Evidence map›Paper›PMID 29556159›Full record

ArticleInternational journal of mental health and addiction2018

Prevalence and correlates of probable depression and post-traumatic stress disorder among female sex workers in Lilongwe, Malawi.

Sarah A MacLean, Kathryn E Lancaster, Thandie Lungu, Pearson Mmodzi, Mina C Hosseinipour, Brian W Pence, Bradley N Gaynes, Irving F Hoffman, William C Miller

Open access · greenAbstract read
In one paragraph

Article in International journal of mental health and addiction, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
3.7field-weighted citation impact, top 6% 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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Pooled it
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  4. Health inequities faced by sex workers.The Lancet. Public health · 2026
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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

9 authors at 3 institutions in 2 countries.

Sarah A MacLeanUNC Project Malawi, University of North Carolina at Chapel Hill, Tidziwe Centre, Private Bag A-104, Lilongwe, Malawi.
Kathryn E LancasterDivision of Infectious Diseases, School of Medicine, University of North Carolina at Chapel Hill, 130 Mason Farm Rd Chapel Hill, North Carolina 27599 USA.
Thandie LunguUNC Project Malawi, University of North Carolina at Chapel Hill, Tidziwe Centre, Private Bag A-104, Lilongwe, Malawi.
Pearson MmodziUNC Project Malawi, University of North Carolina at Chapel Hill, Tidziwe Centre, Private Bag A-104, Lilongwe, Malawi.
Mina C HosseinipourUNC Project Malawi, University of North Carolina at Chapel Hill, Tidziwe Centre, Private Bag A-104, Lilongwe, Malawi.
Brian W PenceDepartment of Epidemiology, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, 135 Dauer Drive, Chapel Hill, North Carolina 27599 USA.
Bradley N GaynesDepartment of Psychiatry, School of Medicine, University of North Carolina at Chapel Hill, 101 Manning Drive, Chapel Hill, North Carolina 27599 USA.
Irving F HoffmanUNC Project Malawi, University of North Carolina at Chapel Hill, Tidziwe Centre, Private Bag A-104, Lilongwe, Malawi.
William C MillerDivision of Epidemiology, College of Public Health, The Ohio State University, 302 Cunz Hall, 1841 Neil Avenue, Columbus, Ohio 43210 USA.
University of North Carolina at Chapel Hill · USUniversity of Malawi · MWThe Ohio State University · US

Funding

Virology, Immunology, and Microbiology CoreP30AI050410 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAVID M. MARGOLIS · 2001 to 2026
$76.9M
Training in Sexually Transmitted Infections and HIVT32AI007001 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SENA-SOBERANO, ARLENE C. · 1985 to 2025
$10.9M
Fogarty Global Health Fellows Coordinating CenterR25TW009340 · FIC · UNIV OF NORTH CAROLINA CHAPEL HILL · PI CHI, BENJAMIN H. · 2012 to 2016
$6.9M
FIC NIH HHS R25 TW009340NIAID NIH HHS P30 AI050410NIAID NIH HHS T32 AI007001
6 · The paper itself

Abstract

Globally, female sex workers (FSW) experience a high prevalence of mental health disorders, but in sub-Saharan Africa these are rarely identified. If left untreated, mental health disorders may place FSW and their partners at risk for HIV/sexually transmitted infections (STIs). We assessed the prevalence and correlates of probable depression, post-traumatic stress disorder (PTSD), and suicidal ideation (SI) in a cohort of 200 FSW in Lilongwe, Malawi. FSW completed the Patient Health Questionnaire-9 and the PTSD Check List-Civilian Version. The prevalence of depression was 8%, as was the prevalence of PTSD. Nearly half (49%) of FSW were experiencing mild depression. FSW were more likely to have probable depression if they completed primary school or initiated sex work before 18 years. They were more likely to have probable PTSD if they had ≥ 20 clients per week or initiated sex work before 18 years. Interventions are needed to diagnose mental health disorders among FSW at great risk for HIV/STIs.

Indexed as

depressionmental healthPTSDsex worksub-Saharan Africa

Identifiers

PMID29556159
PMCPMC5856127
OpenAlexW2768287414

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.