Prevalence of psychological distress and its association with socio-demographic and HIV-risk factors in South Africa: Findings of the 2012 HIV prevalence, incidence and behaviour survey

Mthembu, Jacqueline; Mabaso, Musawenkosi; Khan, Gadija; Simbayi, Leickness C.

doi:10.1016/j.ssmph.2017.07.009

Cited by 24 publications

(36 citation statements)

References 30 publications

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“…Other studies using K-10 were conducted in Africa. In the general population in South Africa (n = 25850), 23.9% of study participants reported psychological distress (K-10�20) [34]. Hazardous alcohol drinking (OR = 1.79) as well as HIV positive status (OR = 4.76) were associated with psychological distress as observed in our study.…”

Section: Plos Onesupporting

confidence: 74%

“…Also, as we conducted a cross-sectional study, causality between the factors identified and PD could not be addressed. Other factors such as an employment status were not included although they could potentially affect psychological distress, as reported in a study conducted among MSM in South Africa [34]. Finally, there was no medical evaluation in the present study.…”

Section: Plos Onementioning

confidence: 97%

“…Little is known about mental health among key populations in sub-Saharan Africa, and to our knowledge this study is the first one which has assessed psychological distress among these groups using an international validated tool (K-10). This tool has been validated in the African context in South Africa in general population [34]. In addition, we used data from a nationally representative study (n = 2044) including three main groups of key populations, allowing for the generalization of our findings.…”

Section: Plos Onementioning

confidence: 99%

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Prevalence and factors associated with psychological distress among key populations in Togo, 2017

et al. 2020

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Objectives Mental health is a largely neglected issue among in Sub-Saharan Africa, especially among key populations at risk for HIV. The aim of this study was to estimate the prevalence of psychological distress (PD) and to assess the factors associated among males who have sex with males (MSM), female sex workers (FSW) and drug users (DU) in Togo in 2017. Study design A cross-sectional bio-behavioral study was conducted in August and September 2017 using a respondent-driven sampling (RDS) method, in eight cities in Togo. Methods A standardized questionnaire was used to record sociodemographic characteristics and sexual behaviors. The Alcohol Use Disorders Identification Test (AUDIT) and a subset of questions from the Tobacco Questions for Survey were used to assess alcohol and tobacco consumption respectively. PD was assessed with the Kessler Psychological Distress Scale. A blood sample was taken to test for HIV. Descriptive statistics, univariable and multivariable ordinal regression models were used for analysis. Results A total of 2044 key populations including 449 DU, 952 FSW and 643 MSM with a median age of 25 years, interquartile range (IQR) [21-32] were recruited. The overall prevalence of mild PD among the three populations was 19.9% (95%CI = [18.3-21.8]) and was 19.2% (95%CI = [17.5-20.9]) for severe/moderate PD. HIV prevalence was 13.7% (95%CI =

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Section: Plos Onesupporting

confidence: 74%

Section: Plos Onementioning

confidence: 97%

Section: Plos Onementioning

confidence: 99%

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Prevalence and factors associated with psychological distress among key populations in Togo, 2017

et al. 2020

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“…Despite efforts by countries across the globe to achieve the Sustainable Development Goal (SDG) 3.4 target of promoting the mental health and well-being of their populace by the year 2030 [ 1 ], suicidal behaviours remain a major public health concern [ 2 ]. Suicidal behaviours entail the spectrum of thoughts that include suicidal ideation, plan, and attempt through fatal completion of suicide which is one of the major causes of premature mortality [ 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

Suicidal behaviours among in-school adolescents in Mozambique: Cross-sectional evidence of the prevalence and predictors using the Global School-Based Health Survey data

et al. 2020

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Introduction Despite interventions by low and middle-income countries toward the achievement of the global Sustainable Development Goal (SDG) on promoting mental health and well-being of their populace by the year 2030, suicidal behaviours continue to be major causes of premature mortality, especially among young people. This study examined the prevalence and predictors of suicidal behaviours among in-school adolescents in Mozambique. Materials and methods This was a cross-sectional study of 1918 in-school adolescents using data from the 2015 Global School-based Health Survey (GSHS) of Mozambique. The outcome variables (suicidal ideation, suicidal plan, and suicidal attempt) were measured with single items in the survey. Both bivariate and multivariate analyses were performed using chi-square test of independence and binary logistic regression respectively. Results are presented as Adjusted Odds Ratios for the binary logistic regression analysis. Statistical significance was set at p<0.05. Results The prevalence of suicidal behaviours 12 months prior to the survey were 17.7%, 19.6% and 18.5% for suicidal ideation, suicidal plan, and suicidal attempt respectively. Adolescents who experienced anxiety had higher odds of suicidal ideation [AOR = 1.616, 95%CI = 1.148–2.275], suicidal plan [AOR = 1.507, 95%CI = 1.077–2.108], and suicidal attempt [AOR = 1.740, 95%CI = 1.228–2.467]. Adolescents who were physically attacked in school were also more likely to ideate [AOR = 1.463, 95%CI = 1.115–1.921], plan [AOR = 1.328, 95%CI = 1.020–1.728], and attempt [AOR = 1.701, 95%CI = 1.306–2.215] suicide. Having close friends was, however, an important protective factor against suicidal ideation [AOR = 0.694, 95%CI = 0.496–0.971], plan [AOR = 0.625, 95%CI = 0.455–0.860], and attempt [AOR = 0.529, 95%CI = 0.384–0.729]. Peer support also reduced the risk of suicidal ideation [AOR = 0.704, 95%CI = 0.538,0.920] and plan [AOR = 0.743, 95%CI = 0.572,0.966] among the in-school adolescents. Conclusion Suicidal behaviours constitute major public health challenges among in-school adolescents in Mozambique. The behaviours are predominant among adolescents who are physically attacked and those who experience anxiety. Conversely, having close friends serves as a protective factor against suicidal behaviours. To ensure that Mozambique meets the SDG target of promoting the mental health of all by the year 2030, the Government of Mozambique and educational authorities should urgently design and implement innovative interventions and strengthen existing ones that seek to address physical attacks and anxiety among in-school adolescents. School administrations should also incorporate programmes that seek to congregate students and offer platforms for social interaction and cohesion.

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“…The definition of health by the World Health Organisation [1] as "the state of complete physical, mental and social wellbeing and not merely the absence of infirmity, " has entreated many low-and middle-income countries (LMICs) to improve the health of their populace. Despite several interventions and global agenda such as the Sustainable Development Goals (SDGs), mental health continues to remain one of the major public health problems in LMICs [2].…”

Section: Introductionmentioning

confidence: 99%

Psychosocial distress among in-school adolescents in Mozambique: a cross-sectional study using the Global School-Based Health Survey data

Amu

Seidu

Agbemavi

et al. 2020

Child Adolesc Psychiatry Ment Health

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Background Poor mental health remains the leading cause of disability, with considerable negative impacts in low- and middle-income countries. In this study, we examined the prevalence and correlates of psychosocial distress among in-school adolescents in Mozambique. Methods This was a cross-sectional study of 1918 in-school adolescents, using data from the 2015 Mozambique Global School-Based Health Survey. Descriptive and inferential statistics were adopted in analysing the data. Statistical significance was set at p < 0.05. Results The prevalence of psychosocial distress was 21.2% (24.1% females and 18.5% males). Older adolescents [AOR = 1.681, 95% CI = 1.233–2.292] had higher odds of experiencing psychosocial distress, compared with younger adolescents. In terms of sex, males [AOR = 0.755, 95% CI 0.601–0.950] had lower odds of experiencing psychosocial distress, compared with females. Adolescents who were bullied [AOR = 1.451, 95% CI 1.150–1.831], physically attacked [AOR = 1.802, 95% CI 1.404–2.313], and engaged in a physical fight [AOR = 1.376, 95% CI 1.070–1.769] were respectively more likely to experience psychosocial distress than those who did not. Conversely, adolescents who had close friends [AOR = 0.503, 95% CI 0.372–0.681] had lower odds of being psychosocially distressed than those who did not have close friends. Conclusion The prevalence of psychosocial distress among in-school adolescents in Mozambique is relatively high. The country may not be able to meet the Sustainable Development Goal 3.4 target of promoting mental health and wellbeing of all by the year 2030 if current rates of psychosocial distress persist among in-school adolescents. Mental health education and counselling as well as social support from friends should be intensified to reduce mental health problems and enable adolescents to effectively deal with the psychosocial challenges encountered in their transition from childhood to adulthood.

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Prevalence of psychological distress and its association with socio-demographic and HIV-risk factors in South Africa: Findings of the 2012 HIV prevalence, incidence and behaviour survey

Cited by 24 publications

References 30 publications

Prevalence and factors associated with psychological distress among key populations in Togo, 2017

Prevalence and factors associated with psychological distress among key populations in Togo, 2017

Suicidal behaviours among in-school adolescents in Mozambique: Cross-sectional evidence of the prevalence and predictors using the Global School-Based Health Survey data

Psychosocial distress among in-school adolescents in Mozambique: a cross-sectional study using the Global School-Based Health Survey data

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