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Risk correlates for physical-mental multimorbidities in South Africa: a cross-sectional study.
I Petersen1, S Rathod2, T Kathree1
1Centre for Rural Health and School of Applied Human Sciences,University of KwaZulu- Natal,PR Bag X54001,Westville, 3630,South Africa.
Common mental disorders (CMDs) disproportionately affect younger, HIV-positive, and food-insecure patients in South Africa
Area of Science:
- Public Health
- Mental Health Research
- Chronic Disease Management
Background:
- South Africa faces a significant treatment gap for common mental disorders (CMDs).
- Coexisting CMDs can worsen the burden of chronic physical diseases.
- Identifying vulnerable populations is crucial for targeted interventions.
Purpose of the Study:
- To identify risk factors for coexisting CMDs in South African chronic care patients.
- To pinpoint vulnerable patient groups needing focused mental health support.
Main Methods:
- A survey of 2549 chronic care patients in South Africa.
- Screening for depression (PHQ9) and alcohol misuse (AUDIT).
- Analysis based on comorbidity count, disorder type, and demographics.
Main Results:
- Over one-third of patients had multiple physical conditions.
- Women showed higher depression risk; men showed higher alcohol misuse risk.
- Younger age, HIV positivity, and food insecurity were linked to higher CMD risk.
Conclusions:
- Mental health screening and treatment should prioritize HIV-positive, younger patients with food insecurity.
- Targeted interventions are essential given the CMD treatment gap.
- Addressing social determinants like food security is key for mental health outcomes.
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