POPULATION BURDEN AND DEMOGRAPHIC PREDICTORS OF POSTTRAUMATIC STRESS DISORDER (PTSD) IN BULGARIA
Journal Title: Българско списание за обществено здраве (Bulgarian Journal of Public Health) - Year 2013, Vol 0, Issue 3
Abstract
Aims To investigate the relation between life traumatic events and succeeding PTSD, its burden among the population and demographic factors that could have a role in its appearance. Method EPIBUL is a nationally representative study for Bulgaria, part of the WHO World Mental Health Initiative. It covered 5318 respondents over 18, for the period 2003 to 2007. Results From all 2233 respondents 28.6% have had any trauma event in their life. The mean number of occurrence of trauma events among respondents with any trauma was 2.6. Two main trauma life events accounted for the largest proportion of the PTSD burden in Bulgaria: 1) unexpected death of loved one and 2) child serious illness. Risk of PTSD among those exposed to traumatic events was highest for the group of previously married and women. There is a lower risk for PTSD among the group between 40-49, compared with those over 60. People with high-average education had significantly increased odds of having lifetime PTSD. Conclusions Some of the findings may be explained by the ethnic culture of Bulgarians based on the tight family relations and relatively weak social position of women especially single ones. Although not in the largest proportion of the relative burden of PTSD, physical violence obtains an important role when associated with the outlined vulnerable groups of respondents. The results emphasize the importance of having more investigations related to domestic violence.
Authors and Affiliations
Hristo Hinkov, Michail Okoliyski, Zahari Zarkov, Vladimir Nakov, Rumyana Dinolova, Irina Georgieva, Plamen Dimitrov, Toma Tomov
Keywords
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