Evidence map›Paper›PMID 31675938›Full record

ArticleBMC psychiatry2019

Prevalence and correlates of depressive symptoms among adults living with HIV in rural Kilifi, Kenya.

Moses K Nyongesa, Paul Mwangi, Stanley W Wanjala, Agnes M Mutua, Charles R J C Newton, Amina Abubakar

Open access · goldAbstract read
In one paragraph

Article in BMC psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
3.6field-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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Psychometric Properties of the Berger HIV Stigma Scale: A Systematic Review.International journal of environmental research and public health · 2021
    Pooled it
  2. Trial
  3. Observational
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
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 2 institutions in 2 countries.

Moses K NyongesaCentre for Geographic Medicine Research-Coast, KEMRI, Box 230, Kilifi, Kenya. Mkachama@kemri-wellcome.org.ORCID 0000-0002-7761-0718
Paul MwangiCentre for Geographic Medicine Research-Coast, KEMRI, Box 230, Kilifi, Kenya.
Stanley W WanjalaDepartment of Social Sciences, Pwani University, Kilifi, Kenya.
Agnes M MutuaCentre for Geographic Medicine Research-Coast, KEMRI, Box 230, Kilifi, Kenya.
Charles R J C NewtonCentre for Geographic Medicine Research-Coast, KEMRI, Box 230, Kilifi, Kenya.
Amina AbubakarCentre for Geographic Medicine Research-Coast, KEMRI, Box 230, Kilifi, Kenya.
Kenya Medical Research Institute · KEPwani University · KE

Funding

Medical Research Council MR/M025454/1Medical Research Council (GB) MR/M025454/1Wellcome TrustWellcome Trust 201310/Z/16/Z
6 · The paper itself

Abstract

backgroundPublished research on depression among people living with HIV/AIDS (PLWHA) from Africa is increasing, but data from Kenya remains scarce. This cross-sectional study measured the prevalence and correlates of depressive symptoms among PLWHA in rural Kilifi, on the Kenyan coast.

methodsBetween February and April 2018, we consecutively recruited and interviewed 450 adults living with HIV and on combination antiretroviral therapy (cART). Depressive symptoms were assessed with the 9-item Patient Health Questionnaire (PHQ-9), with a positive depression screen defined as PHQ-9 score ≥ 10. Measures of psychosocial, health, and treatment characteristics were also administered.

resultsThe overall prevalence of depressive symptoms was 13.8% (95% Confidence Interval (95%CI): 10.9, 17.3). Multivariable logistic regression analysis identified current comorbid chronic illness (adjusted Odds Ratio (aOR) 5.72, 95% CI: 2.28, 14.34; p < 0.001), cART regimen (aOR 6.93, 95%CI: 2.34, 20.49; p < 0.001), perceived HIV-related stigma (aOR 1.10, 95%CI: 1.05, 1.14, p < 0.001) and difficulties accessing HIV care and treatment services (aOR 2.37, 95%CI: 1.14, 4.91; p = 0.02) as correlates of depressive symptoms.

conclusionThe prevalence of depressive symptoms among adults living with HIV on the Kenyan coast is high. Those at high risk for elevated depressive symptoms (e.g., with comorbid chronic illnesses, on second-line cART, experiencing perceived HIV-stigma or with problems accessing HIV care) may benefit from early identification, treatment or referral, which requires integration of mental health programmes into HIV primary care.

Indexed as

AdultComorbidityCross-Sectional StudiesDepressionFemaleHIVHIV InfectionsHumansKenyaMaleOdds RatioPrevalenceRural PopulationSocial StigmaYoung AdultcARTCorrelatesDepressive symptomsHIV/AIDSKenyaPrevalence

Identifiers

PMID31675938
PMCPMC6825356
OpenAlexW2984642074

What OpenQuestion holds

Textmetadata
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.