Trastornos mentales y consumo de drogas en población víctima del conflicto armado en tres ciudades de Colombia

Abstract

Introduction: The violence in different modalities increases the risks for mental disorders and drug use. Objectives: To estimate the prevalence of mental disorders, use and abuse of drugs and associated factors in victims of forced displacement in three Colombian cities. Materials and methods: Prevalence studies, the sample was 1,026 people between 13 and 65 years old, in which they were applied: Composite International Diagnostic Interview instrument of WHO, the AUDIT, a questionnaire on drug use - SIDUC- by modifying the CICAD/OAS, and a questionnaire on aspects related to forced displacement were applied. The analysis was performed using the statistical program SPSS v.21. Results: The highest prevalence of life for mental disorders: specific phobia (17.7%); major depression (16.4%); posttraumatic stress (9.9%); negative desafiant disorder (8.9%); separation anxiety (7.2%); behavioral disorders (5.8%); the attention deficit (5.6%). The prevalence of life for alcohol consumption (68.7%); tobacco (31.3%); marijuana (11.2%); cocaine (3.5%); basuco (2.0%); inhalants (2.3%); anxiolytic drugs without a prescription (2.5%); 0.7% of the respondents have injected drug. Any mental disorder associated with female gender (OR 1.61 95% CI [1.21-2.14]) and more than one forced displacement (OR 1.47 95% CI [1.05-2.05]). The consumption of any drug with being a man (OR 5.38 95% CI [2.35-12.34]). Conclusion: The high prevalence of mental disorders and drug use in the study population compared to the general population is presented as a public health problem that justifies the design of plans and the implementation of programs aimed at the recovery of their well-being and mental health.