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

Research output: Contribution to journalArticle

13 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 languageEnglish (US)
Article number1143
Pages (from-to)1143
Number of pages1
JournalBMC public health
Volume18
Issue number1
DOIs
StatePublished - 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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    Cooper-Vince, C. E., Arachy, H., Kakuhikire, B., Vořechovská, D., Mushavi, R. C., Baguma, C., McDonough, A. Q., Bangsberg, D. R., & Tsai, A. C. (2018). Water insecurity and gendered risk for depression in rural Uganda: a hotspot analysis. BMC public health, 18(1), 1143. [1143]. https://doi.org/10.1186/s12889-018-6043-z