Sriram, P (2015) Prevalence and Factors Associated with Psychiatric Morbidity among Internally Displaced Elderly Population: A Cross Sectional study. Masters thesis, Madras Medical College, Chennai.
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Abstract
BACKGROUND: According to the WHO Commission on Social Determinants of Health, the Social Determinants of Health (SDOH) affect the health status of the population and hence morbidity and mortality. There are various factors that affect the SDOH. Development Induced Displacement and Resettlement is one among the various factors that affect the SDOH. There has been research indicating increased prevalence of psychiatric morbidity among internally displaced people due to various reasons. The prevalence of psychiatric morbidity among internally displaced people due to Development Induced Development and Resettlement (DIDR) has not been explored. AIMS AND OBJECTIVES: To estimate the prevalence of psychiatric morbidity and to identify factors associated with psychiatric morbidity among internally displaced elderly population. METHODOLOGY: 200 Internally displaced elderly people are selected for study by systemic random sampling method from Kannagi Nagar, major resettlement area of people displaced from Chennai. Elderly people who are displaced and resettled at Kannagi Nagar, and those who give informed consent are included. Effect of displacement is assessed based on a questionnaire developed with inputs from literature, in-depth interviews, and focussed group discussion. Psychiatric morbidity is assessed by SCAN. RESULTS AND DISCUSSION: Analysing the socio-demographic profile, it is evident that this population is in need of appropriate job opportunities, health care facilities and appropriate social support. Displacement has led to the worsening of social determinants of health. The prevalence of psychiatric morbidity is high in this internally displaced elderly population considered to the general elderly population. The prevalence of alcohol dependence syndrome and depression is considerably high in the study population. The worsening of occupational and transport factors, decrease in social integration, loss of property has been associated with increased prevalence of psychiatric morbidity. Increased cost of transportation, decreased frequency and difficulty in access to transport facilities, decreased monthly income and increased monthly expenses has been associated with increased prevalence of depression. CONCLUSION: Thus displacement has been a risk factor for development of psychiatric morbidity by affecting SDOH. Psychiatric health care services should be established in the resettlement area. Appropriate measures should be taken during policy decisions regarding displacement to prevent worsening of SDOH and thus preventing psychiatric morbidity.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | Social determinants of health ; Development induced displacement and resettlement ; Displacement ; Psychiatric morbidity ; kannagi Nagar. |
| Subjects: | MEDICAL > Psychiatry |
| Depositing User: | Punitha K |
| Date Deposited: | 05 May 2018 14:07 |
| Last Modified: | 05 May 2018 14:07 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/7507 |
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