Physical, sexual and overall reported interpersonal violence against adult out-patients with severe mental illness under remission, receiving healthcare at Butabika hospital: A cross-sectional study
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Date
2024-12-02
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Abstract
Interpersonal violence is a significant public health and human rights concern. People living with severe mental illness are especially vulnerable. The Sustainable Development Goals
2030 Agenda aims to end violence. To this end, we gathered information on the prevalenceand factors associated with interpersonal violence among one of the most impacted groups:
individuals with severe mental illness at Butabika Hospital in Kampala, Uganda. We con-ducted a cross-sectional study in 2020, including individuals 18 years or older. Data was col-
lected through a socio-demographics questionnaire and nine questions from the modifiedMy Exposure to Community Violence Questionnaire. The assessment evaluated physical or
sexual violence experience, frequency, and perpetrator identity. The data was analyzedusing STATA version 12 through simple logistic regression to determine the correlation
between a single exposure and the outcome of interest, with a significance level of 5%.Among 385 participants, the past year prevalence of overall reported interpersonal violence
was about 34%, while physical and sexual reported interpersonal violence were approxi-mately 29% and 11%, respectively. Participants who had perpetrated physical violence had
higher odds of experiencing reported interpersonal violence. With increasing age, the oddsof experiencing reported interpersonal violence decreased; compared to those aged 18–24
years, those aged 35–44 years had AOR = 0.31 (95% CI: 0.14–0.70, p = 0.005), and thoseaged 45 years and above had AOR = 0.34 (95% CI: 0.15–0.80, p = 0.013). Reported inter-
personal violence was high among the participants. While individuals of older age had lowerodds of reporting interpersonal violence, those who had perpetrated physical violence in the
past year had higher odds. Screening for interpersonal violence among young patients isrecommended. Psycho-education on preventing physical violence should be provided,
especially to younger adults. The Ministry of Health should address violence against ndividuals with mental illness through mass sensitization. A prospective study could investi-
gate risk and protective factors.
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Keywords
Mental illness, Butabika hospital, Adult outpatients
Citation
Guma, E.I., Bangirana, P., Birungi, C., Ocen, P., Morawej, Z. and Nakasujja, N., 2024. Physical, sexual and overall reported interpersonal violence against adult out-patients with severe mental illness under remission, receiving healthcare at Butabika hospital: A cross-sectional study. PloS one, 19(12), p.e0314402.