FC30-02 - Common mental disorders in TB/HIV co-infected patients in Ethiopia

BackgroundThe relationship between TB/HIV co-infection and common mental disorders (CMD) has been scarcely investigated. In this study, we compared the occurrence of CMD in TB/HIV co-infected and non-co-infected HIV patients in Ethiopia.MethodsWe conducted a cross sectional study in three hospitals in Ethiopia from February to April, 2009.The study population consisted of 155 TB/HIV co-infected and 465 non-co-infected HIV patients. CMD was assessed through face to face interviews by trained clinical nurses using the Kessler 10 scale. Several risk factors for CMD were assessed using a structured questionnaire.ResultsTB/HIV co-infected patients had significantly (p = 0.001) greater risk of CMD (63.7%) than the non-co-infected patients (46.7%). When adjusted for the effect of potential confounding variables, the odds of having CMD for TB/HIV co-infected individuals was 1.7 times the odds for non-co-infected patients [OR = 1.7, (95%CI: 1.0, 2.9)]. Individuals who had no source of income [OR = 1.7, (95%CI: 1.1, 2.8)], and day labourers [OR= 2.4, 95%CI: 1.2, 5.1)] were more likely to have CMD as compared to individuals who had a source of income and government employees respectively. Patients who perceived stigma [OR = 2.2, 95%CI: 1.5, 3.2)] and who rate their general health as “poor” [OR = 10.0, 95%CI: 2.8, 35.1)] had significantly greater risk of CMD than individual who did not perceive stigma or who perceived their general health to be “good”.ConclusionTB/HIV control programs should develop guidelines to screen and treat CMD among TB/HIV co-infected patients.

Download Full-text

Symptoms of common mental disorders and adherence to antiretroviral therapy among adults living with HIV in rural Zimbabwe: a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2021-049824 ◽

2021 ◽

Vol 11 (7) ◽

pp. e049824

Author(s):

Andreas D Haas ◽

Cordelia Kunzekwenyika ◽

Stefanie Hossmann ◽

Josphat Manzero ◽

Janneke van Dijk ◽

...

Keyword(s):

Antiretroviral Therapy ◽

Suicidal Ideation ◽

Mental Disorders ◽

Common Mental Disorders ◽

Cross Sectional Study ◽

People Living With Hiv ◽

Art Adherence ◽

Sectional Study ◽

Cross Sectional ◽

Living With Hiv

ObjectivesTo examine the proportion of people living with HIV who screen positive for common mental disorders (CMD) and the associations between CMD and self-reported adherence to antiretroviral therapy (ART).SettingSixteen government-funded health facilities in the rural Bikita district of Zimbabwe.DesignCross-sectional study.ParticipantsHIV-positive non-pregnant adults, aged 18 years or older, who lived in Bikita district and had received ART for at least 6 months.Outcome measuresThe primary outcome was the proportion of participants screening positive for CMD defined as a Shona Symptoms Questionnaire score of 9 or greater. Secondary outcomes were the proportion of participants reporting suicidal ideation, perceptual symptoms and suboptimal ART adherence and adjusted prevalence ratios (aPR) for factors associated with CMD, suicidal ideation, perceptual symptoms and suboptimal ART adherence.ResultsOut of 3480 adults, 18.8% (95% CI 14.8% to 23.7%) screened positive for CMD, 2.7% (95% CI 1.5% to 4.7%) reported suicidal ideations, and 1.5% (95% CI 0.9% to 2.6%) reported perceptual symptoms. Positive CMD screens were more common in women (aPR 1.67, 95% CI 1.19 to 2.35) than in men and were more common in adults aged 40–49 years (aPR 1.47, 95% CI 1.16 to 1.85) or aged 50–59 years (aPR 1.51, 95% CI 1.05 to 2.17) than in those 60 years or older. Positive CMD screen was associated with suboptimal adherence (aPR 1.53; 95% CI 1.37 to 1.70).ConclusionsA substantial proportion of people living with HIV in rural Zimbabwe are affected by CMD. There is a need to integrate mental health services and HIV programmes in rural Zimbabwe.Trial registration numberNCT03704805.

Download Full-text

Tobacco and alcohol use, sexual behavior and common mental disorders among military students at the Police Academy, São Paulo, Brazil. A cross-sectional study

Sao Paulo Medical Journal ◽

10.1590/1516-3180.2014.9102711 ◽

2015 ◽

Vol 133 (3) ◽

pp. 235-244

Author(s):

Arlene de Maria Perez ◽

Isabela Martins Benseñor

Keyword(s):

Sexual Behavior ◽

Alcohol Consumption ◽

Alcohol Use ◽

Mental Disorders ◽

Common Mental Disorders ◽

Cross Sectional Study ◽

Police Academy ◽

First Year ◽

Sectional Study ◽

Cross Sectional

CONTEXT AND OBJECTIVE: The lifestyle of military personnel has been little studied in Brazil. This study evaluated the frequencies of tobacco and alcohol use, sexual behavior and mental health among military students.DESIGN AND SETTING: Cross-sectional study at the Police Academy, in São Paulo.METHODS: Students answered a questionnaire about tobacco use, alcohol consumption, sexual behavior and common mental disorders (CMDs). To analyze associations among the frequencies of smoking and alcohol use, sexually transmitted diseases (STDs) and CMDs during the undergraduate years, we built a multinomial logistic regression model adjusted for age and sex.RESULTS: All 473 students were invited to participate and 430 (90.9%) agreed (10.5% were women). Most were white (76.6%), aged < 30 years, from the upper middle class (78.1%). The frequency of smoking was 6.5%, alcohol consumption 69.3%, STDs 14% and CMDs 15.6%. The use of condoms was low. Fourth-year students presented a lower odds ratio (OR) for STDs than the first-year students: 0.44 (95% confidence interval: 0.22-0.90). Third-year students presented a lower OR for CMDs than the first-year students.CONCLUSION: The frequencies of smoking and CMDs were low, while the frequency of alcohol consumption was similar to that of the Brazilian population. The use of condoms was low, in comparison with previous studies with similar samples. The results suggest that there was a certain degree of protection against CMDs and STDs during the undergraduate years.

Download Full-text

Factors associated with common mental disorder in school teenagers

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2019-0847 ◽

2020 ◽

Vol 73 (suppl 1) ◽

Author(s):

Deise da Silva Monteiro ◽

Ridalva Dias Martins ◽

Nadirlene Pereira Gomes ◽

Rosana Santos Mota ◽

Marimeire Morais da Conceição ◽

...

Keyword(s):

Mental Disorders ◽

Protective Factor ◽

Common Mental Disorders ◽

Common Mental Disorder ◽

Statistical Significance ◽

Positive Association ◽

Female Gender ◽

Cross Sectional Study ◽

Cross Sectional ◽

Black Race

ABSTRACT Objective: To identify the prevalence of common mental disorders and associated factors in school adolescents. Method: Cross-sectional study with 230 adolescents from a public school in Salvador, Bahia, Brazil. We used a questionnaire and an assessment scale for common mental disorders. The data were processed in STATA, version 12. Results: The prevalence of common mental disorders in schoolchildren was 52.2%. Multivariate analysis identified a positive association with statistical significance between the condition and the variables:female gender (PR = 3.06; 95% CI: 1.77-5.4), black race (PR = 2.08; 95% CI: 1.04-4.16),having a boyfriend (PR = 2.07; 95% CI: 1.06-4.03) and smoking cigarettes once in a lifetime (PR = 2.88; 95% CI : 1.31 - 6.31). The school increase (OR = 0.52; 95% CI: 0.29-0.91) was identified as a protective factor. Conclusion: Female gender, black race, having a relationship, and having smoked cigarettes are factors that increase the chances of adolescents having common mental disorders.

Download Full-text

Food Consumption Patterns, Breakfast, Meals with Family and Associations with Common Mental Disorders in Adolescents: A School-Based Cross-Sectional Study

10.21203/rs.3.rs-1108492/v1 ◽

2021 ◽

Author(s):

Lucia Helena Almeida Gratão ◽

Milene Cristine Pessoa ◽

Thales Philipe Rodrigues da Silva ◽

Luana Lara Rocha ◽

Monique Louise Cassimiro Inácio ◽

...

Keyword(s):

Mental Disorders ◽

Food Consumption ◽

Common Mental Disorders ◽

Cross Sectional Study ◽

Consumption Patterns ◽

Consumption Pattern ◽

Sectional Study ◽

Cross Sectional ◽

Eating Practices ◽

Food Consumption Pattern

Abstract BackgroundAdolescence is a period of transition and vulnerabilities, in which mental illnesses can develop more easily. The objective of this work is to verify the association between food consumption patterns and the presence of Common Mental Disorders in Brazilian adolescents. MethodsThis is a cross-sectional study which analyzed data from 71,553 Brazilian adolescents aged 12-17 years, from the ERICA Study. Principal Component Analysis was performed to identify Food Consumption Patterns, and Logistic Regression Models were performed to identify the associations between Common Mental Disorders, Food Consumption Patterns, and eating practices that are breakfast consumption and practice of having meals accompanied by family. ResultsTwo patterns were found, a Healthy Food Consumption Pattern and a Unhealthy Food Consumption Pattern. Adolescents classified in the second (OR: 0.77; 95% CI 0.68 - 0.88) or third (OR: 0.87; 95% CI 0.74 - 0.95) tercile of the Healthy Food Consumption Pattern had a lower chance of having Common Mental Disorders, while those who belonged to the third tercile of the Unhealthy Food Consumption Pattern (OR: 1.22; 95% CI 1.02 - 1.42), had an increased chance of having Common Mental Disorders. Eating breakfast sometimes (OR: 0.69; 95% CI 0.59 - 0.80) or almost every day/every day (OR: 0.52; 95% CI 0.46 - 0.59), and the practice of having the main meals with the family sometimes (OR: 0.64; 95% CI 0.54 - 0.75) or almost every day/every day (OR: 0.48; 95% CI 0.40-0.55), decreased the chance for Common Mental Disorders.ConclusionStrategies to promote the mental health of adolescents as the adoption of healthy eating practices must be strengthened and promoted.

Download Full-text

Interaction between demand-control and social support in the occurrence of common mental disorders

Revista de Saúde Pública ◽

10.1590/s1518-8787.2017051006446 ◽

2017 ◽

Vol 51 (0) ◽

Cited By ~ 2

Author(s):

Amália Ivine Santana Mattos ◽

Tânia Maria de Araújo ◽

Maura Maria Guimarães de Almeida

Keyword(s):

Social Support ◽

Mental Disorders ◽

Health Workers ◽

Common Mental Disorders ◽

Cross Sectional Study ◽

High Demand ◽

Cross Sectional ◽

High Social Support ◽

The Common ◽

Demand Control

ABSTRACT OBJECTIVE To analyze the interaction between the psychosocial aspects of work and the occurrence of common mental disorders among health workers. METHODS This is a cross-sectional study conducted with a representative sample of workers of the primary health care of five municipalities of the State of Bahia, Brazil, in 2012. The variable of outcome were the common mental disorders evaluated by the SRQ-20, and the variables of exposure were high demand (high psychological demand and low control over the work) and low social support in the workplace. Interaction was checked by the deviation of the additivity of the effects for the factors studied from the calculation of excess risk from interaction, proportion of cases attributed to interaction, and the synergy index. RESULTS The global prevalence of common mental disorders was 21%. The group of combined exposure has shown higher magnitude (high demand and low social support), reaching 28% when compared to the 17% in the situation of no exposure (low demand and high social support). CONCLUSIONS The results strengthen the hypothesis of interaction between the factors investigated, directing to the synergy of the effects.

Download Full-text