Evidence map›Paper›PMID 28938881›Full record

ArticleBMC psychiatry2017

Prevalence and correlates for ADHD and relation with social and academic functioning among children and adolescents with HIV/AIDS in Uganda.

Richard Stephen Mpango, Eugene Kinyanda, Godfrey Zari Rukundo, Jonathan Levin, Kenneth D Gadow, Vikram Patel

Open access · goldAbstract read
In one paragraph

Article in BMC psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
2.4field-weighted citation impact, top 11% 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.

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  11. Behavioral impairment and cognition in Thai adolescents affected by HIV.Global mental health (Cambridge, England) · 2021
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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

6 authors at 6 institutions in 3 countries.

Richard Stephen MpangoMental Health Project, MRC/UVRI Uganda Research Unit on AIDS, P. O. Box 49, Entebbe, Uganda. Richard.Mpango@mrcuganda.org.
Eugene KinyandaMental Health Project, MRC/UVRI Uganda Research Unit on AIDS, P. O. Box 49, Entebbe, Uganda.
Godfrey Zari RukundoDepartment of Psychiatry, Mbarara University of Science and Technology, P. O. Box 1410, Mabarara, Uganda.
Jonathan LevinStatistical Section, MRC/UVRI Uganda Research Unit on AIDS, Entebbe, Uganda.
Kenneth D GadowDepartment of Psychiatry, Health Sciences Centre, Stony Brook University, Stony Brook, NY, 11794-8790, USA.
Vikram PatelDepartment of Global Health and Social Medicine, Harvard Medical School, Massachusetts, USA.
Harvard University · USMakerere University · UGMbarara University of Science and Technology · UGStony Brook University · USUganda Virus Research Institute · UGUniversity of the Witwatersrand · ZA

Funding

Medical Research Council MC_UP_1204/10Medical Research Council MR/L004623/1
6 · The paper itself

Abstract

backgroundAim of this study was to determine the prevalence of attention-deficit/hyperactivity disorder (ADHD), its associated correlates and relations with clinical and behavioural problems among children and adolescents with HIV/AIDS (CA-HIV) attending five HIV clinics in central and South Western Uganda.

methodsThis study used a quantitative design that involved a random sample of 1339 children and adolescents with HIV and their caregivers. The Participants completed an extensive battery of measures including a standardized DSM-5 referenced rating scale, the parent version (5-18 years) of the Child and Adolescent Symptom Inventory-5 (CASI-5). Using logistic regression, we estimated the prevalence of ADHD and presentations, correlates and its impact on negative clinical and behavioural factors.

resultsThe overall prevalence of ADHD was 6% (n = 81; 95%CI, 4.8-7.5%). The predominantly inattentive presentation was the most common (3.7%) whereas the combined presentation was the least prevalent (0.7%). Several correlates were associated with ADHD: socio-demographic (age, sex and socio-economic status); caregiver (caregiver psychological distress and marginally, caregiver educational attainment); child's psychosocial environment (quality of child-caregiver relationship, history of physical abuse and marginally, orphanhood); and HIV illness parameters (marginally, CD4 counts). ADHD was associated with poor academic performance, school disciplinary problems and early onset of sexual intercourse.

conclusionsADHD impacts the lives of many CA-HIV and is associated with poorer academic performance and earlier onset of sexual intercourse. There is an urgent need to integrate the delivery of mental health services into routine clinical care for CA-HIV in Sub-Saharan Africa.

Indexed as

Severity of Illness IndexAcquired Immunodeficiency SyndromeAdolescentAttention Deficit Disorder with HyperactivityCaregiversChildChild Behavior DisordersFemaleHumansMaleParentsPrevalenceSocioeconomic FactorsUgandaADHDChildren/adolescentsCorrelatesHIVPrevalence

Identifiers

PMID28938881
PMCPMC5610431
OpenAlexW2757316320

What OpenQuestion holds

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LicenceCC BY
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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.