Landslide disasters in eastern Uganda: post‑traumatic stress disorder and its correlates among survivors in Bududa district

Abstract

Background: Post-traumatic stress disorder is the commonly reported psychiatric morbidity among the survivors of natural disasters. However, its prevalence particularly in Bududa, Eastern Uganda is largely unknown. Aims and objectives: To assess the prevalence and correlates of post-traumatic stress disorder among Bududa landslide survivors. Methods: A community-based cross-sectional study was conducted on a sample of 587 participants. The study setting was the Bududa district, with a multistage sampling method. Pre-tested, administered interviewer PTSD Checklist– civilian version was used as screening tools between 4th and April 29th 2022. Data were analyzed using descriptive and binary logistic approaches at a 5% level of significance. Results: Of the study participants, 276 (46.8%) had PTSD symptoms. Among the respondents, 250 (42.6%) were in the age range of 40 and above, 396 (67.3%) were female, 284 (48.4%) had no formal education, and 333 (56.7%) were married. Results showed that male gender (AOR: 0.47; 95% CI 0.31–0.73; p = 0.001), widowhood (AOR: 0.44; 95% CI 0.21–0.94; p = 0.034), lack of counseling (AOR: 0.44; 95% CI 0.21–0.94; p = 0.001), and duration since the landslide (AOR: 0.35; 95% CI 0.23–0.52; p = 0.001) were associated with an increased likelihood of screening for PTSD in landslide survivors. Conclusion: Landslides pose significant effects on the mental health of survivors. In the present study, the extent of PTSD among survivors is substantially high. male gender,, widowhood, lack of counselling, low social support, and duration since the landslide were significantly associated with PTSD. Effective screening and awareness programs among survivors should be strengthened for the prevention and treatment of psychiatric morbidity among the survivors of landslides.