Poverty, life events and the risk for depression in Uganda

Kinyanda, Eugene; Woodburn, Patrick; Tugumisirize, Joshua; Kagugube, Johnson; Ndyanabangi, Sheila; Patel, Vikram

doi:10.1007/s00127-009-0164-8

Cited by 83 publications

(83 citation statements)

References 40 publications

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“…This finding is in line with the results reported in other studies and this could be due to the fact that women had multiple roles in society, heavier social burden and more household responsibilities [35][36][37][38][39][40].…”

Section: Discussionsupporting

confidence: 92%

Prevalence, Gender Differences and Associated Factors of Depression among Adults with Type 2 Diabetes, Jordan

Hyassat¹,

Al-Doseri²,

Hashem³

et al. 2017

J Depress Anxiety

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Section: Discussionsupporting

confidence: 92%

Prevalence, Gender Differences and Associated Factors of Depression among Adults with Type 2 Diabetes, Jordan

Hyassat¹,

Al-Doseri²,

Hashem³

et al. 2017

J Depress Anxiety

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“…The relationship between depression and impaired work ability can be explained by depressive features such as lack of motivation, poor concentration, and fatigue. These findings are consistent with research by Kinyanda et al [29], who found that depression was strongly associated with lower socioeconomic status and unemployment in a general population of Ugandans, as well as by Kaharuza et al [30] who found higher levels of depression to be associated with lower income among PLHA. Our analysis of the interaction of physical health and depression suggests that good physical health is associated with working in both depressed and nondepressed patients, but it is even more instrumental in being able to work when a person is depressed.…”

Section: Discussionsupporting

confidence: 91%

Understanding the influence of depression on self-efficacy, work status and condom use among HIV clients in Uganda

Wagner

Holloway

Ghosh-Dastidar

et al. 2011

Journal of Psychosomatic Research

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“…Twenty-one percent of participants in the control sample reached DHSCL scores indicating potential depression, compared to only 9.6% of the HIV sample. Previous research found similar rates of depression symptoms with a national prevalence in Uganda of 29.3% [42] and 8.1% in an HIV sample [41]. As the rate of attendance at HIV counselling was very high in our sample, it was not possible to explore any effect of counselling on reported mood.…”

Section: Discussionsupporting

confidence: 63%

Higher Quality of Life and Lower Depression for People on ART in Uganda as Compared to a Community Control Group

2014

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Provision of antiretroviral treatment (ART) to people living with HIV (PLWH) has increased globally. Research measuring whether ART restores subjective well-being to “normal” levels is lacking, particularly in resource limited settings. The study objectives are to compare quality of life and depression symptoms for PLWH on ART to a general community population and to explore factors to explain these differences, including socio-economic status and the impact of urban or rural residence. PLWH on ART (n = 263) were recruited from ART delivery sites and participants not on ART (n = 160) were recruited from communities in Wakiso District, Uganda. Participants were interviewed using the translated World Health Organisation Quality of Life brief measure, the Hopkins Symptom Checklist depression section, and questions about socio-economic status, residence as urban or rural and, for PLWH on ART, self-reported adherence and use of HIV counselling. Compared to the community sample and controlling for location of residence, PLWH on ART had significantly higher quality of life (QOL) for physical, psychological and environment domains, but not the social domain. These differences were not due to socio-economic status alone. Depression scores were significantly lower for PLWH on ART. Both comparisons controlled for the effect of location of residence. People on ART self-reported high adherence and the majority had used HIV counselling services. Our findings show better QOL amongst PLWH on ART compared to a general community sample, which cannot be explained solely by differences in socio-economic status nor location of residence. The general community sample results point towards the challenges of life in this setting. Access to health services may underpin this difference and further research should explore this finding, in addition to identification of psychological mechanisms that relate to better QOL. ART provision infrastructure has clear benefits. Further work should consider sustainability and replication for other health conditions.

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Poverty, life events and the risk for depression in Uganda

Abstract: Background-Understanding the determinants of major depression in sub-Saharan Africa is important for planning effective intervention strategies.

Cited by 83 publications

References 40 publications

Prevalence, Gender Differences and Associated Factors of Depression among Adults with Type 2 Diabetes, Jordan

Prevalence, Gender Differences and Associated Factors of Depression among Adults with Type 2 Diabetes, Jordan

Understanding the influence of depression on self-efficacy, work status and condom use among HIV clients in Uganda

Higher Quality of Life and Lower Depression for People on ART in Uganda as Compared to a Community Control Group

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