Prevalence of mental distress in adults with and without a history of tuberculosis in an urban Zambian community
People with tuberculosis (TB) are susceptible to mental distress. Mental distress can be driven by biological and socio-economic factors including poverty. These factors can persist beyond TB treatment completion yet there is minimal evidence about the mental health of TB survivors. A cross-sectiona...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Cambridge University Press
2023-01-01
|
| Series: | Cambridge Prisms: Global Mental Health |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S2054425123000833/type/journal_article |
| _version_ | 1827578308018044928 |
|---|---|
| author | Tila Mainga Ab Schaap Nathaniel Scherer Islay Mactaggart Kwame Shanaube Helen Ayles Virginia Bond Robert C. Stewart |
| author_facet | Tila Mainga Ab Schaap Nathaniel Scherer Islay Mactaggart Kwame Shanaube Helen Ayles Virginia Bond Robert C. Stewart |
| author_sort | Tila Mainga |
| collection | DOAJ |
| description | People with tuberculosis (TB) are susceptible to mental distress. Mental distress can be driven by biological and socio-economic factors including poverty. These factors can persist beyond TB treatment completion yet there is minimal evidence about the mental health of TB survivors. A cross-sectional TB prevalence survey of adults was conducted in an urban community in Zambia. Survey participants were administered the five-item Self Reporting Questionnaire (SRQ-5) mental health screening tool to measure mental distress. Associations between primary exposure (history of TB) and other co-variates with mental distress were investigated using logistic regression. Of 3,393 study participants, 120 were TB survivors (3.5%). The overall prevalence of mental distress (SRQ-5 ≥ 4) in the whole study population was 16.9% (95% CI 15.6%–18.1%). Previous TB history was not associated with mental distress (OR 1.20, 95% CI 0.75–1.92, p-value 1.66). Mental distress was associated with being female (OR 1.23 95% CI 1.00–1.51), older age (OR 1.71 95% CI 1.09–2.68) and alcohol abuse (OR 1.81 95% CI 1.19–2.76). Our findings show no association between a previous TB history and mental distress. However, approximately one in six people in the study population screened positive for mental distress. |
| first_indexed | 2024-03-08T21:43:55Z |
| format | Article |
| id | doaj.art-40814fd860ef41a08fb554dd8c2ef1c0 |
| institution | Directory Open Access Journal |
| issn | 2054-4251 |
| language | English |
| last_indexed | 2024-03-08T21:43:55Z |
| publishDate | 2023-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | Cambridge Prisms: Global Mental Health |
| spelling | doaj.art-40814fd860ef41a08fb554dd8c2ef1c02023-12-20T10:30:03ZengCambridge University PressCambridge Prisms: Global Mental Health2054-42512023-01-011010.1017/gmh.2023.83Prevalence of mental distress in adults with and without a history of tuberculosis in an urban Zambian communityTila Mainga0https://orcid.org/0000-0002-7711-3623Ab Schaap1Nathaniel Scherer2Islay Mactaggart3Kwame Shanaube4Helen Ayles5Virginia Bond6Robert C. Stewart7https://orcid.org/0000-0002-0413-1388Zambart, School of Public Health, University of Zambia, Ridgeway, Zambia Department of Global Health and Development, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UKZambart, School of Public Health, University of Zambia, Ridgeway, Zambia Clinical Research Department, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, UKDepartment of Population Health, Faculty of Infectious and Tropical Diseases, International Centre for Evidence in Disability, London School of Hygiene and Tropical Medicine, London, UKDepartment of Population Health, Faculty of Infectious and Tropical Diseases, International Centre for Evidence in Disability, London School of Hygiene and Tropical Medicine, London, UKZambart, School of Public Health, University of Zambia, Ridgeway, ZambiaZambart, School of Public Health, University of Zambia, Ridgeway, Zambia Clinical Research Department, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, UKZambart, School of Public Health, University of Zambia, Ridgeway, Zambia Department of Global Health and Development, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UKDivision of Psychiatry, University of Edinburgh, Edinburgh, UK Malawi Epidemiology and Intervention Research Unit (MEIRU), Lilongwe, MalawiPeople with tuberculosis (TB) are susceptible to mental distress. Mental distress can be driven by biological and socio-economic factors including poverty. These factors can persist beyond TB treatment completion yet there is minimal evidence about the mental health of TB survivors. A cross-sectional TB prevalence survey of adults was conducted in an urban community in Zambia. Survey participants were administered the five-item Self Reporting Questionnaire (SRQ-5) mental health screening tool to measure mental distress. Associations between primary exposure (history of TB) and other co-variates with mental distress were investigated using logistic regression. Of 3,393 study participants, 120 were TB survivors (3.5%). The overall prevalence of mental distress (SRQ-5 ≥ 4) in the whole study population was 16.9% (95% CI 15.6%–18.1%). Previous TB history was not associated with mental distress (OR 1.20, 95% CI 0.75–1.92, p-value 1.66). Mental distress was associated with being female (OR 1.23 95% CI 1.00–1.51), older age (OR 1.71 95% CI 1.09–2.68) and alcohol abuse (OR 1.81 95% CI 1.19–2.76). Our findings show no association between a previous TB history and mental distress. However, approximately one in six people in the study population screened positive for mental distress.https://www.cambridge.org/core/product/identifier/S2054425123000833/type/journal_articlemental healthchronic conditionscommunitylow-income countriesmental distress |
| spellingShingle | Tila Mainga Ab Schaap Nathaniel Scherer Islay Mactaggart Kwame Shanaube Helen Ayles Virginia Bond Robert C. Stewart Prevalence of mental distress in adults with and without a history of tuberculosis in an urban Zambian community Cambridge Prisms: Global Mental Health mental health chronic conditions community low-income countries mental distress |
| title | Prevalence of mental distress in adults with and without a history of tuberculosis in an urban Zambian community |
| title_full | Prevalence of mental distress in adults with and without a history of tuberculosis in an urban Zambian community |
| title_fullStr | Prevalence of mental distress in adults with and without a history of tuberculosis in an urban Zambian community |
| title_full_unstemmed | Prevalence of mental distress in adults with and without a history of tuberculosis in an urban Zambian community |
| title_short | Prevalence of mental distress in adults with and without a history of tuberculosis in an urban Zambian community |
| title_sort | prevalence of mental distress in adults with and without a history of tuberculosis in an urban zambian community |
| topic | mental health chronic conditions community low-income countries mental distress |
| url | https://www.cambridge.org/core/product/identifier/S2054425123000833/type/journal_article |
| work_keys_str_mv | AT tilamainga prevalenceofmentaldistressinadultswithandwithoutahistoryoftuberculosisinanurbanzambiancommunity AT abschaap prevalenceofmentaldistressinadultswithandwithoutahistoryoftuberculosisinanurbanzambiancommunity AT nathanielscherer prevalenceofmentaldistressinadultswithandwithoutahistoryoftuberculosisinanurbanzambiancommunity AT islaymactaggart prevalenceofmentaldistressinadultswithandwithoutahistoryoftuberculosisinanurbanzambiancommunity AT kwameshanaube prevalenceofmentaldistressinadultswithandwithoutahistoryoftuberculosisinanurbanzambiancommunity AT helenayles prevalenceofmentaldistressinadultswithandwithoutahistoryoftuberculosisinanurbanzambiancommunity AT virginiabond prevalenceofmentaldistressinadultswithandwithoutahistoryoftuberculosisinanurbanzambiancommunity AT robertcstewart prevalenceofmentaldistressinadultswithandwithoutahistoryoftuberculosisinanurbanzambiancommunity |