Prevalence and factors associated with psychological distress among key populations in Nigeria

• DOI: 10.1371/journal.pone.0300901
• Publication Date: 2024-04-16T18:08:16Z
• Authors: Bartholomew Ochonye; Godwin Emmanuel; Roger Abang; Olaniyi Felix Sanni; Paul Umoh; Abiye Kalaiwo; Nanribet Mwoltu; Paul Amechi; Olugbemi Motilewa
• Keywords: Cross-sectional study

Background Stigmatization and discrimination within healthcare settings deter key populations (KPs) from seeking mental health psychosocial support (MHPS). Consequently, understanding the prevalence, associated factors, impact of MHPSS intervention on psychological distress among Nigeria’s KPs is crucial. Method This a cross-sectional study focused KPs, including Female Sex Workers (FSW), Men who have with (MSM), People Who Inject Drugs (PWID) enrolled in Heartland Alliance LTD/GTE across 17 One-Stop Shops (OSS) six states Nigeria. Data were extracted databases OSS. PD was assessed using Mental Health Screening Form III (MHSF-III). Descriptive statistics univariable multivariable binary logistic regression models done IBM-SPSS version 28. Results The prevalence 9.7%. Higher rates observed FSWs (12.0%). Of 22310 major dependants include being PWID 8.5% AOR 1.95 (95% CI: 0.60–0.98, p = 0.015), alcohol intake 97.7% 21.83 15.13–56.83, p<0.001), having experienced gender-based violence 99.0% 25.70(95% 17.10–38.73, p<0.001). All Participants (100%) given brief intervention, 1595 2159 (73.8%) referred for further intervention. services highest proportion psychoeducation (21.20%), followed by coping skills training (17.70%) motivational enhancement (12.90%). Conclusion highlights critical need targeted interventions Nigeria, primarily focusing those history substance abuse violence. Despite universal interventions, Psychosocial indicates to improve service utilization