Evidence map›Paper›PMID 34587934›Full record

ArticleBMC psychiatry2021

Social and structural factors associated with depression and suicidality among men who have sex with men and transgender women in Nepal.

Sanna Storm, Keshab Deuba, Rachana Shrestha, Lok Raj Pandey, Deepak Dahal, Madan Kumar Shrestha, Tara Nath Pokhrel, Gaetano Marrone

Open access · goldAbstract read
In one paragraph

Article in BMC psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
5.3field-weighted citation impact, top 4% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 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

8 authors at 3 institutions in 2 countries.

Sanna StormDepartment of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
Keshab DeubaNational Centre for AIDS and STD Control/Global Fund Programs, Kathmandu, Nepal. deuba4k@gmail.com.
Rachana ShresthaPublic Health and Environment Research Centre, Lalitpur, Nepal.
Lok Raj PandeyNational Centre for AIDS and STD Control, Ministry of Health and Population, Kathmandu, Nepal.
Deepak DahalNational Centre for AIDS and STD Control, Ministry of Health and Population, Kathmandu, Nepal.
Madan Kumar ShresthaNational Centre for AIDS and STD Control, Ministry of Health and Population, Kathmandu, Nepal.
Tara Nath PokhrelFamily Welfare Division, Department of Health Services, Ministry of Health and Population, Kathmandu, Nepal.
Gaetano MarroneDepartment of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
Ministry of Health and Population · NPKarolinska Institutet · SEDepartment of Health Services · NP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe prevalence of depression and suicidality is high among men who have sex with men (MSM) and transgender women (TGW) worldwide. Stigma and discrimination are likely contributing factors. More research is needed in low-income, non-English speaking countries to assess the effects of social and structural factors on depression and suicidality among MSM and TGW.

methodsNepalese MSM and TGW (n = 340) were recruited using a respondent-driven sampling design and filled out a survey questionnaire. The outcomes were depression and suicidality. Data was analyzed using bivariate and multivariable logistic regression.

resultsMore than half of the participants (59%) suffered from depression. Severe depression was more common among TGW compared to MSM (41 and 20%, respectively). When it comes to suicidality, TGW had higher lifetime prevalence of suicidal thoughts compared to MSM (32 and 5%, respectively). Depression was positively associated with sex work both for MSM (AOR: 7.9; 95% CI 3.4-18.2) and TGW (AOR: 6.5; 95% CI: 2.3-18.2). MSM who were evicted by family had high odds of suicidal thoughts (AOR: 6.2; 95% CI: 1.3-28.8). For TGW, suicidality was associated with being cheated and threatened (AOR: 3.9; 95% CI: 1.2-12.5) and having forced to marry a female (AOR: 2.2; 95% CI 1.1-5.1).

conclusionsNepalese MSM and TGW suffer from a high degree of mental and psychosocial health issues. Future studies should focus on intervention research and on collecting data from a larger variety of gender and sexual minorities.

Indexed as

HIV InfectionsSexual and Gender MinoritiesSuicideTransgender PersonsCross-Sectional StudiesDepressionFemaleHomosexuality, MaleHumansMaleNepalPrevalenceSexual BehaviorSocial StigmaDepressionDiscriminationLow-income countryMSMSexual and gender minoritiesSuicidalityTG

Identifiers

PMID34587934
PMCPMC8479926
OpenAlexW3204574777

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.