Understanding Mental Health in Kenya
Examining the challenges and disparities in mental health in Kenya.
Patrick N. Mwangala, Anita Kerubo, Millicent Makandi, Rachael Odhiambo, Amina Abubakar
― 6 min read
Table of Contents
- The Importance of Mental Health
- The Current Situation in Kenya
- The Burden of Mental Health Issues
- A Closer Look at Kenya
- Who is Affected?
- Government Efforts
- Data Collection and Analysis
- The Sample
- Mental Health Problems in Kenya
- Depression and Anxiety
- Post-Traumatic Stress Disorder (PTSD)
- Substance Use Problems
- Gender Differences
- Factors Contributing to Mental Health Issues
- Shared Risk Factors
- Women-Specific Factors
- Men-Specific Factors
- Protective Factors
- The Importance of Community Support
- Conclusion
- The Path Ahead
- Original Source
Mental Health is a big deal. It’s not just about feeling happy or sad; it’s essential for our overall health and affects many areas of life including work, peace, and justice. If our brains aren’t doing well, our bodies and communities suffer too. In Kenya, this issue is gaining more attention as people start to understand how important mental health is. Unfortunately, many people still struggle to get the help they need. This article dives into the state of mental health and Substance Use problems in Kenya, especially highlighting how it impacts men and women differently.
The Importance of Mental Health
Imagine your mind as a garden. If it’s full of weeds (or mental health issues), the flowers (or good thoughts) can’t grow. Poor mental health stops people from living their best lives, and it makes everyday tasks more challenging. This is why mental health is vital for everyone, including in places like Kenya where many folks experience mental health issues alongside other challenges such as economic struggles.
The Current Situation in Kenya
In Kenya, mental health has not always been a priority. However, in the last few decades, more people have started to talk about it. This greater awareness is crucial because it helps those who need help to speak out and seek support. Unfortunately, even with increased attention, many gaps remain. It’s estimated that a staggering number of people in Kenya don’t have access to mental health services, leaving them like a kid stuck in a candy store with no money—aware of what they need but unable to get it.
The Burden of Mental Health Issues
Mental health problems are like uninvited guests that refuse to leave. Disorders such as Depression and Anxiety have become major contributors to disease worldwide, especially in low and middle-income countries. Recent data suggests that these issues are prevalent in Kenya, with many people experiencing symptoms of depression, anxiety, and post-traumatic stress disorder (PTSD).
A Closer Look at Kenya
Kenya is currently transitioning from a focus on infectious diseases to dealing with non-communicable diseases like mental health disorders. This means more people are living longer, but many are also struggling with mental health issues that were not as noticeable before. With a growing population of young people, the country faces a unique challenge in addressing these needs.
Who is Affected?
Data shows that around 25% of outpatients and 40% of inpatients at health facilities in Kenya suffer from mental health issues. That’s like having a sport team where almost half the players are sitting on the bench due to injury. Common problems include depression and anxiety, with the youth being particularly vulnerable. This is a wake-up call for everyone!
Government Efforts
The Kenyan government has stepped up its game with new policies and plans aimed at improving mental health services. This includes a series of strategies aimed at tackling these issues, like the Kenya Mental Health Policy and various action plans. While these efforts are commendable, the execution has left much to be desired. About 75% of Kenyans still struggle to access mental healthcare.
Data Collection and Analysis
To really understand the mental health landscape, researchers set out to gather data from various regions in Kenya. They spoke with over 1500 adults across cities and rural areas. This data helps to reveal who is struggling the most and what factors contribute to these issues.
The Sample
Participants in the study included both men and women, aged 18 and older. They were recruited from different counties, such as Nairobi, Mombasa, and Kwale. Everyone was asked questions about their mental health, lifestyle, and background to get a clearer picture of their overall well-being.
Mental Health Problems in Kenya
Depression and Anxiety
A recent study found that about 26% of participants reported symptoms of depression. This is much higher than many global averages. Anxiety is also a significant problem, affecting around 11% of the population. Interestingly, women reported feeling these issues more prominently than men.
Post-Traumatic Stress Disorder (PTSD)
PTSD is often overlooked, but it’s also a significant issue in Kenya. About 21% of participants reported symptoms consistent with PTSD. This indicates a troubling trend where many people are dealing with trauma—perhaps from violence, abuse, or other distressing experiences.
Substance Use Problems
Substance use, including alcohol and drugs, creates additional challenges. Although the rates of substance use are lower compared to mental health issues, they still present substantial problems. About 13% of participants reported current alcohol use, while only about 5% reported using drugs.
Gender Differences
Men are more likely to engage in substance use than women, showing a significant gap. This difference might be due to cultural norms, societal pressures, or varying coping strategies.
Factors Contributing to Mental Health Issues
Several factors influence mental health in Kenya. Some of these are unique to women, while others affect both genders.
Shared Risk Factors
Urban living, food insecurity, and experiencing stressful life events were common factors leading to mental health issues in both men and women. It suggests that whether you’re dealing with city life or unexpected problems, these stressors can take a toll on mental health.
Women-Specific Factors
For women, additional challenges like household debt and unemployment play a crucial role in mental health. These problems can add to feelings of stress and hopelessness, making it hard to cope.
Men-Specific Factors
Men face different pressures, such as the impact of verbal and sexual abuse. Surprisingly, men reported higher incidences of these issues than women, which is often not talked about.
Protective Factors
While many factors can negatively affect mental health, some factors help protect it. Higher levels of support from family and friends, good health, and engaging in physical activity can improve mental well-being.
The Importance of Community Support
Being part of a community or having strong family ties can create a safety net, helping people feel less isolated and more supported in challenging times.
Conclusion
The mental health and substance use landscape in Kenya is complex and requires immediate attention. With higher rates of depression, anxiety, and other mental health issues, many people are struggling to find the help they need. Through continued dialogue, increased access to care, and targeted government policies, there is hope for improvement.
The Path Ahead
Moving forward, Kenya needs a comprehensive approach that tackles the root causes of mental health issues and substance use. By addressing the unique challenges faced by men and women, communities can work towards creating an environment that promotes mental well-being for everyone.
Mental health matters, and taking action can help individuals reclaim their lives and communities thrive!
Title: Prevalence and associated factors of mental and substance use problems among adults in Kenya: a community-based cross-sectional study
Abstract: BackgroundData on the burden and determinants of mental and substance use problems among women in urban and rural informal settlements in Kenya is sparse, thus limiting preventive and treatment efforts in these areas. To bridge the gap, we (a) determined the prevalence of depressive, anxiety and post-traumatic stress disorder (PTSD) symptoms and alcohol and drug use problems among women compared to their spouses and (b) examined the risk and protective indicators associated with these outcomes. MethodsData collection for this cross-sectional survey was conducted in 2022 in Mombasa, Kwale and Nairobi counties in Kenya. A total of 1528 adults (1048 women) took part. The 9-Item Patient Health Questionnaire, 7-Item Generalized Anxiety Disorder Scale, Primary Care PTSD Screen for DSM-5, Alcohol Use Disorders Identification Test, and Drug Use Disorders Identification Test were administered alongside other measures. Logistic regression was used to examine the correlates of mental and substance use problems. ResultsOverall, the prevalence of mental and substance use problems was 28% vs 22% (depressive symptoms), 12% vs 8% (general anxiety symptoms), 22% vs 21% (PTSD symptoms), 4% vs 15% (alcohol use problems), and 2% vs 12% (drug use problems) among women and their spouses respectively. The prevalence of depressive and anxiety symptoms was significantly higher among women compared to their male counterparts. On the other hand, both current and past-year alcohol and drug use were significantly higher in men than women. Among women, stressful life events, urban residence, food insecurity, family debt, unemployment, poor self-rated health, poor eyesight, and higher educational level were the risk indicators for elevated depressive, anxiety and PTSD symptoms. Conversely, sexual abuse, living in rented houses, urban residence, verbal abuse, stressful life events, and somatic complaints were the risk indicators for depressive, anxiety and PTSD symptoms in men. Protective indicators against mental health problems included social support, higher subjective wellbeing, older age (>50 years), increased vigorous exercise and higher household income (in both sexes). Risk indicators for current alcohol use in women included stressful life events, urban residence, being sexually active, and living in a single family. Among men, higher household income was associated with current alcohol use. Protective indicators against current alcohol use included being married, living in a larger household (>5), being a Muslim and having multimorbidity (in both sexes). Risk indicators for current drug use included unemployment and sexual abuse. Female sex was associated with reduced odds of current drug use. ConclusionThe burden of mental and substance use problems in women and their spouses is elevated for most of the conditions assessed. However, needs vary by gender and study location, highlighting the importance of targeted approaches in mental health services. Our results also highlight the need for multicomponent preventive and treatment strategies to mitigate the risks of mental and substance use problems in this population.
Authors: Patrick N. Mwangala, Anita Kerubo, Millicent Makandi, Rachael Odhiambo, Amina Abubakar
Last Update: 2024-12-17 00:00:00
Language: English
Source URL: https://www.medrxiv.org/content/10.1101/2024.12.16.24319125
Source PDF: https://www.medrxiv.org/content/10.1101/2024.12.16.24319125.full.pdf
Licence: https://creativecommons.org/licenses/by/4.0/
Changes: This summary was created with assistance from AI and may have inaccuracies. For accurate information, please refer to the original source documents linked here.
Thank you to medrxiv for use of its open access interoperability.