Research ArticleOpen AccessPeer Reviewed

Psychosocial and Care Context Factors Associated with Trauma Symptom Scores among Women Receiving Postabortion Care in Nakuru, Kenya

Eunice Kanini Mitheu; Daniel A. Otwori

Published August 2026Pages 507-510

Abstract

Background: Support and prior experiences may be relevant to distress in postabortion care, but a cross-sectional screening score cannot identify causes or diagnose a disorder. Objective: To describe selected psychosocial and care-context characteristics in relation to trauma symptom-score categories among women receiving care at Nakuru Level Five Referral Hospital. Methods: Objective Three of a 2020 thesis supplied five-band cross-tabulations for 192 patients. Proportions at the thesis threshold of 38, risk differences with Newcombe 95% confidence intervals, two-sided Fisher exact p-values and Holm adjustments were calculated across ten exploratory comparisons. Results: Scores of at least 38 occurred in 150 of 192 (78.1%). The risk difference for reported inclusion support versus none was -34.7 percentage points (95% CI -44.2 to -24.3); for practical support it was -35.2 (-48.3 to -21.7). Inadequate information showed a difference of 22.1 points (10.7 to 31.6). A prior mood-condition table has a counterintuitive 11/31 versus 139/161 pattern requiring source verification. Conclusion: The associations are exploratory and potentially affected by coding inconsistencies, selection and confounding; they do not establish causal effects. Respectful, voluntary assessment and clear information remain appropriate service priorities.

Mental healthPostabortion carePsychosocial supportScreeningTrauma symptoms

Authors and affiliations

  • Eunice Kanini Mitheu; Daniel A. Otwori · Corresponding author

    Great Lakes University of Kisumu, Kenya

    Kenya

Institution: Great Lakes University of Kisumu, Kenya

Corresponding author: Eunice Kanini Mitheu | mitheueunice@gmail.com

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Citation

Eunice Kanini Mitheu; Daniel A. Otwori. Psychosocial and Care Context Factors Associated with Trauma Symptom Scores among Women Receiving Postabortion Care in Nakuru, Kenya. Nexus International Journal of Applied Science, Medicine and Social Sciences, Vol. 1, Issue 2, August 2026.

Cite this article

Psychosocial and Care Context Factors Associated with Trauma Symptom Scores among Women Receiving Postabortion Care in Nakuru, Kenya