Prevalence and Factors Associated with Repeat Mental Health Service Utilization During Rwanda’s Genocide Commemoration Week
Bibliographic Data
| ID | 15495877 |
|---|---|
| Authors | Anne Marie Bamukunde (Rwanda Biomedical Center), Darius Gishoma (0000-0003-2388-1130, Rwanda Biomedical Center), Bakang Percy Tlhaloganyang (0000-0002-7597-2571, World Bank Group, corresponding author), Amparo Elena Gordillo-Tobar (0000-0001-7453-0424, World Bank Group), Nancy Claire Misago (Rwanda Biomedical Center), Claude Mambo Muvunyi (0000-0003-4180-442X, Rwanda Biomedical Center) |
| Year | 2025 |
| Volume | 22 |
| Issue | 7 |
| Pages | 1019-1019 |
| Publication date | 2025-06-27 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph22071019 |
| PMID | 40724086 |
| OpenAlex | W4411834633 |
| Language | EN |
| References cited | 17 |
The genocide commemoration week in Rwanda often triggers heightened mental health (MH) needs, necessitating targeted support. Understanding factors influencing repeat MH service utilization is essential for effective interventions. This cross-sectional study analyzed data from individuals seeking MH services during the 2024 Rwandan genocide commemoration week, distinguishing between first-time and repeat users. Descriptive and logistic regression analyses examined factors associated with repeat utilization. Of the 825 individuals who accessed MH services during Rwanda's 2024 genocide memorial week, 76% were repeat users. Bivariate analysis showed that age and insurance coverage were significantly associated with repeat service utilization, while gender and province were not. Logistic regression revealed that individuals aged 31-50 (AOR = 2.29, 95% CI: 1.13-4.64, p = 0.022) and those without insurance coverage (AOR = 3.31, 95% CI: 1.78-6.18, p < 0.001) were more likely to be repeat users compared to the reference groups (18-30 years old and those with insurance, respectively). Gender and province remained nonsignificant in the adjusted model. Improving MH access, particularly for middle-aged individuals and the uninsured, is crucial. Addressing barriers to care could enhance service delivery during the commemoration period
Business · Environmental health · Family medicine · Genocide · Logistic regression · Mental health · Mental health service · Political science · Psychiatry · Psychological intervention · Service (business · Sociology · Demography · Global Maternal and Child Health · Health and Conflict Studies · Medicine · Migration, Health and Trauma · Gerontology · Internal Medicine
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| Highly cited | No |
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