ABSTRACT Mental health is a key issue for populations affected by conflict. The evidence base on the mental health of internally displaced Colombians is undefined, as well as protective strategies utilised by this group. This systematic literature review aims to identify and assess the evidence base on the mental health of Colombian internally displaced persons (IDPs). Specific objectives are to examine (1) prevalence and incidence rates of common mental disorders (CMDs) amongst adult Colombian IDPs, (2) risk factors associated with CMDs amongst this group, and (3) coping strategies used by these displaced persons. A database search was conducted in May 2021. Included studies reported quantitative and/or qualitative mental health outcomes of CMDs, and/or coping strategies, among Colombian IDPs. The search yielded 34 articles. Study quality ranged from adequate to poor, with several containing serious shortcomings. PTSD prevalence ranged from 1.2%-97.3%, anxiety from 0.0%-60.0%, depression from 5.1%-100%, and problematic alcohol use from 8.0%-33.5%. Factors significantly associated with CMDs were inconsistent. Seeking social support and problem-solving strategies were the two most-commonly reported coping strategies. Associations between mental health and coping were largely unreported. As the evidence base is weak, there is a clear need for better quality research in this area.

/pdf/common-mental-disorders-and-coping-strategies-amongst-2gjhdhch.pdf

Common mental disorders and coping strategies amongst internally displaced Colombians: A systematic review

Introduction: This study aims to further differentiate the profiles of drug users based on sociodemographic factors associated with displacement and mental health disorders, which, within the context of this research, appear to be relevant when considering substance use. Objectives: To classify a sample of the population of victims of armed displacement in Colombia into homogenous groups through an interdependent multivariate cluster analysis, taking into account substance use in the last year. Methods: The data are taken from a study involving 1026 people between the ages of 13 and 65 that was designed to investigate the mental health and drug use patterns of populations displaced by the armed conflict in Colombia in 3 cities: Bogotá, Medellín, and Buenaventura. This study selected 540 cases presenting with at least 1 instance of alcohol, tobacco, or illicit substance use in the last year. Results: Cluster analysis identified 5 alcohol, 5 tobacco, and 4 illicit substance use groups. Age, sex, occupation, and some variables related to displacement were associated with the use of these substances. Considering illicit substances, cluster 2 is the group with the most characteristics in common; as such, interventions for this group should be prioritized in public health policies aimed at this population. Conclusions: There are specific groups of substance users in populations that have been the victim of forced displacement in Colombia

Analysis and Profiles of Drug Users in a Population of Victims of Forced Displacement in Colombia

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Analysis and Profiles of Drug Users in a Population of Victims of Forced Displacement in Colombia