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Journal of Public Health Advance Access originally published online on April 8, 2008
Journal of Public Health 2008 30(4):487-493; doi:10.1093/pubmed/fdn025
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© The Author 2008, Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved

Prevalence and predictors of mental disorders among women in Sanliurfa, Southeastern Turkey



Zeynep Simsek, Research Associate1

Dilek Ak, Master Degree Student1

Abdurrrahman Altindag, Research Associate2

Mehmet Günes, Research Assistance2
1 Harran University Faculty of Medicine, Department of Public Health, 63100 Sanliurfa, Turkey
2 Harran University Faculty of Medicine, Department of Psychiatry, 63100 Sanliurfa, Turkey

Address correspondence to Zeynep Simsek, E-mail: zsimsek{at}harran.edu.tr


  Abstract

Background Mental health is one of the most important public health issues because of major contributor to the global burden of disease. In this study, we examined the prevalence and predictors of mental disorders among married women from 15 to 49 years of age and the need for mental health services in the primary health care settings.

Methods In this cross-sectional study, 270 women were selected using probability cluster sampling method at 95% confidence interval (91.5% response rate). The Structured Clinical Interview for DSM-IV (SCID-I) and women socio-demographic information form were used to collect data.

Results Although the prevalence of mental disorder was 25.9% (8.5% with one diagnosis; 17.4% were two or more diagnoses), 4.7% of these women had contacted a carer in the last year for psychological reasons. According to the SCID-I assessment, the most prevalent diagnoses were major depressive disorder (7.3%), phobic disorder (4.8%) and posttraumatic stress disorder (3.6%). In this study, comorbid diagnoses were present in 67.2% of patients. Logistic regression analyses revealed that domestic violence, history of previous trauma, anemia and cutaneous leishmaniasis were significant predictors of any mental disorders (P < 0.05).

Conclusions These findings highlight the need for systematic development of community-based mental health services in conjunction with primary health care services for the screening, early identification and treatment of women suffering from mental disorders, and the improvement of anemia and cutaneous leishmaniasis control programme.

Keywords: women, mental disorders, comorbidity, community mental health services


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