暴力冲突期间抑郁症患病率及相关社会经济结果:利用具有全国代表性的调查数据和冲突事件数据对巴勒斯坦进行匹配分析

Piero Ronzani, Wolfgang Stojetz, Nadine Stammel, Maria Boettche, Diego Zardetto, Sarah Fenzl, Maen Salhab, Jessica M. Anderson, Arden Finn, Alia Aghajanian, Tilman Brück
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摘要

背景冲突环境中的心理健康风险很高,但心理健康研究大多集中在非冲突环境中。来自冲突环境中的调查数据往往存在响应率低、样本不具代表性以及缺乏有关不良心理健康的根源和影响的详细信息等问题。我们通过分析具有全国代表性的证据来克服这些挑战,这些证据涉及活跃冲突环境中抑郁症的患病率、来源和社会经济相关性,抑郁症是一种致残率高、成本高昂的公共卫生问题。方法我们分析了巴勒斯坦人心理状况调查(Palestinians' Psychological Conditions Survey)中具有全国和次全国代表性的地理编码调查数据,这些数据是 2022 年从约旦河西岸和加沙地带的 5877 名巴勒斯坦人那里收集的。我们计算了具有代表性的抑郁症统计数据,并按分地区和社会人口群体进行了分类,还估算了不同冲突类型和社会经济结果与地理编码暴力冲突事件数据以及基于调查的创伤暴露之间的关联。调查结果 巴勒斯坦 58% (SE=2.21) 的成年人表现出抑郁症状。加沙的发病率最高(71%,SE=2.70),随着暴力冲突和创伤事件暴露程度的增加而增加,并与更糟糕的社会经济结果相关联。2022 年的相关损失相当于 732,555 年的残疾损失,占巴勒斯坦国内生产总值的 8.9%。释义在冲突环境中,受到暴力和创伤事件影响的人受抑郁症的影响尤为严重,这可能会加剧贫困和不稳定。在冲突环境中对心理健康进行可扩展的投资,不仅能为人们的福祉提供支持,还能在一定暴力程度上提高生产力和社会凝聚力。资金来源这项研究得到了世界银行国家与和平建设信托基金的资助。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prevalence of Depression and Associated Socio-economic Outcomes during Violent Conflict: A Matched Analysis for Palestine Using Nationally Representative Survey and Conflict Event Data
Background Mental health risks are high in conflict settings, but mental health research mostly focuses on non-conflict settings. Survey data from active conflict settings often suffer from low response rates, unrepresentative samples, and a lack of detailed information on the roots and implications of poor mental health. We overcome these challenges by analyzing nationally representative evidence on the prevalence, sources, and socio-economic correlates of depression, a highly disabling and costly public health issue, in an active conflict setting. Methods We analyze nationally and sub-nationally representative geocoded survey data from the Palestinians' Psychological Conditions Survey, collected from 5,877 Palestinian individuals in West Bank and Gaza in 2022. We calculate representative depression statistics, disaggregate by sub-areas and across socio-demographic groups, and estimate the associations with geocoded violent conflict event data as well as survey-based trauma exposure across conflict types and socio-economic outcomes. Findings 58 percent (SE=2.21) of adults in Palestine exhibit depressive symptoms. Prevalence is highest in Gaza (71 percent, SE=2.70), increases with exposure to violent conflict and traumatic events, and is associated with worse socio-economic outcomes. The associated losses for 2022 are equivalent to 732,555 Years Lost in Disability, representing 8.9 percent of Palestine's GDP. Interpretation Those exposed to violence and traumatic events are disproportionately affected by depression in conflict settings, which may fuel poverty and instability. Scalable investments in mental health in conflict settings promise to not only support well-being but also strengthen productivity and social cohesion for a given level of violence. Funding The study received funding by the World Bank's State and Peace Building Trust Fund.
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