Evidence map›Paper›PMID 29587724›Full record

ArticleBMC health services research2018

Prevalence and correlates of depression and alcohol use disorder among adults attending primary health care services in Nepal: a cross sectional study.

Nagendra P Luitel, Emily C Baron, Brandon A Kohrt, Ivan H Komproe, Mark J D Jordans

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
9.1field-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

20 citing papers in PubMed, 46 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

5 authors at 4 institutions in 4 countries.

Nagendra P LuitelResearch Department, Transcultural Psychosocial Organization (TPO) Nepal, Kathmandu, Nepal. luitelnp@gmail.com.
Emily C BaronAlan J. Flisher Centre for Public Mental Health, University of Cape Town, Cape Town, South Africa.
Brandon A KohrtResearch Department, Transcultural Psychosocial Organization (TPO) Nepal, Kathmandu, Nepal.
Ivan H KomproeFaculty of Social and Behavioural Sciences, Utrecht University, Utrecht, the Netherlands.
Mark J D JordansCentre for Global Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
George Washington University · USHealthNet TPO · NLKing's College London · GBUniversity of Cape Town · ZA

Funding

Reducing Barriers to Mental Health Task SharingK01MH104310 · NIMH · GEORGE WASHINGTON UNIVERSITY · PI KOHRT, BRANDON ALAN · 2014 to 2018
$908k
DFID UK PO 5248NIMH NIH HHS K01 MH104310
6 · The paper itself

Abstract

backgroundAlthough depression and alcohol use disorder (AUD) are expected to be common among patients presenting to primary health care setting, there is limited research on prevalence of depression and AUD among people attending primary health care services in low-income countries. The aim of this study was to assess the prevalence of depression and AUD among adults attending primary care facilities in Nepal and explore factors associated with depression and AUD.

methodsWe conducted a population-based cross-sectional health facility survey with 1474 adults attending 10 primary healthcare facilities in Chitwan district, Nepal. The prevalence of depression and AUD was assessed with validated Nepali versions of the Patient Health Questionnaire (PHQ-9) and Alcohol Use Disorder Identification Test (AUDIT).

results16.8% of the study sample (females 19.6% and males 11.3%) met the threshold for depression and 7.3% (males 19.8% and females 1.1%) for AUD. The rates of depression was higher among females (RR = 1.48, P = 0.009), whereas rates of AUD was lower among females (RR = 0.49, P = 0.000). Rates of depression and AUD varied based on education, caste/ethnicity, occupations and family income.

conclusionsIn Nepal, one out of five women attending primary care services have depression and one out of five men have AUD. Primary care settings, therefore, are an important setting for detection and treatment initiation for these conditions. Given that "other" occupation is at increased risk for both conditions, it will be important to assure that treatments are feasible and effective for this high risk group.

Indexed as

AdolescentAdultAgedAged, 80 and overAlcoholismCross-Sectional StudiesDepressionFemaleHumansMaleMiddle AgedNepalPrevalencePrimary Health CareRisk FactorsYoung AdultAlcohol use disorderDepressionNepalPrimary health care

Identifiers

PMID29587724
PMCPMC5869789
OpenAlexW2799427643

What OpenQuestion holds

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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.