دورية أكاديمية
أعرض في EDS

Comparative analysis of the health status of the population in six health zones in South Kivu: a cross-sectional population study using the WHODAS.

التفاصيل البيبلوغرافية
العنوان: Comparative analysis of the health status of the population in six health zones in South Kivu: a cross-sectional population study using the WHODAS.
المؤلفون: Makali SL; Ecole Régionale de Santé Publique, Faculté de Médecine, Université Catholique de Bukavu, Bukavu, Democratic Republic of Congo. samuelmakali11@gmail.com.; Hôpital Provincial Général de Référence de Bukavu (HPGRB), Bukavu, Democratic Republic of Congo. samuelmakali11@gmail.com., Malembaka EB; Ecole Régionale de Santé Publique, Faculté de Médecine, Université Catholique de Bukavu, Bukavu, Democratic Republic of Congo., Lambert AS; Institut de Recherche Santé et Société, Université Catholique de Louvain, Brussels, Belgium., Karemere HB; Ecole Régionale de Santé Publique, Faculté de Médecine, Université Catholique de Bukavu, Bukavu, Democratic Republic of Congo., Eboma CM; Ecole Régionale de Santé Publique, Faculté de Médecine, Université Catholique de Bukavu, Bukavu, Democratic Republic of Congo., Mwembo AT; Ecole de Santé Publique, Université de Lubumbashi, Lubumbashi, Democratic Republic of Congo., Ssali SB; Makerere University, Kampala, Uganda., Balaluka GB; Ecole Régionale de Santé Publique, Faculté de Médecine, Université Catholique de Bukavu, Bukavu, Democratic Republic of Congo., Donnen P; Ecole de Santé Publique, Université Libre de Bruxelles, Brussels, Belgium., Macq J; Institut de Recherche Santé et Société, Université Catholique de Louvain, Brussels, Belgium.
المصدر: Conflict and health [Confl Health] 2021 Jul 02; Vol. 15 (1), pp. 52. Date of Electronic Publication: 2021 Jul 02.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101286573 Publication Model: Electronic Cited Medium: Print ISSN: 1752-1505 (Print) Linking ISSN: 17521505 NLM ISO Abbreviation: Confl Health Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, c2007-
مستخلص: Background: The eastern Democratic Republic of Congo (DRC) has experienced decades-long armed conflicts which have had a negative impact on population's health. Most research in public health explores measures that focus on a specific health problem rather than overall population health status. The aim of this study was to assess the health status of the population and its predictors in conflict settings of South Kivu province, using the World Health Organization Disability Assessment Schedule (WHODAS).
Methods: Between May and June 2019, we conducted a community-based cross-sectional survey among 1440 adults in six health zones (HZ), classified according to their level of armed conflict intensity and chronicity in four types (accessible and stable, remote and stable, intermediate and unstable). The data were collected by a questionnaire including socio-demographic data and the WHODAS 2.0 tool with 12 items. The main variable of the study was the WHODAS summary score measuring individual's health status and synthesize in six domains of disability (household, cognitive, mobility, self-care, social and society). Univariate analysis, correlation and comparison tests as well as hierarchical multiple linear regression were performed.
Results: The median WHODAS score in the accessible and stable (AS), remote and stable (RS), intermediate (I) and unstable (U) HZ was 6.3 (0-28.6); 25 (6.3-41.7); 22.9 (12.5-33.3) and 39.6 (22.9-54.2), respectively. Four of the six WHODAS domain scores (household, cognitive, mobility and society) were the most altered in the UHZs. The RSHZ and IHZ had statistically comparable global WHODAS scores. The stable HZs (accessible and remote) had statistically lower scores than the UHZ on all items. In regression analysis, the factors significantly associated with an overall poor health status (or higher WHODAS score) were advanced age, being woman, being membership of an association; being divorced, separated or widower and living in an unstable HZ.
Conclusions: Armed conflicts have a significantly negative impact on people's perceived health, particularly in crisis health zones. In this area, we must accentuate actions aiming to strengthen people's psychosocial well-being.
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فهرسة مساهمة: Keywords: Conflict; DRC; Health status; Population; South Kivu; WHODAS
تواريخ الأحداث: Date Created: 20210703 Latest Revision: 20240402
رمز التحديث: 20240402
مُعرف محوري في PubMed: PMC8254209
DOI: 10.1186/s13031-021-00387-0
PMID: 34215304
قاعدة البيانات: MEDLINE
الوصف
تدمد:1752-1505
DOI:10.1186/s13031-021-00387-0