olmos; Noemi Kreif; Marc Suhrcke; Oscar Bernal; Rodrigo Moreno-Serra Journal: Int J Equity Health Date: 2021-01-19
Authors: Sebastián León-Giraldo; Germán Casas; Juan Sebastian Cuervo-Sanchez; Catalina González-Uribe; Oscar Bernal; Rodrigo Moreno-Serra; Marc Suhrcke Journal: Int J Public Health Date: 2021-05-17 Impact factor: 3.380
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