1. Mental Health & Internal Displacement in Northern Uganda Thomas Oyok Faculty of Medicine, Gulu University oyokthomas@yahoo.co.uk

2. History of trauma events

3. 774.8% witnessed murder of family or friend 664.3% witnessed murder of stranger(s) 556.1% beaten or tortured 114.1% raped or sexually abused  89.9% lacked food or water 665.0% ill without medical care 777.3% lacked housing or shelter 993.0% not safe in the camps

4. Variations in the trauma events EventWomen % Men % Beaten or Tortured46.870.2 Raped or Sexually abused18.47.7 Abducted30.862.1 Imprisoned13.341.4 Involved in combat22.734.2 Experienced 12 or ore traumatic events 13.836.0

5. PTSD score distribution

6. Depression score distribution

7. Prevalence of PTSD and Depression OOverall, 54.3% met criteria for PTSD WWomen: 60.1% MMen: 45.6% 667.4% met criteria for depression WWomen: 78.0% MMen: 51.4 (All results, p-values <0.05)

8. Factors associated with PTSD and Depression (Multivariate logistic regression analysis, p<0.05) GGender: Strong association of gender on mental distress WWomen twice more likely to exhibit symptoms of PTSD, [OR 2.06, 95% CI 1.49-2.84] WWomen were four times more likely to exhibit symptoms of depression [OR 4.32, 95% CI 2.80-6.66] (p-values <0.05)

9. Factors associated with PTSD and Depression (Multivariate logistic regression analysis) NNo longer married (divorced, separated, widowed): mmore likely to exhibit symptoms of PTSD, [OR 1.80, 95% CI 1.25-2.59] OOver two times more likely to exhibit symptoms of depression [OR 2.41, 95% CI 1.36-4.27] (p-values <0.05)

10. Factors associated with PTSD and Depression (Multivariate logistic regression analysis, p<0.05) DDistance of displacement: People who were displaced >5 miles from home village more likely to have depression; [OR 1.47, 95% CI 1.16-1.85]

11. Factors associated with PTSD and Depression (Multivariate logistic regression analysis), p<0.05 TTrauma exposures: People who were exposed to traumatic events were more likely to have symptoms of PTSD and depression.

12. Trauma exposures with strongest associations to PTSD, p<0.05 EventOR95%CI Ill health without medical care1.951.52-2.51 Rape or sexual abuse1.671.01-2.75 Lack of food or water1.551.00-2.39 12 or more of 16 trauma events more likely to exhibit PTSD symptoms 6.53.7-11.3

13. Trauma exposures with strongest association to depression, p<0.05 EventOR95%CI Ill health without medical care 1.971.64-2.58 Lack of food or water1.641.50-2.58 Unnatural death family/friend Serious injury 1.54 1.38 1.10-2.16 1.09-1.74 With PTSD were 12 times more likely to suffer from depression 12.468.93-17.40

14. Alcohol Use Disorder

15. Thank you for listening!!!