TY - JOUR
PY - 2021//
TI - Health in conflict zones: analyzing inequalities in mental health in Colombian conflict-affected territories
JO - International journal of public health
A1 - León-Giraldo, Sebastián
A1 - Casas, German
A1 - Cuervo-Sanchez, Juan Sebastian
A1 - González-Uribe, Catalina
A1 - Bernal, Oscar
A1 - Moreno-Serra, Rodrigo
A1 - Suhrcke, Marc
SP - e595311
EP - e595311
VL - 66
IS -
N2 - OBJECTIVES: Colombia's civil conflict and persistent socio-economic disparities have contributed to mental health inequalities in conflict-affected territories. We explore the magnitude of mental health inequalities, contributing socio-economic factors, and sociodemographic characteristics that explain these differences.
METHODS: The study draws on data collected in 2018, using the household survey Conflicto, Paz y Salud (CONPAS) applied to 1,309 households in Meta, Colombia. Logistic regression and decomposition analysis were used to analyze the risk of mental health disorders, measured with the Self-Reporting Questionnaire -20 (SRQ-20).
RESULTS: Individuals with lower socio-economic status are at a higher risk for mental health disorders. Forced displacement accounts for 31% of the measured mental health inequalities. Disparities in employment, education level, disability and conflict incidence between municipalities are other contributing factors. Women and people with disabilities are respectively 2.3 and 1.2 times more prone to present a mental health disorder.
CONCLUSION: It is necessary to tackle the identified risk factors and sociodemographic circumstances that contribute to mental health inequalities in conflict-affected territories, as these hinder adequate/equitable access to mental health services.
Language: en
LA - en SN - 1661-8556 UR - http://dx.doi.org/10.3389/ijph.2021.595311 ID - ref1 ER -