The South African Stress and Health (SASH) study: 12-month and lifetime prevalence of common mental disorders

S Afr Med J. 2009 May;99(5 Pt 2):339-44.

Abstract

Background: The South African Stress and Health (SASH) study is the first large-scale population-based study of common mental disorders in the country. This paper provides data on the 12-month and lifetime prevalence of these conditions.

Methods: Data from a nationally representative sample of 4351 adults were analysed. Mental disorders were assessed with the Composite International Diagnostic Interview (CIDI). An extensive survey questionnaire detailed contextual and socio-demographic factors, onset and course of mental disorders, and risk factors. Simple weighted cross-tabulation methods were used to estimate prevalence, and logistic regression analysis was used to study correlates of 12-month and lifetime prevalence.

Results: The lifetime prevalence for any disorder was 30.3%, and the most prevalent 12-month and lifetime disorders were the anxiety disorders. The Western Cape had the highest 12-month and lifetime prevalence rates, and the lowest rates were in the Northern Cape.

Conclusions: The SASH study shows relatively high 12-month and lifetime prevalence rates. These findings have significant implications for planning mentalhealth services.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Age Distribution
  • Aged
  • Female
  • Health Surveys
  • Humans
  • Male
  • Mental Disorders / diagnosis
  • Mental Disorders / epidemiology*
  • Middle Aged
  • Prevalence
  • Risk Factors
  • Severity of Illness Index
  • Sex Distribution
  • Socioeconomic Factors
  • Young Adult