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

Abstract Background 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. Methods We conducted a population-based survey of a rural parish...
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Autor*in:	Christine E Cooper-Vince [verfasserIn] Hawk Arachy [verfasserIn] Bernard Kakuhikire [verfasserIn] Dagmar Vořechovská [verfasserIn] Rumbidzai C Mushavi [verfasserIn] Charles Baguma [verfasserIn] Amy Q McDonough [verfasserIn] David R Bangsberg [verfasserIn] Alexander C Tsai [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2018

Schlagwörter:	Water insecurity Depression Geospatial Gender Sub-Saharan Africa

Übergeordnetes Werk:	In: BMC Public Health - BMC, 2003, 18(2018), 1, Seite 9
Übergeordnetes Werk:	volume:18 ; year:2018 ; number:1 ; pages:9

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.1186/s12889-018-6043-z

Katalog-ID:	DOAJ046803777

Internformat


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520			\|a Abstract Background 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. Methods 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. Results 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. Conclusions 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.
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author_variant	c e c v cecv h a ha b k bk d v dv r c m rcm c b cb a q m aqm d r b drb a c t act
matchkey_str	article:14712458:2018----::aeiscrtadedrdikodpesoirrlgn
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allfields	10.1186/s12889-018-6043-z doi (DE-627)DOAJ046803777 (DE-599)DOAJ4b2a8605af4d45878480f2aa95c57b50 DE-627 ger DE-627 rakwb eng RA1-1270 Christine E Cooper-Vince verfasserin aut Water insecurity and gendered risk for depression in rural Uganda: a hotspot analysis 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background 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. Methods 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. Results 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. Conclusions 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. Water insecurity Depression Geospatial Gender Sub-Saharan Africa Public aspects of medicine Hawk Arachy verfasserin aut Bernard Kakuhikire verfasserin aut Dagmar Vořechovská verfasserin aut Rumbidzai C Mushavi verfasserin aut Charles Baguma verfasserin aut Amy Q McDonough verfasserin aut David R Bangsberg verfasserin aut Alexander C Tsai verfasserin aut In BMC Public Health BMC, 2003 18(2018), 1, Seite 9 (DE-627)326643583 (DE-600)2041338-5 14712458 nnns volume:18 year:2018 number:1 pages:9 https://doi.org/10.1186/s12889-018-6043-z kostenfrei https://doaj.org/article/4b2a8605af4d45878480f2aa95c57b50 kostenfrei http://link.springer.com/article/10.1186/s12889-018-6043-z kostenfrei https://doaj.org/toc/1471-2458 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 18 2018 1 9
spelling	10.1186/s12889-018-6043-z doi (DE-627)DOAJ046803777 (DE-599)DOAJ4b2a8605af4d45878480f2aa95c57b50 DE-627 ger DE-627 rakwb eng RA1-1270 Christine E Cooper-Vince verfasserin aut Water insecurity and gendered risk for depression in rural Uganda: a hotspot analysis 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background 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. Methods 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. Results 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. Conclusions 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. Water insecurity Depression Geospatial Gender Sub-Saharan Africa Public aspects of medicine Hawk Arachy verfasserin aut Bernard Kakuhikire verfasserin aut Dagmar Vořechovská verfasserin aut Rumbidzai C Mushavi verfasserin aut Charles Baguma verfasserin aut Amy Q McDonough verfasserin aut David R Bangsberg verfasserin aut Alexander C Tsai verfasserin aut In BMC Public Health BMC, 2003 18(2018), 1, Seite 9 (DE-627)326643583 (DE-600)2041338-5 14712458 nnns volume:18 year:2018 number:1 pages:9 https://doi.org/10.1186/s12889-018-6043-z kostenfrei https://doaj.org/article/4b2a8605af4d45878480f2aa95c57b50 kostenfrei http://link.springer.com/article/10.1186/s12889-018-6043-z kostenfrei https://doaj.org/toc/1471-2458 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 18 2018 1 9
allfields_unstemmed	10.1186/s12889-018-6043-z doi (DE-627)DOAJ046803777 (DE-599)DOAJ4b2a8605af4d45878480f2aa95c57b50 DE-627 ger DE-627 rakwb eng RA1-1270 Christine E Cooper-Vince verfasserin aut Water insecurity and gendered risk for depression in rural Uganda: a hotspot analysis 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background 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. Methods 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. Results 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. Conclusions 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. Water insecurity Depression Geospatial Gender Sub-Saharan Africa Public aspects of medicine Hawk Arachy verfasserin aut Bernard Kakuhikire verfasserin aut Dagmar Vořechovská verfasserin aut Rumbidzai C Mushavi verfasserin aut Charles Baguma verfasserin aut Amy Q McDonough verfasserin aut David R Bangsberg verfasserin aut Alexander C Tsai verfasserin aut In BMC Public Health BMC, 2003 18(2018), 1, Seite 9 (DE-627)326643583 (DE-600)2041338-5 14712458 nnns volume:18 year:2018 number:1 pages:9 https://doi.org/10.1186/s12889-018-6043-z kostenfrei https://doaj.org/article/4b2a8605af4d45878480f2aa95c57b50 kostenfrei http://link.springer.com/article/10.1186/s12889-018-6043-z kostenfrei https://doaj.org/toc/1471-2458 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 18 2018 1 9
allfieldsGer	10.1186/s12889-018-6043-z doi (DE-627)DOAJ046803777 (DE-599)DOAJ4b2a8605af4d45878480f2aa95c57b50 DE-627 ger DE-627 rakwb eng RA1-1270 Christine E Cooper-Vince verfasserin aut Water insecurity and gendered risk for depression in rural Uganda: a hotspot analysis 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background 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. Methods 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. Results 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. Conclusions 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. Water insecurity Depression Geospatial Gender Sub-Saharan Africa Public aspects of medicine Hawk Arachy verfasserin aut Bernard Kakuhikire verfasserin aut Dagmar Vořechovská verfasserin aut Rumbidzai C Mushavi verfasserin aut Charles Baguma verfasserin aut Amy Q McDonough verfasserin aut David R Bangsberg verfasserin aut Alexander C Tsai verfasserin aut In BMC Public Health BMC, 2003 18(2018), 1, Seite 9 (DE-627)326643583 (DE-600)2041338-5 14712458 nnns volume:18 year:2018 number:1 pages:9 https://doi.org/10.1186/s12889-018-6043-z kostenfrei https://doaj.org/article/4b2a8605af4d45878480f2aa95c57b50 kostenfrei http://link.springer.com/article/10.1186/s12889-018-6043-z kostenfrei https://doaj.org/toc/1471-2458 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 18 2018 1 9
allfieldsSound	10.1186/s12889-018-6043-z doi (DE-627)DOAJ046803777 (DE-599)DOAJ4b2a8605af4d45878480f2aa95c57b50 DE-627 ger DE-627 rakwb eng RA1-1270 Christine E Cooper-Vince verfasserin aut Water insecurity and gendered risk for depression in rural Uganda: a hotspot analysis 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background 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. Methods 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. Results 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. Conclusions 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. Water insecurity Depression Geospatial Gender Sub-Saharan Africa Public aspects of medicine Hawk Arachy verfasserin aut Bernard Kakuhikire verfasserin aut Dagmar Vořechovská verfasserin aut Rumbidzai C Mushavi verfasserin aut Charles Baguma verfasserin aut Amy Q McDonough verfasserin aut David R Bangsberg verfasserin aut Alexander C Tsai verfasserin aut In BMC Public Health BMC, 2003 18(2018), 1, Seite 9 (DE-627)326643583 (DE-600)2041338-5 14712458 nnns volume:18 year:2018 number:1 pages:9 https://doi.org/10.1186/s12889-018-6043-z kostenfrei https://doaj.org/article/4b2a8605af4d45878480f2aa95c57b50 kostenfrei http://link.springer.com/article/10.1186/s12889-018-6043-z kostenfrei https://doaj.org/toc/1471-2458 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 18 2018 1 9
language	English
source	In BMC Public Health 18(2018), 1, Seite 9 volume:18 year:2018 number:1 pages:9
sourceStr	In BMC Public Health 18(2018), 1, Seite 9 volume:18 year:2018 number:1 pages:9
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Water insecurity Depression Geospatial Gender Sub-Saharan Africa Public aspects of medicine
isfreeaccess_bool	true
container_title	BMC Public Health
authorswithroles_txt_mv	Christine E Cooper-Vince @@aut@@ Hawk Arachy @@aut@@ Bernard Kakuhikire @@aut@@ Dagmar Vořechovská @@aut@@ Rumbidzai C Mushavi @@aut@@ Charles Baguma @@aut@@ Amy Q McDonough @@aut@@ David R Bangsberg @@aut@@ Alexander C Tsai @@aut@@
publishDateDaySort_date	2018-01-01T00:00:00Z
hierarchy_top_id	326643583
id	DOAJ046803777
language_de	englisch
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callnumber-first	R - Medicine
author	Christine E Cooper-Vince
spellingShingle	Christine E Cooper-Vince misc RA1-1270 misc Water insecurity misc Depression misc Geospatial misc Gender misc Sub-Saharan Africa misc Public aspects of medicine Water insecurity and gendered risk for depression in rural Uganda: a hotspot analysis
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topic_title	RA1-1270 Water insecurity and gendered risk for depression in rural Uganda: a hotspot analysis Water insecurity Depression Geospatial Gender Sub-Saharan Africa
topic	misc RA1-1270 misc Water insecurity misc Depression misc Geospatial misc Gender misc Sub-Saharan Africa misc Public aspects of medicine
topic_unstemmed	misc RA1-1270 misc Water insecurity misc Depression misc Geospatial misc Gender misc Sub-Saharan Africa misc Public aspects of medicine
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title	Water insecurity and gendered risk for depression in rural Uganda: a hotspot analysis
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title_full	Water insecurity and gendered risk for depression in rural Uganda: a hotspot analysis
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author_browse	Christine E Cooper-Vince Hawk Arachy Bernard Kakuhikire Dagmar Vořechovská Rumbidzai C Mushavi Charles Baguma Amy Q McDonough David R Bangsberg Alexander C Tsai
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title_sort	water insecurity and gendered risk for depression in rural uganda: a hotspot analysis
callnumber	RA1-1270
title_auth	Water insecurity and gendered risk for depression in rural Uganda: a hotspot analysis
abstract	Abstract Background 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. Methods 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. Results 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. Conclusions 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.
abstractGer	Abstract Background 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. Methods 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. Results 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. Conclusions 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.
abstract_unstemmed	Abstract Background 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. Methods 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. Results 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. Conclusions 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.
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title_short	Water insecurity and gendered risk for depression in rural Uganda: a hotspot analysis
url	https://doi.org/10.1186/s12889-018-6043-z https://doaj.org/article/4b2a8605af4d45878480f2aa95c57b50 http://link.springer.com/article/10.1186/s12889-018-6043-z https://doaj.org/toc/1471-2458
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author2	Hawk Arachy Bernard Kakuhikire Dagmar Vořechovská Rumbidzai C Mushavi Charles Baguma Amy Q McDonough David R Bangsberg Alexander C Tsai
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