Izvorni znanstveni članak
Health Care and Community-based Interventions for War-traumatized People in Croatia: Community-based Study of Service Use and Mental Health
Tanja Frančišković
; University of Rijeka School of Medicine, Rijeka, Croatia
Zdravko Tovilović
; University of Rijeka School of Medicine, Rijeka, Croatia
Zoran Šuković
; University of Rijeka School of Medicine, Rijeka, Croatia
Aleksandra Stevanović
; University of Rijeka School of Medicine, Rijeka, Croatia
Dean Ajduković
; Department of Psychology, Faculty of Philosophy, University of Zagreb, Croatia
Radojka Kraljević
; Department of Psychology, Faculty of Philosophy, University of Zagreb, Croatia
Marija Bogić
; Barts and the London School of Medicine, Queen Mary University of London, London, UK
Stefan Priebe
; Barts and the London School of Medicine, Queen Mary University of London, London, UK
Sažetak
Aim To explore the use of health care and community-based services in
war-affected regions of Croatia and its relation to mental health.
Methods A sample of 719 adults exposed to at least one war-related
traumatic event were selected by random-walk technique from three
Croatian counties and interviewed for socio-demographic data, mental
health status (Mini International Neuropsychiatric Interview), and
service use (Matrix for the Assessment of Community and Healthcare
Services) in the period from 1991 to 2006. Descriptive analysis of service
use was performed. Relations between service use, current mental
health, and recovery from posttraumatic stress disorder (PTSD) were
analyzed using logistic regression models. Results The traumatized population used a wide range of health care and community-based services. Health care was the most frequently used service category, especially primary health care (92.5%), followed by accommodation support (57.9%), financial support (57.7%), and employment support (32.5%). Compared with participants without mental disorders, participants with current PTSD were more likely to use only legal support (odds ratio [OR], 2.15; 95% confidence interval [CI], 1.15-3.99), while participants with other mental disorders were more likely to use social support and contacts (OR, 1.72; 95% CI, 1.08-2.75). Receiving accommodation support (OR, 2.05; 95% CI, 1.03-4.06) was the only significant predictor of recovery from PTSD, while seeking legal support (OR, 0.28; 95% CI, 0.08-0.92) was elated to slower recovery. Conclusion Although a wide range of services were organized to help the traumatized population in Croatia, only the solution of housing issue significantly predicted recovery. The organization of help services should take into consideration the existing infrastructure and local specificities, and respect the needs of people in war-affected areas.
Ključne riječi
health care; service; use; community; PTSD; trauma; war; Croatia
Hrčak ID:
29261
URI
Datum izdavanja:
15.8.2008.
Posjeta: 1.265 *