Evidence map›Paper›PMID 25574781›Full record

ArticleJournal of affective disorders2015

HIV, violence and women: unmet mental health care needs.

Brian Zunner, Shari L Dworkin, Thomas C Neylan, Elizabeth A Bukusi, Patrick Oyaro, Craig R Cohen, Matilda Abwok, Susan M Meffert

Open access · greenAbstract read
In one paragraph

Article in Journal of affective disorders, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
4.1field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 43 citations in OpenAlex.

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  16. Stress and resilience among women living with HIV in Nigeria.African journal of primary health care & family medicine · 2019
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 2 countries.

Brian ZunnerSchool of Nursing, University of California, San Francisco, CA, USA.
Shari L DworkinDepartment of Social and Behavioral Sciences, University of California, San Francisco, CA, USA.
Thomas C NeylanDepartment of Psychiatry, University of California, San Francisco, CA, USA.
Elizabeth A BukusiKenya Medical Research Institute, Department of Obstetrics and Gynecology, University of Nairobi, Kenya; Family AIDS Care Education & Services, Kenya.
Patrick OyaroFamily AIDS Care Education & Services, Kenya.
Craig R CohenFamily AIDS Care Education & Services, Kenya; Department of Obstetrics, Gynecology & Reproductive Sciences, University of California, San Francisco, CA, USA.
Matilda AbwokFamily AIDS Care Education & Services, Kenya.
Susan M MeffertDepartment of Psychiatry, University of California, San Francisco, CA, USA. Electronic address: Susan.Meffert@ucsf.edu.
University of California, San Francisco · USUniversity of Nairobi · KE

Funding

Ujima Mentoring ProgramP30MH062246 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Sheri Ann Lippman · 2001 to 2026
$57.4M
UCSF/Kaiser-DOR Program for Developing Independent Women's Health ResearchersK12HD052163 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ADLER, NANCY E, BRINDIS, CLAIRE D. · 2005 to 2023
$9.3M
Gender Based Violence and HIV Outcomes: Tracking and Treating Mental IllnessK23MH098767 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MEFFERT, SUSAN M. · 2014 to 2017
$1.1M
NICHD NIH HHS K12 HD052163NICHD NIH HHS K12HD052163NIMH NIH HHS K23 MH098767NIMH NIH HHS P30 MH062246
6 · The paper itself

Abstract

backgroundHIV-infected (HIV+) women have high rates of Gender Based Violence (GBV). Studies of GBV find that approximately 50-90% of survivors develop mood and anxiety disorders. Given that women in sub-Saharan African constitute the largest population of HIV+ individuals in the world and the region׳s high GBV prevalence, mental health research with HIV+ women affected by GBV (HIV+GBV+) in this region is urgently needed.

methodsQualitative methods were used to evaluate the mental health care needs of HIV+GBV+ female patients at an HIV clinic in the Kisumu County, Kenya. Thirty in-depth interviews and four focus groups were conducted with patients, healthcare providers and community leaders. Interviews were transcribed, translated and analyzed using qualitative data software.

resultsRespondents stated that physical, sexual and emotional violence against HIV+ women was widely prevalent and perpetrated primarily by untested husbands accusing a wife of marital infidelity following her positive HIV test result. Mental health problems among HIV+GBV+ women included depressive, anxiety, traumatic stress symptoms and suicidal thoughts. Participants opined that emotional distress from GBV not only caused HIV treatment default, but also led to poor HIV health even if adherent. Respondents agreed that mental health treatment was needed for HIV+GBV+ women; most agreed that the best treatment modality was individual counseling delivered weekly at the HIV clinic. LIMITATIONS: Emotional distress may be higher and/or more varied among HIV+GBV+ women who are not engaged in HIV care.

conclusionsMental health care is needed and desired by HIV+GBV+ women in Kisumu County, Kenya.

Indexed as

AnxietyAnxiety DisordersDomestic ViolenceFemaleFocus GroupsHealth Services Needs and DemandHIV InfectionsHumansKenyaMaleMental DisordersMental HealthPrevalenceQualitative ResearchSexual BehaviorSuicidal IdeationDepressionDomestic violenceGender-Based ViolenceGlobal healthHIVPosttraumatic Stress Disorder

Identifiers

PMID25574781
PMCPMC4340747
OpenAlexW1984525559

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.