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
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 prevalence and factors associated with i...
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| creator | Guma, Edgar Innocent Bangirana, Paul Birungi, Caroline Ocen, Patrick Morawej, Zahra Nakasujja, Noeline |
| description | 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 prevalence and factors associated with interpersonal violence among one of the most impacted groups: individuals with severe mental illness at Butabika Hospital in Kampala, Uganda. We conducted a cross-sectional study in 2020, including individuals 18 years or older. Data was collected through a socio-demographics questionnaire and nine questions from the modified My Exposure to Community Violence Questionnaire. The assessment evaluated physical or sexual violence experience, frequency, and perpetrator identity. The data was analyzed using 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 approximately 29% and 11%, respectively. Participants who had perpetrated physical violence had higher odds of experiencing reported interpersonal violence. With increasing age, the odds of 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 those aged 45 years and above had AOR = 0.34 (95% CI: 0.15-0.80, p = 0.013). Reported interpersonal violence was high among the participants. While individuals of older age had lower odds of reporting interpersonal violence, those who had perpetrated physical violence in the past year had higher odds. Screening for interpersonal violence among young patients is recommended. Psycho-education on preventing physical violence should be provided, especially to younger adults. The Ministry of Health should address violence against individuals with mental illness through mass sensitization. A prospective study could investigate risk and protective factors. |
| doi_str_mv | 10.1371/journal.pone.0314402 |
| format | Article |
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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 prevalence and factors associated with interpersonal violence among one of the most impacted groups: individuals with severe mental illness at Butabika Hospital in Kampala, Uganda. We conducted a cross-sectional study in 2020, including individuals 18 years or older. Data was collected through a socio-demographics questionnaire and nine questions from the modified My Exposure to Community Violence Questionnaire. The assessment evaluated physical or sexual violence experience, frequency, and perpetrator identity. The data was analyzed using 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 approximately 29% and 11%, respectively. Participants who had perpetrated physical violence had higher odds of experiencing reported interpersonal violence. With increasing age, the odds of 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 those aged 45 years and above had AOR = 0.34 (95% CI: 0.15-0.80, p = 0.013). Reported interpersonal violence was high among the participants. While individuals of older age had lower odds of reporting interpersonal violence, those who had perpetrated physical violence in the past year had higher odds. Screening for interpersonal violence among young patients is recommended. Psycho-education on preventing physical violence should be provided, especially to younger adults. The Ministry of Health should address violence against individuals with mental illness through mass sensitization. A prospective study could investigate risk and protective factors.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0314402</identifier><identifier>PMID: 39621653</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adolescent ; Adult ; Adults ; Age ; Aggression ; Ambulatory medical care ; At risk populations ; Bipolar disorder ; Care and treatment ; Cross-Sectional Studies ; Demographics ; Diagnosis ; Domestic violence ; Drug use ; Earth Sciences ; Evaluation ; Female ; Health risks ; Health services ; Homeless people ; Hospitalization ; Hospitals ; Human rights ; Humans ; Illnesses ; Intervention ; Male ; Males ; Medicine and Health Sciences ; Mental disorders ; Mental Disorders - epidemiology ; Mental health care ; Mental illness ; Middle Aged ; Mortality ; Outpatients - psychology ; Outpatients - statistics & numerical data ; Patient outcomes ; Patients ; Physical Abuse - psychology ; Physical Abuse - statistics & numerical data ; Physical education ; Post traumatic stress disorder ; Prevalence ; Prevention ; Protective factors ; Psychosis ; Public health ; Questionnaires ; Regression (Disease) ; Remission ; Remission (Medicine) ; Risk factors ; Schizophrenia ; Sex crimes ; Sex Offenses - psychology ; Sex Offenses - statistics & numerical data ; Sexual assault ; Social Sciences ; Surveys and Questionnaires ; Sustainable development ; Trauma ; Uganda - epidemiology ; Victimization ; Violence ; Violence - psychology ; Young Adult</subject><ispartof>PloS one, 2024-12, Vol.19 (12), p.e0314402</ispartof><rights>Copyright: © 2024 Guma et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</rights><rights>COPYRIGHT 2024 Public Library of Science</rights><rights>2024 Guma et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2024 Guma et al 2024 Guma et al</rights><rights>2024 Guma et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c572t-915ce79747d0c2fc9699ea691929be9119426b19fc1ee094519c370aabd99c023</cites><orcidid>0009-0003-0607-2654 ; 0000-0003-0683-8560</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11611166/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11611166/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27321,27901,27902,33751,53766,53768,79343,79344</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39621653$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>De Luca, Vincenzo</contributor><creatorcontrib>Guma, Edgar Innocent</creatorcontrib><creatorcontrib>Bangirana, Paul</creatorcontrib><creatorcontrib>Birungi, Caroline</creatorcontrib><creatorcontrib>Ocen, Patrick</creatorcontrib><creatorcontrib>Morawej, Zahra</creatorcontrib><creatorcontrib>Nakasujja, Noeline</creatorcontrib><title>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</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>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 prevalence and factors associated with interpersonal violence among one of the most impacted groups: individuals with severe mental illness at Butabika Hospital in Kampala, Uganda. We conducted a cross-sectional study in 2020, including individuals 18 years or older. Data was collected through a socio-demographics questionnaire and nine questions from the modified My Exposure to Community Violence Questionnaire. The assessment evaluated physical or sexual violence experience, frequency, and perpetrator identity. The data was analyzed using 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 approximately 29% and 11%, respectively. Participants who had perpetrated physical violence had higher odds of experiencing reported interpersonal violence. With increasing age, the odds of 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 those aged 45 years and above had AOR = 0.34 (95% CI: 0.15-0.80, p = 0.013). Reported interpersonal violence was high among the participants. While individuals of older age had lower odds of reporting interpersonal violence, those who had perpetrated physical violence in the past year had higher odds. Screening for interpersonal violence among young patients is recommended. Psycho-education on preventing physical violence should be provided, especially to younger adults. The Ministry of Health should address violence against individuals with mental illness through mass sensitization. A prospective study could investigate risk and protective factors.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Adults</subject><subject>Age</subject><subject>Aggression</subject><subject>Ambulatory medical care</subject><subject>At risk populations</subject><subject>Bipolar disorder</subject><subject>Care and treatment</subject><subject>Cross-Sectional Studies</subject><subject>Demographics</subject><subject>Diagnosis</subject><subject>Domestic violence</subject><subject>Drug use</subject><subject>Earth Sciences</subject><subject>Evaluation</subject><subject>Female</subject><subject>Health risks</subject><subject>Health services</subject><subject>Homeless people</subject><subject>Hospitalization</subject><subject>Hospitals</subject><subject>Human rights</subject><subject>Humans</subject><subject>Illnesses</subject><subject>Intervention</subject><subject>Male</subject><subject>Males</subject><subject>Medicine and Health Sciences</subject><subject>Mental disorders</subject><subject>Mental Disorders - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Guma, Edgar Innocent</au><au>Bangirana, Paul</au><au>Birungi, Caroline</au><au>Ocen, Patrick</au><au>Morawej, Zahra</au><au>Nakasujja, Noeline</au><au>De Luca, Vincenzo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>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</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2024-12-02</date><risdate>2024</risdate><volume>19</volume><issue>12</issue><spage>e0314402</spage><pages>e0314402-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><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 prevalence and factors associated with interpersonal violence among one of the most impacted groups: individuals with severe mental illness at Butabika Hospital in Kampala, Uganda. We conducted a cross-sectional study in 2020, including individuals 18 years or older. Data was collected through a socio-demographics questionnaire and nine questions from the modified My Exposure to Community Violence Questionnaire. The assessment evaluated physical or sexual violence experience, frequency, and perpetrator identity. The data was analyzed using 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 approximately 29% and 11%, respectively. Participants who had perpetrated physical violence had higher odds of experiencing reported interpersonal violence. With increasing age, the odds of 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 those aged 45 years and above had AOR = 0.34 (95% CI: 0.15-0.80, p = 0.013). Reported interpersonal violence was high among the participants. While individuals of older age had lower odds of reporting interpersonal violence, those who had perpetrated physical violence in the past year had higher odds. Screening for interpersonal violence among young patients is recommended. Psycho-education on preventing physical violence should be provided, especially to younger adults. The Ministry of Health should address violence against individuals with mental illness through mass sensitization. A prospective study could investigate risk and protective factors.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>39621653</pmid><doi>10.1371/journal.pone.0314402</doi><tpages>e0314402</tpages><orcidid>https://orcid.org/0009-0003-0607-2654</orcidid><orcidid>https://orcid.org/0000-0003-0683-8560</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2024-12, Vol.19 (12), p.e0314402 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_3135057052 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Free Full-Text Journals in Chemistry; Sociological Abstracts; Public Library of Science (PLoS) |
| subjects | Adolescent Adult Adults Age Aggression Ambulatory medical care At risk populations Bipolar disorder Care and treatment Cross-Sectional Studies Demographics Diagnosis Domestic violence Drug use Earth Sciences Evaluation Female Health risks Health services Homeless people Hospitalization Hospitals Human rights Humans Illnesses Intervention Male Males Medicine and Health Sciences Mental disorders Mental Disorders - epidemiology Mental health care Mental illness Middle Aged Mortality Outpatients - psychology Outpatients - statistics & numerical data Patient outcomes Patients Physical Abuse - psychology Physical Abuse - statistics & numerical data Physical education Post traumatic stress disorder Prevalence Prevention Protective factors Psychosis Public health Questionnaires Regression (Disease) Remission Remission (Medicine) Risk factors Schizophrenia Sex crimes Sex Offenses - psychology Sex Offenses - statistics & numerical data Sexual assault Social Sciences Surveys and Questionnaires Sustainable development Trauma Uganda - epidemiology Victimization Violence Violence - psychology Young Adult |
| title | 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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