Evidence map›Paper›PMID 38626202›Full record

ArticlePloS one2024

Mental health issues associated with the management of tuberculosis in Homabay, Busia and Kakamega Counties, Kenya.

John Otieno, Albino Luciani, Sheila Lumumba, George Gikunda, Colleta Kiilu, Norah Ogutu, Bryson Sifuma, Dennis Kinyua, Diana Mukami, Catherine Mwenda and 2 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.6field-weighted citation impact, top 19% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. 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

12 authors at 3 institutions in 1 country.

John OtienoAmref Health Africa Institute of Capacity Development, Nairobi, Kenya.
Albino LucianiKenya Medical Research Institute, Center for Global Health Research, Nairobi, Kenya.
Sheila LumumbaAmref Health Africa Institute of Capacity Development, Nairobi, Kenya.ORCID 0000-0001-7390-7218
George GikundaAmref Health Africa Institute of Capacity Development, Nairobi, Kenya.
Colleta KiiluAmref Health Africa Institute of Capacity Development, Nairobi, Kenya.
Norah OgutuAmref Health Africa Institute of Capacity Development, Nairobi, Kenya.
Bryson SifumaAmref Health Africa Institute of Capacity Development, Nairobi, Kenya.
Dennis KinyuaAmref Health Africa Institute of Capacity Development, Nairobi, Kenya.
Diana MukamiAmref Health Africa Institute of Capacity Development, Nairobi, Kenya.
Catherine MwendaAmref Health Africa Institute of Capacity Development, Nairobi, Kenya.
Aiban RonohMinistry of Health, National TB, Leprosy and Lung Diseases Program, Nairobi, Kenya.
Yvonne OpangaAmref Health Africa in Kenya, Nairobi, Kenya.
Amref Health Africa · KEKenya Medical Research Institute · KEMinistry of Health · KE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite the implementation of patient-centred care, mental health issues remain a significant risk factor and comorbidity for Tuberculosis (TB) disease. Mental health issues being co-morbidities to TB are likely to increase the disease burden of the affected population. This study therefore investigated the prevalence and impact of mental health issues in Tuberculosis (TB) patients.

methodsThis cross-sectional study design used mixed methods in data collection. The study used structured questionnaires, key informant interviews and focus group discussions. 127 TB patients were purposively selected from a group of patients who previously recovered successfully, with a history of relapse or are currently on TB treatment in high-volume facilities in Homa Bay, Busia and Kakamega Counties. 30 Key informant interviews were conducted with Healthcare workers. Quantitative data analysis was done using STATA version 14. Thematic analysis was employed to analyze qualitative data using NVivo version 10.

resultsThe findings showed that the most common mental health issues affecting TB patients were anxiety (66%) and depression (55%), which were commonly experienced during the presumptive stage of TB. Qualitative data revealed that stigma was the main barrier that hindered TB patients from accessing care. TB patients articulated the benefits of support structures ranging from positive encouragement, reminders on taking drugs, accompaniment to the clinic, and financial support in TB management. Furthermore, the study established that the majority of Health Care Workers (HCWs) were not prepared to handle TB patients' mental issues, a gap that is likely to impact the quality of care TB patients receive.

conclusionThe study established that mental health issues impact TB treatment outcomes. Healthcare systems should prioritize the integration of mental health care into TB programs to address the high prevalence of mental health issues among TB patients.

Indexed as

Mental HealthTuberculosisComorbidityCross-Sectional StudiesHealth PersonnelHumansKenya

Identifiers

PMID38626202
PMCPMC11020984
OpenAlexW4394841213

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.