Evidence map›Paper›PMID 40175944›Full record

ArticleBMC psychiatry2025

Prevalence of significant anxiety symptoms and associated factors among adult people with HIV/AIDS in care and treatment clinic centers in Kilimanjaro region, Tanzania: a cross-sectional study.

Frank Kiwango, Eric Mboya, Florian Emanuel Ghaimo, Neema Ng'unda, Carl Mhina, Editruda Gamassa, Kim Madundo, Ester Steven Mzilangwe, Lyidia Vedasto Masika, Iddi Haruna and 3 more

Abstract read
In one paragraph

Article in BMC psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

13 authors.

Frank KiwangoDepartment of Mental Health and Psychiatry, Kilimanjaro Christian Medical Centre, P.O.Box 3010, Moshi, Kilimanjaro, Tanzania. frankkiwango@gmail.com.
Eric MboyaEpidemiology and Biostatistics Department, Muhimbili University of Health and Allied Sciences, P.o.Box 65001, Dare-es-Salaam, Tanzania.
Florian Emanuel GhaimoSchool of Medicine, KCMC University, P.O.Box 2240, Moshi, Kilimanjaro, Tanzania.
Neema Ng'undaSchool of Medicine, KCMC University, P.O.Box 2240, Moshi, Kilimanjaro, Tanzania.
Carl MhinaSchool of Medicine, KCMC University, P.O.Box 2240, Moshi, Kilimanjaro, Tanzania.
Editruda GamassaDepartment of Mental Health and Psychiatry, Kilimanjaro Christian Medical Centre, P.O.Box 3010, Moshi, Kilimanjaro, Tanzania.
Kim MadundoDepartment of Mental Health and Psychiatry, Kilimanjaro Christian Medical Centre, P.O.Box 3010, Moshi, Kilimanjaro, Tanzania.
Ester Steven MzilangweDepartment of Mental Health and Psychiatry, Muhimbili University of Health and Allied Sciences, P.O.Box 65001, Dare-es-Salaam, Tanzania.
Lyidia Vedasto MasikaSchool of Medicine, KCMC University, P.O.Box 2240, Moshi, Kilimanjaro, Tanzania.
Iddi HarunaDepartment of Mental Health and Psychiatry, Muhimbili National Hospital, P.O. Box 65000, Dare-es-Salaam, Tanzania.
Saidi Bakari KugandaDepartment of Mental Health and Psychiatry, Muhimbili National Hospital, P.O. Box 65000, Dare-es-Salaam, Tanzania.
Blandina MmbagaSchool of Medicine, KCMC University, P.O.Box 2240, Moshi, Kilimanjaro, Tanzania.
Sylvia KaayaDepartment of Mental Health and Psychiatry, Muhimbili University of Health and Allied Sciences, P.O.Box 65001, Dare-es-Salaam, Tanzania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeople with human immunodeficiency virus (PWH) are more prone to generalized anxiety disorder. There is a limited understanding of the prevalence of significant anxiety symptoms and its associated risk factors among adult PWH in the Tanzanian context. This study aims to determine the prevalence of significant anxiety symptoms and related risk factors among adult PWH attending care and treatment clinics in Moshi Municipality, Kilimanjaro Region.

methodsWe used a multistage random cluster sampling approach to select participants at four Care and treatment centers (CTCs) of Kilimanjaro Christian Medical Centre, Mawenzi Regional Referral Hospital, Majengo, and Pasua Health Centre, by location at tertiary, secondary, and primary health care levels. The seven-item Generalized Anxiety Disorder (GAD-7) screening tool assessed levels of generalized anxiety symptoms with significance set at scores ≥ 10. Sociodemographic, clinical, and psychosocial characteristics were collected using a semi-structured questionnaire. Bivariate analyses determined factors associated with significant anxiety symptoms (GAD-7 ≥ 10) at p-values [Formula: see text]0.20 for inclusion in the multivariate model. Adjusted prevalence ratios with confidence intervals are reported with significance set at a p-value of < 0.05.

resultsOut of 593 PWH participants, 12.48% screened positive for significant anxiety symptoms. Participants treated at the tertiary health facility level (aPR = 2.91, 95% CI: 2.48-3.41, P-value = 0.001), early adulthood 25-44 years (aPR = 1.75, 95% CI: 1.27-2.42, P-value = 0.001), with higher anxiety sensitivity (aPR = 3.28, 95% CI: 2.08-5.19, P-value = 0.001), and higher levels of perceived social support (aPR = 2.09; 95% CI: 1.34-3.27, P-value = 0.001) showed a higher likelihood of significant generalized anxiety symptoms.

conclusionsSignificant anxiety symptoms were common among adult PWH. Integrating routine generalized anxiety screening and raising PWH's and primary caregivers' awareness of GAD is recommended.

trial registrationClinical trial number not applicable.

Indexed as

AnxietyAnxiety DisordersHIV InfectionsAdultCross-Sectional StudiesFemaleHumansMaleMiddle AgedPrevalenceRisk FactorsTanzaniaYoung AdultAnd GADAnxiety prevalenceHIVPWHTanzania

Identifiers

PMID40175944
PMCPMC11966806

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LicenceCC BY-NC-ND
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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.