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

Christine E. Cooper-Vince; Hawk Arachy; Bernard Kakuhikire; Dagmar Vořechovská; Rumbidzai C. Mushavi; Charles Baguma; Amy Q. McDonough; David R. Bangsberg; Alexander C. Tsai

doi:10.1186/s12889-018-6043-z

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

Christine E. Cooper-Vince, Hawk Arachy, Bernard Kakuhikire, Dagmar Vořechovská, Rumbidzai C. Mushavi, Charles Baguma, Amy Q. McDonough, David R. Bangsberg, Alexander C. Tsai

School Of Public Health

Research output: Contribution to journal › Article › peer-review

55 Scopus citations

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.

Original language	English (US)
Article number	1143
Pages (from-to)	1143
Number of pages	1
Journal	BMC public health
Volume	18
Issue number	1
DOIs	https://doi.org/10.1186/s12889-018-6043-z
State	Published - Sep 26 2018

Keywords

Depression
Gender
Geospatial
Sub-Saharan Africa
Water insecurity

ASJC Scopus subject areas

Public Health, Environmental and Occupational Health

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10.1186/s12889-018-6043-z

Cite this

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title = "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 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.",

keywords = "Depression, Gender, Geospatial, Sub-Saharan Africa, Water insecurity",

author = "Cooper-Vince, {Christine E.} and Hawk Arachy and Bernard Kakuhikire and Dagmar Vo{\v r}echovsk{\'a} and Mushavi, {Rumbidzai C.} and Charles Baguma and McDonough, {Amy Q.} and Bangsberg, {David R.} and Tsai, {Alexander C.}",

note = "Funding Information: This study was funded by NIH R01MH113494, Friends of a Healthy Uganda, and was also supported by T32MH093310.",

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doi = "10.1186/s12889-018-6043-z",

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TY - JOUR

T1 - Water insecurity and gendered risk for depression in rural Uganda

T2 - a hotspot analysis

AU - Cooper-Vince, Christine E.

AU - Arachy, Hawk

AU - Kakuhikire, Bernard

AU - Vořechovská, Dagmar

AU - Mushavi, Rumbidzai C.

AU - Baguma, Charles

AU - McDonough, Amy Q.

AU - Bangsberg, David R.

AU - Tsai, Alexander C.

N1 - Funding Information: This study was funded by NIH R01MH113494, Friends of a Healthy Uganda, and was also supported by T32MH093310.

PY - 2018/9/26

Y1 - 2018/9/26

N2 - 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.

AB - 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.

KW - Depression

KW - Gender

KW - Geospatial

KW - Sub-Saharan Africa

KW - Water insecurity

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

Abstract

Keywords

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