ArticleAIDS care2018
Household decision-making power and the mental health and well-being of women initiating antiretroviral treatment in Oromia, Ethiopia.
Article in AIDS care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Magnitude and predictors of common mental disorder among people with HIV/AIDS in Ethiopia: a systematic review and meta-analysis.BMC public health · 2020Pooled it
- Understanding decision-making around human and livestock health in sub-Saharan Africa: A systematic literature review.Dialogues in health · 2025Review
- Factors Influencing Frequency of Depressive Experiences Among Married Working Women in South Korea.Healthcare (Basel, Switzerland) · 2025Article
- Household decision-making and the mental well-being of marriage-based immigrant women in South Korea.PloS one · 2022Article
- Qualitative exploration of perceived benefits of care and barriers influencing HIV care in trans Nzoia, Kenya.BMC health services research · 2020Article
- Household Decision-Making and HIV Care Continuum Outcomes Among Women Living with HIV in Mozambique.AIDS patient care and STDs · 2020Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
Low decision-making power (DMP) has been associated with HIV seropositivity among women in sub-Saharan Africa. As treatment accessibility and life expectancy for HIV-positive individuals increase, greater attention to the mental health and well-being of HIV-positive women is needed. This study examined whether low DMP was associated with psychological distress, social support or health-related quality of life (HRQoL) among women initiating ART. The sample included 722 women aged 18 or older initiating ART during 2012-2013 at six HIV clinics in Oromia, Ethiopia. DMP was assessed with five questions about household resource control and decision-making. Psychological distress was assessed with the Kessler Psychological Distress Scale (K10). HRQoL was assessed with the overall subscale of the HIV/AIDS-Targeted Quality of Life instrument. Multivariable logistic regression analyses controlled for age, education, and location (urban/rural). Most respondents (63%) reported high DMP, followed by medium (27%) and low (10%) DMP. More than half (57%) reported psychological distress. Compared to medium DMP, low DMP among married or cohabitating women was associated with greater odds of low social support (aOR: 1.9 [1.3, 2.9]; high DMP among women not in a relationship was associated with greater odds of low social support (aOR: 4.4 [2.4, 8.1]) and psychological distress (aOR: 1.7 [1.1, 2.6]). Interventions to reduce psychological distress among women initiating ART should consider the familial context, as high DMP among women not in a relationship was associated with psychological distress. High DMP may indicate weak social ties and fewer material resources, particularly among women not in a relationship.
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Registered trials
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