Contextual factors associated with depression among urban refugee and displaced youth in Kampala, Uganda: findings from a cross-sectional study

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dc.contributor.authorLogie, Carmen H.
dc.contributor.authorOkumu, Moses
dc.contributor.authorMwima, Simon
dc.contributor.authorHakiza, Robert
dc.contributor.authorChemutai, Doreen
dc.contributor.authorKyambadde, Peter
dc.date.accessioned2023-05-22T16:31:02Z
dc.date.available2023-05-22T16:31:02Z
dc.date.issued2020
dc.description.abstractAdvancing mental health among refugee and displaced adolescents and youth is critically important, as chronic psychological stress can have lifelong harmful impacts. These groups experience socio-environmental stressors that can harm mental health. Informed by a social contextual framework, this study explored the prevalence of depression among urban refugee and displaced youth in Kampala, Uganda and associations with symbolic (violence), relational (social support), and material (food and community insecurity) contexts. We implemented a cross-sectional survey with refugee and displaced adolescent girls and young women and adolescent boys and young men aged 16–24 living in Kampala’s informal settlements. We conducted peer-driven recruitment, whereby peer navigators shared study information with their networks and in turn participants were invited to recruit their peers. We conducted gender disaggregated analyses, including stepwise multiple regression to examine factors associated with depression. We then conducted structural equation modeling (SEM) using weighted least squares estimation to examine direct paths from violence, food insecurity, and community insecurity to depression, and indirect effects through social support. Among participants (n = 445), young women (n = 333) reported significantly higher depression symptoms than young men (n = 112), including any symptoms (73.9% vs. 49.1%, p < 0.0001), mild to moderate symptoms (60.4% vs. 45.5%, p = 0.008), and severe symptoms (13.5% vs 3.6%, p = 0.002). SEM results among young women indicate that the latent violence factor (lifetime sexual and physical violence) had direct effects on depression and social support, but social support did not mediate the path from violence to depression. The model fit the data well: χ2(3) = 9.82, p = 0.020; RMSEA = 0.08, 90% CI [0.03, 0.14], CFI = 0.96). Among young men, SEM findings indicate that food insecurity had direct effects on social support, and an indirect effect on depression through the mediating role of social support. Fit indices suggest good model fit: χ2(3) = 2.09, p = 0.352; RMSEA = 0.02, 90% CI [0.000, 0.19], CFI = 0.99. Findings reveal widespread depression among urban refugee and displaced youth in Kampala, disproportionately impacting young women. Contextual factors, including food insecurity and violence, increase depression risks. Strategies that reduce gender-based violence and food insecurity, and increase social support networks, have the potential to promote mental health among urban refugee and displaced youth.en_US
dc.identifier.citationLogie, C. H., Okumu, M., Mwima, S., Hakiza, R., Chemutai, D., & Kyambadde, P. (2020). Contextual factors associated with depression among urban refugee and displaced youth in Kampala, Uganda: findings from a cross-sectional study. Conflict and Health, 14, 1-13.https://doi.org/10.1186/s13031-020-00289-7en_US
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/8777
dc.language.isoenen_US
dc.publisherConflict and Healthen_US
dc.subjectContexten_US
dc.subjectDepressionen_US
dc.subjectYouthen_US
dc.subjectPovertyen_US
dc.subjectFood insecurityen_US
dc.titleContextual factors associated with depression among urban refugee and displaced youth in Kampala, Uganda: findings from a cross-sectional studyen_US
dc.typeArticleen_US
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