Evidence map›Paper›PMID 41661862›Full record

ArticlePLOS mental health2025

Determinants of gender disparities in psychological distress in the South African population aged 15 years and older: Findings from the 2017 National HIV prevalence, incidence, behaviour, and communication survey.

Nompumelelo P Zungu, Musawenkosi Mabaso, Tawanda Makusha, Lehlogonolo Makola, Ronel Sewpaul, Olive Shisana

Abstract read
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Article in PLOS mental health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Nompumelelo P ZunguPublic Health, Societies and Belonging Division, Human Sciences Research Council, Pretoria, South Africa.ORCID https://orcid.org/0000-0003-1275-2317
Musawenkosi MabasoPublic Health, Societies and Belonging Division, Human Sciences Research Council, Pretoria, South Africa.
Tawanda MakushaClinical Research Department, Africa Health Research Institute, Durban, South Africa.ORCID https://orcid.org/0000-0003-2120-8989
Lehlogonolo MakolaPublic Health, Societies and Belonging Division, Human Sciences Research Council, Pretoria, South Africa.
Ronel SewpaulPublic Health, Societies and Belonging Division, Human Sciences Research Council, Pretoria, South Africa.ORCID https://orcid.org/0000-0002-2523-1222
Olive ShisanaDepartment of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Psychological distress, characterized by symptoms such as anxiety, depression, and emotional suffering, is a major public health issue with well-documented gender disparities. This study examined the determinants of gender differences in psychological distress among South Africans aged 15 years and older using data from the 2017 South African National HIV Prevalence, Incidence, Behaviour, and Communication Survey. The cross-sectional survey employed a multi-stage stratified random cluster sampling design. Psychological distress was measured using the Kessler 10-item Psychological Distress Scale (K10), where a score of ≥20 indicated some level of distress. Of the 8,148 participants, the weighted prevalence of psychological distress was 19.3% (95% CI: 17.8-20.9), with a significantly higher prevalence among females (22.2%, 95% CI: 20.2-24.4) than males (16.4%, 95% CI: 14.4-18.6). Multivariable backward stepwise logistic regression models were used to identify factors associated with psychological distress for each gender, and adjusted odds ratios (AORs) with 95% confidence intervals (CIs) were reported. Among males, higher odds of distress were associated with fair/poor self-rated health (AOR = 1.7, 95% CI: 1.2-2.4) and excessive alcohol use (AOR = 1.6, 95% CI: 1.1-2.3). Protective factors included tertiary education (AOR = 0.5, 95% CI: 0.3-0.9), residence in rural formal/farm areas (AOR = 0.6, 95% CI: 0.4-1.0), and being HIV negative (AOR = 0.7, 95% CI: 0.4-1.0). For females, distress was significantly associated with fair/poor self-rated health (AOR = 2.6, 95% CI: 2.0-3.4) and excessive alcohol use (AOR = 2.0, 95% CI: 1.3-3.1). Lower odds were found among the employed (AOR = 0.7, 95% CI: 0.5-0.9), residents of rural informal/tribal (AOR = 0.6, 95% CI: 0.5-0.8) and rural formal/farm areas (AOR = 0.6, 95% CI: 0.4-0.9), and those with accurate HIV knowledge and myth rejection (AOR = 0.6, 95% CI: 0.4-0.7). The findings emphasize the need for gender-specific mental health interventions targeting modifiable risk factors to reduce psychological distress in South Africa.

Identifiers

PMID41661862
PMCPMC12798578

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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.