Evidence map›Paper›PMID 30462688›Full record

ArticlePloS one2018

Gender disparities in depression severity and coping among people living with HIV/AIDS in Kolkata, India.

Dallas Swendeman, Anne E Fehrenbacher, Soma Roy, Rishi Das, Protim Ray, Stephanie Sumstine, Toorjo Ghose, Smarajit Jana

Erratum issued Registry-linked trialAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT02118454 (ART Adherence Behaviour and Practices Among HIV Positives in Kolkata, India-a Pilot Project), which is not on this 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.

NCT02118454 nacompletednot on this map

ART Adherence Behaviour and Practices Among HIV Positives in Kolkata, India-a Pilot Project

TypeinterventionalSponsorUniversity of California, Los AngelesRan2014 to 2015Enrolled400ConditionsHIV/AIDSArmsDaily IVR Calls Intervention, Weekly IVR Survey Only
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

5 · Who and what money

Authors and funding

8 authors.

Dallas SwendemanDepartment of Psychiatry & Biobehavioral Sciences, David Geffen School of Medicine, University of California, Los Angeles, California, United States of America.ORCID 0000-0001-6395-5187
Anne E FehrenbacherDepartment of Psychiatry & Biobehavioral Sciences, David Geffen School of Medicine, University of California, Los Angeles, California, United States of America.
Soma RoySonagachi Research & Training Institute, Durbar Mahila Samanwaya Committee, Kolkata, India.
Rishi DasDepartment of Psychiatry & Biobehavioral Sciences, David Geffen School of Medicine, University of California, Los Angeles, California, United States of America.
Protim RaySonagachi Research & Training Institute, Durbar Mahila Samanwaya Committee, Kolkata, India.
Stephanie SumstineDepartment of Psychiatry & Biobehavioral Sciences, David Geffen School of Medicine, University of California, Los Angeles, California, United States of America.
Toorjo GhoseSchool of Social Policy and Practice, University of Pennsylvania, Philadelphia, Pennsylvania, United States of America.
Smarajit JanaSonagachi Research & Training Institute, Durbar Mahila Samanwaya Committee, Kolkata, India.

Funding

UCLA Clinical and Translational Science InstituteUL1TR000124 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DUBINETT, STEVEN M. · 2012 to 2015
$57.0M
UCLA Rapid, Relevant, Rigorous Implementation Science HubP30MH058107 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI RAPHAEL J LANDOVITZ · 1997 to 2026
$53.5M
Virology CoreP30AI028697 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ANTON, PETER A · 1991 to 2018
$39.9M
Post-doctoral HIV Research Training Program for HIV Combination PreventionT32MH109205 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ROTHERAM-BORUS, MARY JANE · 2016 to 2020
$2.3M
Mobile Phone Adherence & Prevention Support for People Living with HIV in IndiaR21AI094666 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SWENDEMAN, DALLAS TRAVIS · 2012 to 2013
$367k
NCATS NIH HHS UL1 TR000124NIAID NIH HHS P30 AI028697NIAID NIH HHS R21 AI094666NIMH NIH HHS P30 MH058107NIMH NIH HHS T32 MH109205
6 · The paper itself

Abstract

People living with HIV/AIDS (PLH) experience high rates of depression and related psychosocial risk factors that vary by gender. This study examines gender differences in depression severity among antiretroviral therapy (ART) patients (n = 362) from a large government ART clinic in Kolkata, India. Hypotheses for multiple linear regression models were guided by an integrated gendered stress process model focusing on variables reflecting social status (age, partner status), stressors (stigma), and resources (income, social support). Depressive symptoms were assessed with the Hospital Anxiety and Depression Scale (HADS); 22% of the sample reached the cutoff for severe depression, 56% moderate, and 13% mild depression. Compared to men, women reported lower income, education (50% no formal education vs. 20% men), availability of emotional and instrumental support, and were less likely to be married or cohabiting (53% women vs. 72% of men). However, more women had partners who were HIV-positive (78% women vs. 46% men). Overall, depression severity was negatively associated with availability of emotional support and self-distraction coping, and positively associated with internalized HIV/AIDS stigma, availability of instrumental support, and behavioral disengagement coping. Interactions for instrumental support by income and partner status by age varied significantly by gender. Analyses stratified by gender indicated that: 1) Frequently seeking instrumental support from others was protective for men at all income levels, but only for high-income women; and 2) having a partner was protective for men as they aged, but not for women. These results suggest that gender disparities in depression severity are created and maintained by women's lower social status and limited access to resources. The effect of stigma on depression severity did not vary by gender. These findings may inform the tailoring of future interventions to address mental health needs of PLH in India, particularly gender disparities in access to material and social resources for coping with HIV. Trial Registration: ClinicalTrials.gov registration #NCT02118454, registered April 2014.

Indexed as

Adaptation, PsychologicalAcquired Immunodeficiency SyndromeAdultAgedAge DistributionDepressionFemaleHealth ResourcesHumansIndiaLinear ModelsMaleMiddle AgedYoung Adult

Identifiers

PMID30462688
PMCPMC6248946

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LicenceCC BY
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Registered trials

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.