Evidence map›Paper›PMID 34588229›Full record

ArticleBMJ open2021

Effect of food insecurity on mental health of patients with tuberculosis in Southwest Ethiopia: a prospective cohort study.

Matiwos Soboka, Markos Tesfaye, Kristina Adorjan, Wolfgang Krahl, Elias Tesfaye, Yimenu Yitayih, Ralf Strobl, Eva Grill

Abstract read
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Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

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3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

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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.

Matiwos SobokaCenter for International Health, Ludwig Maximilian University, Munich, Germany matiwos2004@yahoo.com.ORCID 0000-0003-2820-0947
Markos TesfayeCenter for International Health, Ludwig Maximilian University, Munich, Germany.
Kristina AdorjanCenter for International Health, Ludwig Maximilian University, Munich, Germany.
Wolfgang KrahlCenter for International Health, Ludwig Maximilian University, Munich, Germany.
Elias TesfayeDepartment of Psychiatry, Medical Faculty, Jimma University, Jimma, Ethiopia.
Yimenu YitayihDepartment of Psychiatry, Medical Faculty, Jimma University, Jimma, Ethiopia.ORCID 0000-0002-0300-394X
Ralf StroblGerman Center for Vertigo and Balance Disorders, University Hospital LMU Muenchen, Munich, Germany.
Eva GrillCenter for International Health, Ludwig Maximilian University, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe objective of this study is to investigate the effect of food insecurity on the mental health of patients with tuberculosis (TB) in Ethiopia.

designA prospective cohort study.

settingHealth centres and hospitals located in Jimma zone, Southwest Ethiopia.

participantsPatients with TB who had recently been diagnosed with TB and started directly observed treatment in the selected 26 health institutions from October 2017 to October 2018. A total of 268 patients were followed for 6 months and data were collected at recruitment and two follow-up visits (at 2 and 6 months). Patients with multidrug-resistant TB were not included in the study.

main outcome measuresMental distress was measured by the Self-Reporting Questionnaire-20 while food insecurity was assessed by using the Household Food Insecurity Access Scale.

resultsA total of 268 patients were recruited and there was no lost to follow-up. The prevalence of food insecurity at baseline, first and second follow-up was 49.3%, 45.9% and 39.6%, respectively. Of these, 28.0% of them reported severe food insecurity at baseline which declined to 23.5% at the end of the sixth month. Likewise, the prevalence of mental distress at baseline was 61.2% but declined to 22.0% at the second follow-up. At baseline, 77.3% of patients with mental distress reported severe food insecurity but declined to 46.0% at second follow-up. In the final model, severe food insecurity (OR 4.7, 95% CI 2.4 to 9.4) and being a government employee (adjusted odds ratio (aOR) 0.3, 95% CI 0.1 to 0.9) were associated with mental distress.

conclusionIn this study, food insecurity was associated with mental distress over the course of follow-up. Likewise, there is a high prevalence of food insecurity and mental distress among patients with TB on treatment. Therefore, early assessment and interventions for food insecurity may improve the mental health of patients with TB on treatment.

Indexed as

Food InsecurityTuberculosisCross-Sectional StudiesEthiopiaFood SupplyHumansMental HealthProspective Studiesmental healthpublic healthtuberculosis

Identifiers

PMID34588229
PMCPMC8479992

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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.