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Social Psychiatry and Psychiatric Epidemiology

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15.03.2017 | Original Paper

Proximity to healthcare clinic and depression risk in South Africa: geospatial evidence from a nationally representative longitudinal study

verfasst von: Andrew Tomita, Alain M. Vandormael, Diego Cuadros, Rob Slotow, Frank Tanser, Jonathan K. Burns

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 8/2017

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Abstract

Proximity to primary healthcare facilities may be a serious barrier to accessing mental health services in resource-limited settings. In this study, we examined whether the distance to the primary healthcare clinic (PHCC) was associated with risk of depression in KwaZulu-Natal Province, South Africa. Depressive symptoms and household coordinates data were accessed from the nationally representative South African National Income Dynamics Study. Distances between households and their nearest PHCCs were calculated and mixed-effects logistic regression models fitted to the data. Participants residing <6 km from a PHCC (aOR = 0.608, 95% CI 0.42–0.87) or 6–14.9 km (aOR = 0. 612, 95% CI 0.44–0.86) had a lower depression risk compared to those residing ≥15 km from the nearest PHCC. Distance to the PHCC was independently associated with increased depression risk, even after controlling for key socioeconomic determinants. Minimizing the distance to PHCC through mobile health clinics and technology could improve mental health.

Cooke GS, Tanser FC, Bärnighausen TW, Newell ML (2010) Population uptake of antiretroviral treatment through primary care in rural South Africa. BMC Public Health 10:1CrossRef

Govindasamy D, Ford N, Kranzer K (2012) Risk factors, barriers and facilitators for linkage to antiretroviral therapy care: a systematic review. AIDS 26:2059–2067CrossRefPubMed

Siedner MJ, Lankowski A, Tsai AC, Muzoora C, Martin JN, Hunt PW, Haberer JE, Bangsberg DR (2013) GPS-measured distance to clinic, but not self-reported transportation factors, are associated with missed HIV clinic visits in rural Uganda. AIDS 27:1503CrossRefPubMedPubMedCentral

Weiser S, Wolfe W, Bangsberg D, Thior I, Gilbert P, Makhema J, Kebaabetswe P, Dickenson D, Mompati K, Essex M, Marlink R (1999) Barriers to antiretroviral adherence for patients living with HIV infection and AIDS in Botswana. J Acquir Immune Defic Syndr 34:281CrossRef

Geng EH, Nash D, Kambugu A, Zhang Y, Braitstein P, Christopoulos KA, Muyindike W, Bwana MB, Yiannoutsos CT, Petersen ML, Martin JN (2010) Retention in care among HIV-infected patients in resource-limited settings: emerging insights and new directions. Curr HIV/AIDS Rep 7:234–244CrossRefPubMedPubMedCentral

Coetzee B, Kagee A, Vermeulen N (2011) Structural barriers to adherence to antiretroviral therapy in a resource-constrained setting: the perspectives of health care providers. AIDS Care 23:146–151CrossRefPubMed

Lancet Global Mental Health Group (2007) Scale up services for mental disorders: a call for action. Lancet 370:1241–1252CrossRef

Saxena S, Thornicroft G, Knapp M, Whiteford H (2007) Resources for mental health: scarcity, inequity, and inefficiency. Lancet 370:878–889CrossRefPubMed

Murray CJ et al (2010) Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 380:2197–2223CrossRef

10.

Lund C, Kleintjes S, Kakuma R, Flisher AJ, MHaPP Research Programme Consortium (2010) Public sector mental health systems in South Africa: inter-provincial comparisons and policy implications. Soc Psychiatry Psychiatr Epidemiol 45:393–404CrossRefPubMed

11.

Herman AA, Stein DJ, Seedat S, Heeringa SG, Moomal H, Williams DR (2009) The South African Stress and Health (SASH) study: 12-month and lifetime prevalence of common mental disorders. S Afr Med J 99:339–344PubMedPubMedCentral

12.

Seedat S, Williams DR, Herman AA, Moomal H, Williams SL, Jackson PB, Myer L, Stein DJ (2009) Mental health service use among South Africans for mood, anxiety and substance use disorders. S Afr Med J 99:346–345PubMedPubMedCentral

13.

Hassim A, Heywood M, Berger J (2007) Health and democracy: A guide to human rights, health law and policy in postapartheid South Africa. SiberInk, Cape Town

14.

Goudge J, Gilson L, Russell S, Gumede T, Mills A (2009) Affordability, availability and acceptability barriers to health care for the chronically ill: longitudinal case studies from South Africa. BMC Health Serv Res 9:1CrossRef

15.

Maillacheruvu P, McDuff E (2014) South Africa’s return to primary care: the struggles and strides of the primary health care system. J Global Health. http://www.ghjournal.org/south-africas-return-to-primary-care-the-struggles-and-strides-of-the-primary-health-care-system/

16.

Burns JK (2010) Mental health services funding and development in KwaZulu-Natal: a tale of inequity and neglect. S Afr Med J 100:662–666CrossRefPubMed

17.

Iacoviello BM, Alloy LB, Abramson LY, Choi JY (2010) The early course of depression: a longitudinal investigation of prodromal symptoms and their relation to the symptomatic course of depressive episodes. J Abnorm Psychol 119:459CrossRefPubMedPubMedCentral

18.

KwaZulu-Natal Department of Health (2012) New mobile clinics to enhance the School Health Programme and access for people in informal settlements and rural communities. http://www.kznhealth.gov.za/comms/mobileclinics15.3.2012.htm

19.

Andersen RM (1995) Revisiting the behavioral model and access to medical care: does it matter? J Health Soc Behav 36:1–10CrossRefPubMed

20.

Andersen R (1968) A behavioral model of families’ use of health services. University of Chicago, Chicago

21.

Andersen R, Newman JF (1973) Societal and individual determinants of medical care utilization in the United States. Milbank Mem Fund Q 51:95–124CrossRef

22.

Arcury TA, Gesler WM, Preisser JS, Sherman J, Spencer J, Perin J (2005) The effects of geography and spatial behavior on health care utilization among the residents of a rural region. Health Serv Res 40:135–156CrossRefPubMedPubMedCentral

23.

Cornwell EY, Waite LJ (2009) Social disconnectedness, perceived isolation, and health among older adults. J Health Soc Behav 50:31–48CrossRefPubMedPubMedCentral

24.

Southern Africa Labour and Development Research Unit (2013) NIDS Wave 2: overview 2012. Southern Africa Labour and Development Research Unit, Cape Town

25.

Radloff LS (1977) The CES-D Scale. Appl Psychol Meas 1:385–401CrossRef

26.

Andersen EM, Malmgren JA, Carter WB, Patrick DL (1994) Screening for depression in well older adults: evaluation of a short form of the CES-D. Am J Prev Med 10:77–84

27.

Björgvinsson T, Kertz SJ, Bigda-Peyton JS, McCoy KL, Aderka IM (2013) Psychometric properties of the CES-D-10 in a psychiatric sample. Assessment 20:429–436CrossRefPubMed

28.

Cole JC, Rabin AS, Smith TL, Kaufman AS (2004) Development and validation of a Rasch-derived CES-D short form. Psychol Assess 16:360–372CrossRefPubMed

29.

KwaZulu-Natal Department of Health (2013) List of clinics. http://www.kznhealth.gov.za/Provincial_Clinic_10.2013.xlsx. Accessed Oct 2016

30.

QGIS Development Team (2015) QGIS Geographic Information System. Open Source Geospatial foundation

31.

Picard R (2012) GEODIST: Stata module to compute geodetic distances. Statistical Software Components

32.

Vincenty T (1975) Direct and inverse solutions of geodesics on the ellipsoid with application of nested equations. Survey Rev 22:88–93CrossRef

33.

McLaren ZM, Ardington C, Leibbrandt M (2014) Distance decay and persistent health care disparities in South Africa. BMC Health Serv Res 14:1CrossRef

34.

Wittenberg M (2009) Weights: report on NIDS Wave 1. Southern Africa Labour and Development Research Unit, Cape Town

35.

Brown M, Daniels RC, de Villiers L, Leibbrandt M, Woolard I (2013) National Income Dynamics Study Wave 2 user manual. Southern Africa Labour and Development Research Unit, Cape Town

36.

Simon GE, Fleck M, Lucas R, Bushnell DM (2004) Prevalence and predictors of depression treatment in an international primary care study. Am J Psychiatry 161:1626–1634CrossRefPubMed

37.

Fortney J, Rost K, Zhang M, Warren J (1999) The impact of geographic accessibility on the intensity and quality of depression treatment. Med Care 37:884–893CrossRefPubMed

38.

Pfeiffer PN, Glass J, Austin K, Valenstein M, McCarthy JF, Zivin K (2011) Impact of distance and facility of initial diagnosis on depression treatment. Health Serv Res 46:768–786CrossRefPubMedPubMedCentral

39.

Marcus SC, Fortney JC, Olfson M, Ryan ND (1997) Travel distance to outpatient treatment for depression. Psychiatr Serv 48:1005CrossRefPubMed

40.

Schmitt SK, Phibbs CS, Piette JD (2003) The influence of distance on utilization of outpatient mental health aftercare following inpatient substance abuse treatment. Addict Behav 28:1183–1192CrossRefPubMed

41.

Dohrenwend BP, Dohrenwend BS (1974) Psychiatric disorders in urban settings. In: Arieti S, Caplan S (eds) American handbook of psychiatry. Basic Books, New York, pp 424–447

42.

Mueller DP (1981) The current status of urban-rural differences in psychiatric disorder. An emerging trend for depression. J Nerv Ment Dis 169:18–27CrossRefPubMed

43.

Marsella AJ (1998) Urbanization, mental health, and social deviancy: A review of issues and research. Am Psychol 53:624CrossRefPubMed

44.

Neff JA (1983) Urbanicity and depression reconsidered: The evidence regarding depressive symptomatology. J Nerv Ment Dis 171:546–552CrossRefPubMed

45.

Verheij RA (1996) Explaining urban-rural variations in health: a review of interactions between individual and environment. Soc Sci Med 42:923–935CrossRefPubMed

46.

Webb SD (1984) Rural-urban differences in mental health. In: Freeman H (ed) Mental health and the environment. Churchill Livingston, London, pp 226–249

47.

Peen J, Schoevers RA, Beekman AT, Dekker J (2010) The current status of urban-rural differences in psychiatric disorders. Acta Psychiatr Scand 121:84–93CrossRefPubMed

48.

Gibbs A, Govender K, Jewkes R (2016) An exploratory analysis of factors associated with depression in a vulnerable group of young people living in informal settlements in South Africa. Global Public Health. doi:10.1080/17441692.2016.1214281 PubMed

49.

Coovadia H, Jewkes R, Barron P, Sanders D, McIntyre D (2009) The health and health system of South Africa: historical roots of current public health challenges. Lancet 374:817–834CrossRefPubMed

50.

Harington JS, McGlashan ND, Chelkowska EZ (2004) A century of migrant labour in the gold mines of South Africa. J S Afr Inst Min Metall 104:65–72

51.

Smit R (2001) The impact of labor migration on African families in South Africa: yesterday and today. J Comp Fam Stud 32:533–548

52.

Moeno SN (2006) Family life in Soweto, Gauteng, South Africa. In: Oheneba-Sakyi Y, Takyi BK (eds) African families at the turn of the 21st century. Praeger, Westport, p 249

53.

Lurie MN, Williams BG (2014) Migration and health in Southern Africa: 100 years and still circulating. Health Psychol Behav Med 2:34–40CrossRefPubMedPubMedCentral

54.

Thase ME, Greenhouse JB, Frank E, Reynolds CF, Pilkonis PA, Hurley K, Grochocinski V, Kupfer DJ (1997) Treatment of major depression with psychotherapy or psychotherapy-pharmacotherapy combinations. Arch Gen Psychiatry 54:1009–1015CrossRefPubMed

55.

Schneider M, Baron E, Breuer E, Docrat S, Honikman S, Kagee A, Onah M, Skeen S, Sorsdahl K, Tomlinson M, Van der Westhuizen C, Lund C (2016) Integrating mental health into South Africa’s health system: current status and way forward. South Afr Health Rev 2016:153–163

56.

Tsai AC, Tomlinson M, Dewing S, Le Roux IM, Harwood JM, Chopra M, Rotheram-Borus MJ (2014) Antenatal depression case finding by community health workers in South Africa: feasibility of a mobile phone application. Arch Womens Ment Health 17:423–431CrossRefPubMedPubMedCentral

57.

Tomita A, Kandolo KM, Susser E, Burns JK (2016) Use of short messaging services to assess depressive symptoms among refugees in South Africa: Implications for social services providing mental health care in resource-poor settings. J Telemed Telecare 22:369–377CrossRefPubMed

58.

Petersen I, Ssebunnya J, Bhana A, Baillie K (2011) Lessons from case studies of integrating mental health into primary health care in South Africa and Uganda. Int J Ment Health Syst 5:1CrossRef

59.

Tanser F, Hosegood V, Benzler J, Solarsh G (2001) New approaches to spatially analyse primary health care usage patterns in rural South Africa. Trop Med Int Health 6:826–838CrossRefPubMed

60.

Tanser F (2006) Methodology for optimising location of new primary health care facilities in rural communities: a case study in KwaZulu-Natal, South Africa. J Epidemiol Community Health 60:846–850CrossRefPubMedPubMedCentral

61.

Tanser F, Gijsbertsen B, Herbst K (2006) Modelling and understanding primary health care accessibility and utilization in rural South Africa: an exploration using a geographical information system. Soc Sci Med 63:691–705CrossRefPubMed

62.

Statistics South Africa (2004) Concept and definitions. Statistics South Africa, Pretoria

63.

Brown K (2000) Coloured and black relations in South Africa: the burden of racialized hierarchy. Macalester Int 9:198–203

Titel: Proximity to healthcare clinic and depression risk in South Africa: geospatial evidence from a nationally representative longitudinal study
verfasst von: Andrew Tomita
Alain M. Vandormael
Diego Cuadros
Rob Slotow
Frank Tanser
Jonathan K. Burns
Publikationsdatum: 15.03.2017
Verlag: Springer Berlin Heidelberg
Erschienen in: Social Psychiatry and Psychiatric Epidemiology / Ausgabe 8/2017
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI: https://doi.org/10.1007/s00127-017-1369-x

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Proximity to healthcare clinic and depression risk in South Africa: geospatial evidence from a nationally representative longitudinal study

Abstract

Neu im Fachgebiet Psychiatrie

Demenzkranke durch Antipsychotika vielfach gefährdet

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

„Psychotherapie ist auch bei sehr alten Menschen hochwirksam!“

Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein

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