Psychiatric morbidity among Orang Asli in Bukit Lanjan / Muhammad Ilham Iberahim

Muhammad Ilham, Iberahim (2020) Psychiatric morbidity among Orang Asli in Bukit Lanjan / Muhammad Ilham Iberahim. Masters thesis, Universiti Malaya.

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Abstract

Prevalence of Psychiatric Morbidity Among Orang Asli In Bukit Lanjan, Selangor, Malaysia Introduction Orang Asli, the indigenous people of peninsular Malaysia, are those peoples who were born among Orang Asli, lives according to their distinguished culture and beliefs, and spoke their native languages. Malaysia has evolved rapidly over the years in the socioeconomic development especially in the rural areas. More jungle areas are open up for land development scheme such as Federal Land Development Authority (FELDA), housing projects, commercial farms and many more. Indigenous people are forced to face this rapid urbanization. The questions arise whether they are able to cope with rapid changes of lifestyles that will change their way of life. The Desa Temuan resettlement village in Bukit Lanjan, Selangor, Malaysia is one of the resettlement village for Orang Asli of the Temuan tribe, subgroup of Proto-malays group of Orang Asli. Like other indigenous tribes in the world, the Temuan tribe in Bukit Lanjan have been exposed to multiple risk factors for poor mental health. Despite the rising concerns, no robust data are available on the prevalence of psychiatric morbidity among Orang Asli in Bukit Lanjan in Selangor. Objectives The objectives of this paper are to determine the prevalence of psychiatric morbidity among Orang Asli in Bukit Lanjan, Selangor. Method: A cross sectional study was conducted in Desa Temuan, Bukit Lanjan using DASS-21 and MINI-7 uestionnaires. The study also obtained the demographic data of the participants. Results A total of 100 Orang Asli and 93 non-Orang Asli participated in this study. The psychiatric morbidity was determined by DASS-21 and MINI-7 Questionnaires. The prevalence of Major Depressive Disorder was 4% (n=4), Generalised Anxiety Disorder was 7% (n=7), Obsessive Compulsive Disorder was 5% (n=5), Alcohol Use Disorder was 5% (n=5) and Panic Disorder was 1% (n=1). Based on multiple logistic regression analysis, the predictors of psychiatric illness are age, ethnicity, marital status, underlying stress, anxiety, depression and employment status. Conclusion The prevalence of psychiatric illness among Orang Asli in Bukit Lanjan, Selangor is almost similar with other studies done on Orang Asli community in Peninsular Malaysia. Findings from this study can be used as baseline data to develop an effective program to assist the management of common psychiatric illness among them. The identification of predictors for psychiatric illness in the community is important to identify the target population for the program.

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