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-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

Distress · Environmental health · History of tuberculosis · Logistic regression · Mental distress · Mental health · Mental illness · Population · Poverty · Psychiatry · Tuberculosis · Clinical Psychology · Medicine · Mental Health Treatment and Access · Schizophrenia research and treatment · Tuberculosis Research and Epidemiology · Internal Medicine

• Effect of a Primary Care–Based Psychological Intervention on Symptoms of Common Mental Disorders in Zimbabwe

  Dixon Chibanda, Helen A Wei et al.•JAMA•2016

  Incluir item

• Psychological distress

  Open Access•Sheila H Ridner•Journal of Advanced Nursing•2004

  Incluir item

• The Lancet Commission on global mental health and sustainable development

  Open Access•Vikram Patel, Shekhar Saxena et al.•The Lancet•2018

  Incluir item

• Reading in Two Languages at Year Five in African Primary Schools

  E Williams, Ellaleen C Williams•Applied Linguistics•1996

  Incluir item

• Frequency and correlates of anxiety and mood disorders among TB- and HIV-infected Zambians

  Leigh L Van Den Heuvel, Leigh van den Heuvel et al.•AIDS Care•2013

  Incluir item

• Treatment for Depression in Low-Income Women

  Open Access•Jacqueline Corcoran, Anao Zhang et al.•Journal of the Society for Social…•2022

  Incluir item

• The impact of maternal diet fortification with lipid‐based nutrient supplements on postpartum depression in rural Malawi

  Open Access•Robert C Stewart, Per Ashorn et al.•Maternal and Child Nutrition•2016

  Incluir item

• Tuberculosis patients’ pre-hospital delay and non-compliance with a longstanding DOT programme

  Open Access•Anne Lia Cremers, René Gerrets et al.•BMC Public Health•2016

  Incluir item

• Mental distress in the general population in Zambia

  Open Access•Peter J Chipimo, Knut Fylkesnes•BMC Public Health•2009

  Incluir item

• The explanatory models of mental health amongst low-income women and health care practitioners in Lusaka, Zambia

  Open Access•Michael Aidoo•Health Policy and Planning•2001

  Incluir item

• Poverty and common mental disorders in low and middle income countries

  Open Access•Crick Lund, Alison Breen et al.•Social Science & Medicine•2010

  Incluir item

• Financial crises and the attainment of the SDGs

  Open Access•Ανδρέας Αντωνιάδης, Indra Widiarto et al.•Sustainability Science•2019

  Incluir item

• Being seen” at the clinic

  Open Access•Virginia Bond, Sinazo Nomsenge et al.•Health & Place•2018

  Incluir item