Evidence map›Paper›PMID 26940394›Full record

ArticleHealth and quality of life outcomes2016

Food insecurity, mental health and quality of life among people living with HIV commencing antiretroviral treatment in Ethiopia: a cross-sectional study.

Markos Tesfaye, Pernille Kaestel, Mette Frahm Olsen, Tsinuel Girma, Daniel Yilma, Alemseged Abdissa, Christian Ritz, Martin Prince, Henrik Friis, Charlotte Hanlon

Open access · goldAbstract read
In one paragraph

Article in Health and quality of life outcomes, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 3 pooled it
11.5field-weighted citation impact, top 2% 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

31 citing papers in PubMed, 3 syntheses or guidelines pooled it, 59 citations in OpenAlex.

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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

10 authors at 3 institutions in 3 countries.

Markos TesfayeDepartment of Psychiatry, College of Health Sciences, Jimma University, Jimma, Ethiopia. tesmarkos@yahoo.com.
Pernille KaestelDepartment of Nutrition, Exercise and Sports, Faculty of Science, University of Copenhagen, Copenhagen, Denmark. pernille.kaestel@gmail.com.
Mette Frahm OlsenDepartment of Nutrition, Exercise and Sports, Faculty of Science, University of Copenhagen, Copenhagen, Denmark. mfo@cochrane.dk.
Tsinuel GirmaDepartment of Pediatrics and Child Health, College of Health Sciences, Jimma University, Jimma, Ethiopia. tsinuel.girma@ju.edu.et.
Daniel YilmaDepartment of Internal Medicine, College of Health Sciences, Jimma University, Jimma, Ethiopia. danielyilmab@gmail.com.
Alemseged AbdissaDepartment of Medical Laboratory Sciences & Pathology, College of Health Sciences, Jimma University, Jimma, Ethiopia. alemseged.abdissa@ju.edu.et.
Christian RitzDepartment of Nutrition, Exercise and Sports, Faculty of Science, University of Copenhagen, Copenhagen, Denmark. ritz@nexs.ku.dk.
Martin PrinceCentre for Global Mental Health, Institute of Psychiatry, King's College London, London, UK. m.prince@kcl.ac.uk.
Henrik FriisDepartment of Nutrition, Exercise and Sports, Faculty of Science, University of Copenhagen, Copenhagen, Denmark. hfr@nexs.ku.dk.
Charlotte HanlonCentre for Global Mental Health, Institute of Psychiatry, King's College London, London, UK. charlotte.hanlon@kcl.ac.uk.
Jimma University · ETUniversity of Copenhagen · DKKing's College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStudies from high-income settings show that both food insecurity and common mental disorders (CMDs) are associated with lower quality of life among people living with HIV (PLHIV). However, there is limited research among PLHIV in sub-Saharan Africa. In this study we tested the hypothesis that food insecurity and CMDs would be associated with poorer quality of life of PLHIV in Ethiopia.

methodsA cross-sectional study was carried out with 348 PLHIV who were initiating antiretroviral therapy recruited from two primary care centers and a tertiary Hospital in southwest Ethiopia. Food insecurity, CMD, and quality of life were measured using instruments adapted and validated in Ethiopia (Household Food Insecurity Access Scale, Kessler-6, and WHOQOL-HIV-BREF-ETH, respectively). Multiple linear regression analysis was used to identify factors associated with quality of life after adjusting for confounders.

resultsThe prevalence of severe household food insecurity among PLHIV was 38.7 %. After adjusting for confounders, severe food insecurity (β = -3.24, 95 % CI: -6.19; -0.29) and higher levels of CMD symptoms (β = -1.72 for each 1 point increase, 95 % CI: -1.94; -1.49) were associated with lower quality of life. Other factors associated with lower quality of life were advanced HIV disease (β = -3.80, 95 % CI: -6.18; -1.42), and being underweight (BMI = 17.0 - 18.5 kg/m(2)) (β = -3.45, 95 % CI: -6.18; -0.71). Owning more household assets was associated with higher quality of life (β = 0.99 for owning one more asset, 95 % CI: 0.09; 1.89).

conclusionPoor mental health and food insecurity are associated with lower quality of life in PLHIV. There is a need for longitudinal studies to elucidate the pathways linking CMD, food insecurity and quality of life.

Indexed as

Food SupplyMental HealthAdultAnti-Retroviral AgentsCross-Sectional StudiesEthiopiaFemaleHIV InfectionsHumansLongitudinal StudiesMaleMiddle AgedPatientsQuality of LifeAnti-Retroviral Agents

Identifiers

PMID26940394
PMCPMC4778332
OpenAlexW2289245751

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.