The association of household food insecurity and HIV infection with common mental disorders among newly diagnosed tuberculosis patients in Botswana.

Journal: Public health nutrition

Volume: 25

Issue: 4

Year of Publication: 2022

Affiliated Institutions:  Sue & Bill Gross School of Nursing, University of California Irvine, F Berk Hall, Irvine, CA, USA. Botswana-UPenn Partnership, Gaborone, Botswana. Office of Research and Graduate Studies, Faculty of Medicine, University of Botswana, Gaborone, Botswana. Department of Psychiatry, University of Botswana, Gaborone, Botswana. Perelman School of Medicine, University of Pennsylvania, PA, USA.

Abstract summary 

To determine the association between food insecurity and HIV infection with depression and anxiety among new tuberculosis (TB) patients.Our cross-sectional study assessed depression, anxiety and food insecurity with Patient Health Questionnaire (PHQ-9), Zung Anxiety Self-Assessment Scale (ZUNG) and Household Food Insecurity Access Scale, respectively. Poisson regression models with robust variance were used to examine correlates of depression (PHQ-9 ≥ 10) and anxiety (ZUNG ≥ 36).Gaborone, Botswana.Patients who were newly diagnosed with TB.Between January and December 2019, we enrolled 180 TB patients from primary health clinics in Botswana. Overall, 99 (55·0 %) were HIV positive, 47 (26·1 %), 85 (47·2 %) and 69 (38·5 %) indicated depression, anxiety and moderate to severe food insecurity, respectively. After adjusting for potential confounders, food insecurity was associated with a higher prevalence of depression (adjusted prevalence ratio (aPR) = 2·30; 95 % CI 1·40, 3·78) and anxiety (aPR = 1·41; 95 % CI 1·05, 1·91). Prevalence of depression and anxiety was similar between HIV-infected and HIV-uninfected participants. Estimates remained comparable when restricted to HIV-infected participants.Mental disorders may be affected by food insecurity among new TB patients, regardless of HIV status.

Authors & Co-authors:  Wang Dima Ho-Foster Molebatsi Modongo Zetola Shin

Study Outcome 

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Statistics
Citations :  GBD 2017 Disease and Injury Incidence and Prevalence Collaborators (2018) Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet 392, 1789–1858.
Authors :  7
Identifiers
Doi : 10.1017/S1368980020004139
SSN : 1475-2727
Study Population
Male,Female
Mesh Terms
Botswana
Other Terms
Common mental disorders;Epidemic;HIV infection;HIV/tuberculosis co-morbidity;Mental illness
Study Design
Study Approach
Country of Study
Botswana
Publication Country
England