Common mental health problems in historically disadvantaged urban and rural communities in South Africa: prevalence and risk factors

Havenaar, Juhan M.; Geerlings, Mirjam I.; Vivian, Lauraine M. H.; Collinson, Marh; Robertson, Brian

doi:10.1007/s00127-007-0294-9

Cited by 62 publications

(79 citation statements)

References 14 publications

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“…In South Africa, Havenaar et al 18 found that the prevalences of CMD in men and women were 34.9% and and 39% in rural areas and 19%, 39% and 20% in urban areas, respectively. 25 The prevalences encountered in the present study in both the urban and the rural areas were greater than those reported in the abovementioned countries.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of common mental disorders in mothers in the semiarid region of Alagoas and its relationship with nutritional status

et al. 2012

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CONTEXT AND OBJECTIVE: Compromised maternal mental health (MMH) is considered to be a risk factor for child malnutrition in low income areas. Psychosocial variables associated with MMH are potentially different between urban and rural environments. The aim here was to investigate whether associations existed between MMH and selected sociodemographic risk factors and whether specific to urban or rural settings. DESIGN AND SETTING: Cross-sectional study on a representative population sample of mothers from the semiarid region of Alagoas. METHODS: Multistage sampling was used. The subjects were mothers of children aged up to 60 months. MMH was evaluated through the Self-Reporting Questionnaire-20. Mothers' nutritional status was assessed using the body mass index and waist circumference. Univariate analysis used odds ratios (OR) and chi-square. Logistic regression was performed separately for urban and rural subsamples using MMH as the dependent variable. RESULTS: The sample comprised 288 mothers. The prevalences of common mental disorders (CMD) in rural and urban areas were 56.2% and 43.8%, respectively (OR = 1.03; 95% CI: 0.64-1.63). In univariate analysis and logistic regression, the variable of education remained associated with MMH (OR = 2.2; 95% CI: 1.03-4.6) in urban areas. In rural areas, the variable of lack of partner remained associated (OR = 2.6; 95% CI: 1.01-6.7). CONCLUSIONS: The prevalence of CMD is high among mothers of children aged up to two years in the semiarid region of Alagoas. This seems to be associated with lower educational level in urban settings and lack of partner in rural settings.

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Section: Discussionmentioning

confidence: 99%

Prevalence of common mental disorders in mothers in the semiarid region of Alagoas and its relationship with nutritional status

et al. 2012

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“…Women in low-income communities are more likely to develop depression than women in middle-and high-income communities (Burdette, Hill, & Hale, 2011;Elliot & Masters, 2009;Havenaar, Geerlings, Vivian, Collinson, & Robertson, 2008;Levy & O'Hara, 2010). Poverty is thought to contribute to depression via its association with low self-esteem and agency, an increased number of stressful life events and chronic social adversity (Belle & Doucet, 2003;Moultrie & Kleintjes, 2006).…”

Section: Women Poverty and Depressionmentioning

confidence: 99%

A Feminist Phenomenological Description of Depression in Low-income South African Women

Dukas¹

2016

Int J Womens Health Wellness

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“…Low and middle income countries [LAMIC] tend to allocate less than 1% of the national budget to mental health resources, which makes mental health a non-priority, invariably. [9][10][11][12] The situation in South Africa may not be that different, as there are limited mental health facilities and personnel to provide these services. [10][11][12][13] There is often little help from the communities in which the families and their afflicted participants stay, due to unavailability of resources.…”

Section: Introductionmentioning

confidence: 99%

“…[9][10][11][12] The situation in South Africa may not be that different, as there are limited mental health facilities and personnel to provide these services. [10][11][12][13] There is often little help from the communities in which the families and their afflicted participants stay, due to unavailability of resources. Added to this, communities with diverse cultural and belief systems, such as seen in South Africa, tend to seek mental health care from other sources like traditional healers (including sangomas, spiritualists, faith healers and inyangas), rather.…”

Section: Introductionmentioning

confidence: 99%

“…Added to this, communities with diverse cultural and belief systems, such as seen in South Africa, tend to seek mental health care from other sources like traditional healers (including sangomas, spiritualists, faith healers and inyangas), rather. 10 (Sangomas rely on dreams and premonitions to arrive at a diagnosis and use herbs to heal their client's problems, whereas inyangas throw the bones to diagnose a client's problems and use herbs to heal them. Spiritualists and faith healers both use the holy Bible to make a diagnosis, and prayer and water to offer some form of healing.)…”

Section: Introductionmentioning

confidence: 99%

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Testing the effectiveness of existing psycho-educational material (The Alliance Programme) for patients suffering from schizophrenia in the South African context

Jm¹,

B²,

Jl³

et al. 2010

Afr. J. Psych

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Objective: The objective of this study was to test the effectiveness of the existing psycho-educational material (The Alliance Programme) for patients suffering from schizophrenia in the South African context. Method: A qualitative research approach was used. Fifteen Setswana speaking participants, with a diagnosis of schizophrenia were exposed to the programme. Semi-structured and screening interviews were used to collect demographic and clinical data. The participants were divided into two groups and were exposed to either the Alliance Programme or on adapted version of the programme. Participatory communication instruments including focus groups, were used to assess comprehension and knowledge retention of the material over time. Results: Participants who were exposed to the original Alliance Programme experienced the contents of the programme to be technical, difficult to read or recall. They were unable to relate their previous symptoms to the psycho-education given. Participants who were exposed to the adapted version faired much better, gained more insight and were able to relate better to their illnesses. Participants preferred booklets with examples and illustrations, video clips and films over formal lectures. Conclusion: Psycho-education material given to people suffering from schizophrenia and their caregivers has to be adapted to their context to be effective.

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Common mental health problems in historically disadvantaged urban and rural communities in South Africa: prevalence and risk factors

Cited by 62 publications

References 14 publications

Prevalence of common mental disorders in mothers in the semiarid region of Alagoas and its relationship with nutritional status

Prevalence of common mental disorders in mothers in the semiarid region of Alagoas and its relationship with nutritional status

A Feminist Phenomenological Description of Depression in Low-income South African Women

Testing the effectiveness of existing psycho-educational material (The Alliance Programme) for patients suffering from schizophrenia in the South African context

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