Factors associated with the health status of internally displaced persons in northern Uganda
2009

Health Status of Internally Displaced Persons in Northern Uganda

Sample size: 1206 publication 10 minutes Evidence: high

Author Information

Author(s): Bayard Roberts, Kaducu Felix Ocaka, John Browne, Thomas Oyok, Egbert Sondorp

Primary Institution: London School of Hygiene and Tropical Medicine

Hypothesis

What factors are associated with the mental and physical health status of internally displaced persons in northern Uganda?

Conclusion

The study highlights the negative impact of deprivation of basic goods and services, traumatic events, and fear on the health of displaced populations.

Supporting Evidence

  • 1206 interviews were completed with a response rate of 94%.
  • Mean PCS and MCS scores were 42.2 and 39.3, indicating poor health.
  • Women had lower health scores than men.
  • Over half of respondents met criteria for PTSD and depression.

Takeaway

This study shows that people who have been forced to leave their homes because of conflict are often very unhealthy, and many things like not having enough food or feeling scared make it worse.

Methodology

A cross-sectional survey was conducted using the SF-8 instrument to measure physical and mental health, with multivariate regression analysis to investigate associations.

Potential Biases

Potential underreporting of trauma due to sensitive nature of questions and gender of interviewers.

Limitations

The cross-sectional design limits causal inferences, and there may have been underreporting of sensitive traumatic events due to interviewer gender mismatch.

Participant Demographics

The sample included 60% women, with a mean age of 35 years, predominantly Acholi ethnic group, and many had been displaced for over 5 years.

Statistical Information

P-Value

p<0.05

Confidence Interval

95% CI 41.32 to 43.10 for PCS, 95% CI 38.42 to 40.13 for MCS

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1136/jech.2008.076356

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