title: [Violence due to Armed Conflict and Prevalence of Mood Disorders, Anxiety and Mental Problems in the Colombian Adult Population].
abstract: BACKGROUND
  Violence in Colombia has a history of over 50 years. Between 1985 and 2012 an estimated of 220,000 Colombians have died and about 6,000,000 have been displaced by violence.
  
  
  OBJECTIVE
  To describe and compare the prevalence of some problems and mental disorders in the adult population in Colombia, taking into account the characteristics of the municipality, as regards its history of violence or armed conflict.
  
  
  METHODS
  The results for adults (over 18 years) of some problems and mental disorders were taken from the ENSM-2015. The municipalities were classified according to the presence and intensity of the conflict using the classification proposed by the CERAC. Disorders were measured using CIDI-CAPI, and problems with AUDIT, modified PCL (Post-Traumatic Stress Disorder Checklist). An estimate was also made of psychoactive substances consumption.
  
  
  RESULTS
  A total of 10,870 people were interviewed, of whom 5,429 had not changed residence. There was had permanent conflict in 21.8% of the municipalities, 65.5% had a discontinued conflict, and only 12.7% had been pacified or had no conflict. The intensity of the conflict was reported as high by 31.8% of the people. Violent municipalities have a higher prevalence of anxiety disorders, depression, possible Post-Traumatic Stress Disorder, and smoking. Alcohol consumption was more common in municipalities with less intense conflict.
  
  
  CONCLUSIONS
  The municipalities classified as having high levels of violence have a higher prevalence of mental disorders and the majority of the mental problems.
authors.affiliation: Departamento Epidemiología Clínica y Bioestadística, Facultad de Medicina, Universidad Javeriana, Bogotá, Colombia; Departamento de Psiquiatría y Salud Mental, Facultad de Medicina, Universidad Javeriana, Hospital Universitario San Ignacio, Bogotá, Colombia. Electronic address: cgomez_restrepo@yahoo.com.
authors.forename: Carlos
authors.initials: C
authors.lastname: Gómez-Restrepo
authors.affiliation: Departamento Epidemiología Clínica y Bioestadística, Facultad de Medicina, Universidad Javeriana, Bogotá, Colombia.
authors.forename: Nathalie
authors.initials: N
authors.lastname: Tamayo-Martínez
authors.affiliation: Departamento Epidemiología Clínica y Bioestadística, Facultad de Medicina, Universidad Javeriana, Bogotá, Colombia.
authors.forename: Giancarlo
authors.initials: G
authors.lastname: Buitrago
authors.affiliation: Department of Epidemiology and Public Health, University College London, Londres, Reino Unido; Department of Health Management and Policy, University of Iowa.
authors.forename: Carol Cristina
authors.initials: CC
authors.lastname: Guarnizo-Herreño
authors.affiliation: Nutricionista Dietista, Bogotá, Colombia.
authors.forename: Nathaly
authors.initials: N
authors.lastname: Garzón-Orjuela
authors.affiliation: Grupo de Equidad en Salud, Hospital Universitario Nacional de Colombia, Facultad de Medicina, Universidad Nacional de Colombia, Bogotá, Colombia; Centro de Desarrollo de Tecnología, Sociedad Colombiana de Anestesiología y Reanimación (S.C.A.R.E.), Bogotá, Colombia.
authors.forename: Javier
authors.initials: J
authors.lastname: Eslava-Schmalbach
authors.affiliation: Departamento Epidemiología Clínica y Bioestadística, Facultad de Medicina, Universidad Javeriana, Bogotá, Colombia.
authors.forename: Esther
authors.initials: E
authors.lastname: de Vries
authors.affiliation: Dirección de Promoción y Prevención, Ministerio de Salud y la Protección Social, Bogotá, Colombia.
authors.forename: Herney
authors.initials: H
authors.lastname: Rengifo
authors.affiliation: Dirección de Epidemiología y Demografía, Ministerio de Salud y la Protección Social, Bogotá, Colombia.
authors.forename: Andrea
authors.initials: A
authors.lastname: Rodríguez
authors.affiliation: Departamento Epidemiología Clínica y Bioestadística, Facultad de Medicina, Universidad Javeriana, Bogotá, Colombia.
authors.forename: Carlos Javier
authors.initials: CJ
authors.lastname: Rincón
mesh_terms: D000293:Adolescent; D000328:Adult; D000428:Alcohol Drinking / Q000453:epidemiology; D001008:Anxiety Disorders / Q000453:epidemiology*; D000068337:Armed Conflicts / Q000523:psychology*; D003105:Colombia / Q000453:epidemiology; D005260:Female; D006306:Health Surveys; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology*; D008875:Middle Aged; D019964:Mood Disorders / Q000453:epidemiology*; D015995:Prevalence; D012907:Smoking / Q000453:epidemiology; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology; D019966:Substance-Related Disorders / Q000453:epidemiology; D014754:Violence / Q000523:psychology; D055815:Young Adult
keywords: Armed conflict; Conflicto armado; Encuesta nacional; Mental disorders; Mental health; National survey; Salud mental; Trastornos mentales; Violence; Violencia