Water insecurity and gendered risk for depression in rural Uganda: a hotspot analysis.

Journal: BMC public health

Volume: 18

Issue: 1

Year of Publication: 2018

Affiliated Institutions:  Massachusetts General Hospital, Boston, MA, USA. ccooper-vince@mgh.harvard.edu. Department of Environmental Management, Harvard University, Cambridge, USA. Mbarara University Science and Technology, Mbarara, Uganda. Massachusetts General Hospital, Boston, MA, USA. Harvard Medical School, Boston, USA. Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.

Abstract summary 

Water insecurity is linked to depression in low- and middle-income countries (LMICs), though it remains unclear how geospatial clustering of water insecurity in rural regions is associated with risk for depression.We conducted a population-based survey of a rural parish in southwestern Uganda (N = 1603) to evaluate the joint geospatial clustering of water insecurity and risk for depression among men and women living in rural Uganda.Geospatial clustering of self-reported water insecurity and depressive symptoms was found to be present among both men and women. Depression hotspots were more often observed near water insecurity hotspots among women, relative to men. Multivariable regression revealed that residing in a water insecurity hotspot significantly increased risk for depressive symptoms among women, but not among men.Residing in a water insecurity hotspot is associated with greater risk for probable depression among women, but not among men, pointing to the need for focused depression screening among women residing in water insecure households.

Authors & Co-authors:  Cooper-Vince Christine E CE Arachy Hawk H Kakuhikire Bernard B Vořechovská Dagmar D Mushavi Rumbidzai C RC Baguma Charles C McDonough Amy Q AQ Bangsberg David R DR Tsai Alexander C AC

Study Outcome 

Source Link: Visit source

Statistics
Citations :  Vos T, Abajobir AA, Abbafati C, Abbas KM, Abate KH, Abd-Allah F, et al. Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990–2016: A systematic analysis for the global burden of disease study 2016. Lancet. 2017;390:1211–59. doi: 10.1016/S0140-6736(17)32154-2.
Authors :  9
Identifiers
Doi : 1143
SSN : 1471-2458
Study Population
Men,Women
Mesh Terms
Adult
Other Terms
Depression;Gender;Geospatial;Sub-Saharan Africa;Water insecurity
Study Design
Cross Sectional Study
Study Approach
Country of Study
Uganda
Publication Country
England