Evidence map›Paper›PMID 29230311›Full record

ArticleGlobal mental health (Cambridge, England)2017

Household water insecurity, missed schooling, and the mediating role of caregiver depression in rural Uganda.

C E Cooper-Vince, B Kakuhikire, D Vorechovska, A Q McDonough, J Perkins, A S Venkataramani, R C Mushavi, C Baguma, S Ashaba, D R Bangsberg and 1 more

Abstract read
In one paragraph

Article in Global mental health (Cambridge, England), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

11 authors.

C E Cooper-VinceMassachusetts General Hospital, Boston, MA, USA.
B KakuhikireMbarara University Science and Technology, Mbarara, Uganda.
D VorechovskaMassachusetts General Hospital, Boston, MA, USA.
A Q McDonoughBloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA.
J PerkinsMassachusetts General Hospital, Boston, MA, USA.
A S VenkataramaniMassachusetts General Hospital, Boston, MA, USA.
R C MushaviHarvard Medical School, Boston, MA, USA.
C BagumaMbarara University Science and Technology, Mbarara, Uganda.
S AshabaMbarara University Science and Technology, Mbarara, Uganda.
D R BangsbergMbarara University Science and Technology, Mbarara, Uganda.
A C TsaiMassachusetts General Hospital, Boston, MA, USA.

Funding

The MGH Global Psychiatric Clinical Research Training ProgramT32MH093310 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI FRICCHIONE, GREGORY L, HENDERSON, DAVID C · 2012 to 2016
$1.3M
Microenterprise to empower and improve health of HIV+ women in UgandaK23MH096620 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI TSAI, ALEXANDER C · 2012 to 2016
$922k
NIMH NIH HHS K23 MH096620NIMH NIH HHS T32 MH093310
6 · The paper itself

Abstract

backgroundSchool attendance rates in sub-Saharan Africa are among the lowest worldwide, placing children at heightened risk for poor educational and economic outcomes. One understudied risk factor for missed schooling is household water insecurity, which is linked to depression among women and may increase children's water-fetching burden at the expense of educational activities, particularly among children of depressed caregivers. In this study conducted in rural Uganda, we assessed the association between household water insecurity and child school participation and the mediating pathways behind these associations.

methodWe conducted a population-based, cross-sectional study of female household heads (

resultsAmong children, water insecurity had a statistically significant association with the number of missed school days (a standard deviation increase in water insecurity resulted in 0.30 more missed school days in the last week). The estimated association was partially mediated by caregiver depression. When stratified by sex, this mediating pathway remained significant for boys, but not among girls.

conclusionsWater insecurity is a risk factor for missed schooling among children in rural Uganda. Caregiver depression partially mediated this relationship. Also addressing caregiver mental health in water insecure families may more fully address the needs of sub-Saharan African families and promote educational participation among youth.

Indexed as

Childdepressionschoolingwater insecurity

Identifiers

PMID29230311
PMCPMC5719478

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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.