Depression comorbid with tuberculosis and its impact on health status: cross-sectional analysis of community-based data from 48 low- and middle-income countries.
Identifieur interne : 000C68 ( Main/Exploration ); précédent : 000C67; suivant : 000C69Depression comorbid with tuberculosis and its impact on health status: cross-sectional analysis of community-based data from 48 low- and middle-income countries.
Auteurs : Ai Koyanagi [Espagne] ; Davy Vancampfort [Belgique] ; André F. Carvalho [Brésil] ; Jordan E. Devylder [États-Unis] ; Josep Maria Haro [Espagne] ; Damiano Pizzol [Mozambique] ; Nicola Veronese [Italie] ; Brendon Stubbs [Royaume-Uni]Source :
- BMC medicine [ 1741-7015 ] ; 2017.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Autosoins (MeSH), Classe sociale (MeSH), Comorbidité (MeSH), Douleur (MeSH), Dépression (complications), Dépression (épidémiologie), Enquêtes de santé (MeSH), Facteurs de risque (MeSH), Femelle (MeSH), Humains (MeSH), Mâle (MeSH), Prévalence (MeSH), Revenu (MeSH), Santé mondiale (MeSH), Sujet âgé (MeSH), Tuberculose (psychologie), Tuberculose (épidémiologie), État de santé (MeSH), Études transversales (MeSH).
- MESH :
- psychologie : Tuberculose.
- épidémiologie : Dépression, Tuberculose.
- complications : Adulte, Adulte d'âge moyen, Autosoins, Classe sociale, Comorbidité, Douleur, Dépression, Enquêtes de santé, Facteurs de risque, Femelle, Humains, Mâle, Prévalence, Revenu, Santé mondiale, Sujet âgé, État de santé, Études transversales.
English descriptors
- KwdEn :
- Adult (MeSH), Aged (MeSH), Comorbidity (MeSH), Cross-Sectional Studies (MeSH), Depression (complications), Depression (epidemiology), Female (MeSH), Global Health (MeSH), Health Status (MeSH), Health Surveys (MeSH), Humans (MeSH), Income (MeSH), Male (MeSH), Middle Aged (MeSH), Pain (MeSH), Prevalence (MeSH), Risk Factors (MeSH), Self Care (MeSH), Social Class (MeSH), Tuberculosis (epidemiology), Tuberculosis (psychology).
- MESH :
- complications : Depression.
- epidemiology : Depression, Tuberculosis.
- psychology : Tuberculosis.
- Adult, Aged, Comorbidity, Cross-Sectional Studies, Female, Global Health, Health Status, Health Surveys, Humans, Income, Male, Middle Aged, Pain, Prevalence, Risk Factors, Self Care, Social Class.
Abstract
BACKGROUND
Depression in tuberculosis increases the risk for adverse health outcomes. However, little is known about comorbid depression and tuberculosis in the general population. Thus, we assessed the association between depression and tuberculosis, and the decrements in health status associated with this comorbidity in 48 low- and middle-income countries.
METHODS
Cross-sectional, community-based data from the World Health Survey on 242,952 individuals aged ≥ 18 years were analyzed. Based on the World Mental Health Survey version of the Composite International Diagnostic Interview, past 12-month depression was categorized into depressive episode, brief depressive episode, subsyndromal depression, and no depression. Health status across six domains (cognition, interpersonal activities, sleep/energy, self-care, mobility, pain/discomfort) was assessed. Multivariable logistic and linear regression analyses were performed to assess the associations.
RESULTS
The prevalence of depressive episode among those with and without tuberculosis was 23.7% and 6.8%, respectively (P < 0.001). Tuberculosis was associated with a 1.98 (95% CI 1.47-2.67), 1.75 (95% CI 1.26-2.42), and 3.68 (95% CI 3.01-4.50) times higher odds for subsyndromal depression, brief depressive episode, and depressive episode, respectively. Depressive episode co-occurring with tuberculosis was associated with significantly worse health status across all six domains compared to tuberculosis alone. Interaction analysis showed that depression significantly amplifies the association between TB and difficulties in self-care but not in other health domains.
CONCLUSIONS
Depression is highly prevalent in adults with tuberculosis, and is associated with worse health status compared to tuberculosis without depression. Public health efforts directed to the recognition and management of depression in people with tuberculosis may lead to better outcomes.
DOI: 10.1186/s12916-017-0975-5
PubMed: 29179720
PubMed Central: PMC5704363
Affiliations:
- Belgique, Brésil, Espagne, Italie, Mozambique, Royaume-Uni, États-Unis
- Angleterre, Catalogne, Ceará, Communauté de Madrid, Grand Londres, État de New York
- Barcelone, Londres, Madrid
- Université de Barcelone, Université fédérale du Ceará
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a.koyanagi@pssjd.org.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Research and Development Unit, Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Fundació Sant Joan de Déu, Dr. Antoni Pujadas, 42, Sant Boi de Llobregat, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName><orgName type="university">Université de Barcelone</orgName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Madrid, Spain. a.koyanagi@pssjd.org.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Vancampfort, Davy" sort="Vancampfort, Davy" uniqKey="Vancampfort D" first="Davy" last="Vancampfort">Davy Vancampfort</name><affiliation wicri:level="1"><nlm:affiliation>KU Leuven Department of Rehabilitation Sciences, Leuven, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>KU Leuven Department of Rehabilitation Sciences, Leuven</wicri:regionArea><wicri:noRegion>Leuven</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>KU Leuven, University Psychiatric Center KU Leuven, Leuven-Kortenberg, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>KU Leuven, University Psychiatric Center KU Leuven, Leuven-Kortenberg</wicri:regionArea><wicri:noRegion>Leuven-Kortenberg</wicri:noRegion></affiliation></author><author><name sortKey="Carvalho, Andre F" sort="Carvalho, Andre F" uniqKey="Carvalho A" first="André F" last="Carvalho">André F. Carvalho</name><affiliation wicri:level="4"><nlm:affiliation>Department of Clinical Medicine and Translational Psychiatry Research Group, Faculty of Medicine, Federal University of Ceará, Fortaleza, Brazil.</nlm:affiliation><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Clinical Medicine and Translational Psychiatry Research Group, Faculty of Medicine, Federal University of Ceará, Fortaleza</wicri:regionArea><orgName type="university">Université fédérale du Ceará</orgName><placeName><region type="state">Ceará</region></placeName></affiliation></author><author><name sortKey="Devylder, Jordan E" sort="Devylder, Jordan E" uniqKey="Devylder J" first="Jordan E" last="Devylder">Jordan E. Devylder</name><affiliation wicri:level="2"><nlm:affiliation>Fordham University, Graduate School of Social Service, New York, NY, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Fordham University, Graduate School of Social Service, New York, NY</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Haro, Josep Maria" sort="Haro, Josep Maria" uniqKey="Haro J" first="Josep Maria" last="Haro">Josep Maria Haro</name><affiliation wicri:level="4"><nlm:affiliation>Research and Development Unit, Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Fundació Sant Joan de Déu, Dr. Antoni Pujadas, 42, Sant Boi de Llobregat, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Research and Development Unit, Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Fundació Sant Joan de Déu, Dr. Antoni Pujadas, 42, Sant Boi de Llobregat, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName><orgName type="university">Université de Barcelone</orgName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Madrid, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Pizzol, Damiano" sort="Pizzol, Damiano" uniqKey="Pizzol D" first="Damiano" last="Pizzol">Damiano Pizzol</name><affiliation wicri:level="1"><nlm:affiliation>Operation Research Unit, Doctors with Africa, Maputo, Mozambique.</nlm:affiliation><country xml:lang="fr">Mozambique</country><wicri:regionArea>Operation Research Unit, Doctors with Africa, Maputo</wicri:regionArea><wicri:noRegion>Maputo</wicri:noRegion></affiliation></author><author><name sortKey="Veronese, Nicola" sort="Veronese, Nicola" uniqKey="Veronese N" first="Nicola" last="Veronese">Nicola Veronese</name><affiliation wicri:level="1"><nlm:affiliation>Institute for Clinical Research and Education in Medicine (IREM), Padova, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Institute for Clinical Research and Education in Medicine (IREM), Padova</wicri:regionArea><wicri:noRegion>Padova</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>National Research Council, Neuroscience Institute, Aging Branch, Padova, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>National Research Council, Neuroscience Institute, Aging Branch, Padova</wicri:regionArea><wicri:noRegion>Padova</wicri:noRegion></affiliation></author><author><name sortKey="Stubbs, Brendon" sort="Stubbs, Brendon" uniqKey="Stubbs B" first="Brendon" last="Stubbs">Brendon Stubbs</name><affiliation wicri:level="3"><nlm:affiliation>Physiotherapy Department, South London and Maudsley NHS Foundation Trust, Denmark Hill, London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Physiotherapy Department, South London and Maudsley NHS Foundation Trust, Denmark Hill, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation><affiliation wicri:level="1"><nlm:affiliation>Faculty of Health, Social Care and Education, Anglia Ruskin University, Chelmsford, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Faculty of Health, Social Care and Education, Anglia Ruskin University, Chelmsford</wicri:regionArea><wicri:noRegion>Chelmsford</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC medicine</title><idno type="eISSN">1741-7015</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Comorbidity (MeSH)</term><term>Cross-Sectional Studies (MeSH)</term><term>Depression (complications)</term><term>Depression (epidemiology)</term><term>Female (MeSH)</term><term>Global Health (MeSH)</term><term>Health Status (MeSH)</term><term>Health Surveys (MeSH)</term><term>Humans (MeSH)</term><term>Income (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Pain (MeSH)</term><term>Prevalence (MeSH)</term><term>Risk Factors (MeSH)</term><term>Self Care (MeSH)</term><term>Social Class (MeSH)</term><term>Tuberculosis (epidemiology)</term><term>Tuberculosis (psychology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Autosoins (MeSH)</term><term>Classe sociale (MeSH)</term><term>Comorbidité (MeSH)</term><term>Douleur (MeSH)</term><term>Dépression (complications)</term><term>Dépression (épidémiologie)</term><term>Enquêtes de santé (MeSH)</term><term>Facteurs de risque (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Mâle (MeSH)</term><term>Prévalence (MeSH)</term><term>Revenu (MeSH)</term><term>Santé mondiale (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Tuberculose (psychologie)</term><term>Tuberculose (épidémiologie)</term><term>État de santé (MeSH)</term><term>Études transversales (MeSH)</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Depression</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Depression</term><term>Tuberculosis</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Tuberculose</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Tuberculosis</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Dépression</term><term>Tuberculose</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Comorbidity</term><term>Cross-Sectional Studies</term><term>Female</term><term>Global Health</term><term>Health Status</term><term>Health Surveys</term><term>Humans</term><term>Income</term><term>Male</term><term>Middle Aged</term><term>Pain</term><term>Prevalence</term><term>Risk Factors</term><term>Self Care</term><term>Social Class</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Autosoins</term><term>Classe sociale</term><term>Comorbidité</term><term>Douleur</term><term>Dépression</term><term>Enquêtes de santé</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Prévalence</term><term>Revenu</term><term>Santé mondiale</term><term>Sujet âgé</term><term>État de santé</term><term>Études transversales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Depression in tuberculosis increases the risk for adverse health outcomes. However, little is known about comorbid depression and tuberculosis in the general population. Thus, we assessed the association between depression and tuberculosis, and the decrements in health status associated with this comorbidity in 48 low- and middle-income countries.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Cross-sectional, community-based data from the World Health Survey on 242,952 individuals aged ≥ 18 years were analyzed. Based on the World Mental Health Survey version of the Composite International Diagnostic Interview, past 12-month depression was categorized into depressive episode, brief depressive episode, subsyndromal depression, and no depression. Health status across six domains (cognition, interpersonal activities, sleep/energy, self-care, mobility, pain/discomfort) was assessed. Multivariable logistic and linear regression analyses were performed to assess the associations.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>The prevalence of depressive episode among those with and without tuberculosis was 23.7% and 6.8%, respectively (P < 0.001). Tuberculosis was associated with a 1.98 (95% CI 1.47-2.67), 1.75 (95% CI 1.26-2.42), and 3.68 (95% CI 3.01-4.50) times higher odds for subsyndromal depression, brief depressive episode, and depressive episode, respectively. Depressive episode co-occurring with tuberculosis was associated with significantly worse health status across all six domains compared to tuberculosis alone. Interaction analysis showed that depression significantly amplifies the association between TB and difficulties in self-care but not in other health domains.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Depression is highly prevalent in adults with tuberculosis, and is associated with worse health status compared to tuberculosis without depression. Public health efforts directed to the recognition and management of depression in people with tuberculosis may lead to better outcomes.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">29179720</PMID><DateCompleted><Year>2018</Year><Month>03</Month><Day>14</Day></DateCompleted><DateRevised><Year>2018</Year><Month>12</Month><Day>02</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1741-7015</ISSN><JournalIssue CitedMedium="Internet"><Volume>15</Volume><Issue>1</Issue><PubDate><Year>2017</Year><Month>11</Month><Day>28</Day></PubDate></JournalIssue><Title>BMC medicine</Title><ISOAbbreviation>BMC Med</ISOAbbreviation></Journal><ArticleTitle>Depression comorbid with tuberculosis and its impact on health status: cross-sectional analysis of community-based data from 48 low- and middle-income countries.</ArticleTitle><Pagination><MedlinePgn>209</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/s12916-017-0975-5</ELocationID><Abstract><AbstractText Label="BACKGROUND">Depression in tuberculosis increases the risk for adverse health outcomes. However, little is known about comorbid depression and tuberculosis in the general population. Thus, we assessed the association between depression and tuberculosis, and the decrements in health status associated with this comorbidity in 48 low- and middle-income countries.</AbstractText><AbstractText Label="METHODS">Cross-sectional, community-based data from the World Health Survey on 242,952 individuals aged ≥ 18 years were analyzed. Based on the World Mental Health Survey version of the Composite International Diagnostic Interview, past 12-month depression was categorized into depressive episode, brief depressive episode, subsyndromal depression, and no depression. Health status across six domains (cognition, interpersonal activities, sleep/energy, self-care, mobility, pain/discomfort) was assessed. Multivariable logistic and linear regression analyses were performed to assess the associations.</AbstractText><AbstractText Label="RESULTS">The prevalence of depressive episode among those with and without tuberculosis was 23.7% and 6.8%, respectively (P < 0.001). Tuberculosis was associated with a 1.98 (95% CI 1.47-2.67), 1.75 (95% CI 1.26-2.42), and 3.68 (95% CI 3.01-4.50) times higher odds for subsyndromal depression, brief depressive episode, and depressive episode, respectively. Depressive episode co-occurring with tuberculosis was associated with significantly worse health status across all six domains compared to tuberculosis alone. Interaction analysis showed that depression significantly amplifies the association between TB and difficulties in self-care but not in other health domains.</AbstractText><AbstractText Label="CONCLUSIONS">Depression is highly prevalent in adults with tuberculosis, and is associated with worse health status compared to tuberculosis without depression. Public health efforts directed to the recognition and management of depression in people with tuberculosis may lead to better outcomes.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Koyanagi</LastName><ForeName>Ai</ForeName><Initials>A</Initials><Identifier Source="ORCID">0000-0002-9565-5004</Identifier><AffiliationInfo><Affiliation>Research and Development Unit, Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Fundació Sant Joan de Déu, Dr. Antoni Pujadas, 42, Sant Boi de Llobregat, Barcelona, Spain. a.koyanagi@pssjd.org.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Madrid, Spain. a.koyanagi@pssjd.org.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Vancampfort</LastName><ForeName>Davy</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>KU Leuven Department of Rehabilitation Sciences, Leuven, Belgium.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>KU Leuven, University Psychiatric Center KU Leuven, Leuven-Kortenberg, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Carvalho</LastName><ForeName>André F</ForeName><Initials>AF</Initials><AffiliationInfo><Affiliation>Department of Clinical Medicine and Translational Psychiatry Research Group, Faculty of Medicine, Federal University of Ceará, Fortaleza, Brazil.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>DeVylder</LastName><ForeName>Jordan E</ForeName><Initials>JE</Initials><AffiliationInfo><Affiliation>Fordham University, Graduate School of Social Service, New York, NY, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Haro</LastName><ForeName>Josep Maria</ForeName><Initials>JM</Initials><AffiliationInfo><Affiliation>Research and Development Unit, Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Fundació Sant Joan de Déu, Dr. Antoni Pujadas, 42, Sant Boi de Llobregat, Barcelona, Spain.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Madrid, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pizzol</LastName><ForeName>Damiano</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Operation Research Unit, Doctors with Africa, Maputo, Mozambique.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Veronese</LastName><ForeName>Nicola</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Institute for Clinical Research and Education in Medicine (IREM), Padova, Italy.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>National Research Council, Neuroscience Institute, Aging Branch, Padova, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Stubbs</LastName><ForeName>Brendon</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Physiotherapy Department, South London and Maudsley NHS Foundation Trust, Denmark Hill, London, UK.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Faculty of Health, Social Care and Education, Anglia Ruskin University, Chelmsford, UK.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>11</Month><Day>28</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>BMC Med</MedlineTA><NlmUniqueID>101190723</NlmUniqueID><ISSNLinking>1741-7015</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015897" MajorTopicYN="N">Comorbidity</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003863" MajorTopicYN="N">Depression</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014943" MajorTopicYN="N">Global Health</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006304" MajorTopicYN="Y">Health Status</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006306" MajorTopicYN="N">Health Surveys</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007182" MajorTopicYN="N">Income</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010146" MajorTopicYN="N">Pain</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015995" MajorTopicYN="N">Prevalence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012648" MajorTopicYN="N">Self Care</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012923" MajorTopicYN="N">Social Class</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014376" MajorTopicYN="N">Tuberculosis</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">Depression</Keyword><Keyword MajorTopicYN="Y">Epidemiology</Keyword><Keyword MajorTopicYN="Y">Low- and middle-income countries</Keyword><Keyword MajorTopicYN="Y">Tuberculosis</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2017</Year><Month>09</Month><Day>01</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2017</Year><Month>11</Month><Day>09</Day></PubMedPubDate><PubMedPubDate 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