Evidence map›Paper›PMID 38658002›Full record

ArticleBMJ open2024

Prevalence and social determinants of anxiety and depression among adults in Ghana: a systematic review and meta-analysis protocol.

Victoria Awortwe, Meena Daivadanam, Samuel Adjorlolo, Erik Mg Olsson, Chelsea Coumoundouros, Joanne Woodford

Abstract read
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
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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

6 authors.

Victoria AwortweHealthcare Sciences and e-Health, Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden victoria.awortwe@uu.se.ORCID 0000-0002-9851-1655
Meena DaivadanamGlobal Health and Migration Unit, Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.ORCID 0000-0002-9532-6059
Samuel AdjorloloDepartment of Mental Health, School of Nursing and Midwivery, College of Health Sciences, University of Ghana, Accra, Ghana.ORCID 0000-0001-9308-6031
Erik Mg OlssonCardiovascular Psychology, Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.ORCID 0000-0002-1591-7407
Chelsea CoumoundourosHealthcare Sciences and e-Health, Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.ORCID 0000-0001-5539-974X
Joanne WoodfordHealthcare Sciences and e-Health, Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.ORCID 0000-0001-5062-6798

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAnxiety and depression pose a significant global health challenge, especially affecting adults in low-income and middle-income countries. In many low-income and middle-income countries, including those in sub-Saharan Africa, social determinants such as access to affordable health services, conflict, food insecurity, and poverty may be associated with the prevalence of anxiety and depression, further contributing to health disparities. To mitigate the burden of anxiety and depression in sub-Saharan Africa, it is essential to develop country-level tailored mental health policies and strategies. For example, Ghana is working towards improving mental health via its 12 year Mental Health policy launched in 2021. However, the prevalence of anxiety and depression among adults in Ghana, along with associated social determinants remains largely unknown, posing challenges for mental health planning, resource allocation and developing targeted interventions. This systematic review seeks to (1) examine the prevalence of anxiety and depression among adults in Ghana and (2) explore social determinants potentially associated with anxiety and depression. METHODS AND ANALYSIS: Electronic databases (eg, African Index Medicus, CINAHL, EMBASE, MEDLINE, and PsycINFO) will be searched with all screening steps conducted by two independent reviewers. Secondary search strategies, including grey literature searches, will be used. Studies reporting on the prevalence of anxiety, depression and/or a combined symptom measure (ie, psychological distress) among adults in Ghana, using validated instruments will be included. If data allows, random-effects-meta-analyses will be performed to estimate pooled prevalence rates of anxiety and depression. Potential clinical and methodological moderators will be examined using subgroup analyses and meta-regression. A narrative synthesis will explore social determinants potentially associated with anxiety and depression among adults in Ghana. ETHICS AND DISSEMINATION: Ethical approval is not required as no primary data will be collected. Results will be disseminated via a peer-reviewed publication and presentations at academic conferences. Plain language summaries will be provided to relevant non-governmental organisations working in Ghana. PROSPERO REGISTRATION NUMBER: CRD42023463078.

Indexed as

AnxietyDepressionMeta-Analysis as TopicSocial Determinants of HealthSystematic Reviews as TopicAdultGhanaHumansPrevalenceResearch DesignAdult psychiatryEPIDEMIOLOGYMENTAL HEALTHPUBLIC HEALTHSystematic Review

Identifiers

PMID38658002
PMCPMC11043746

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Registered trials

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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.