Psychosocial correlates of patient-provider family planning discussions among HIV-infected pregnant women in South Africa
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2017
TITLE AUTHOR(S): V.J.Rodriquez, R.R.Cook, S.M.Weiss, K.Peltzer, D.L.Jones
KEYWORDS: FAMILY PLANNING, PREGNANCY, WOMEN
DEPARTMENT: Public Health, Societies and Belonging (HSC)
Print: HSRC Library: shelf number 9772
HANDLE: 20.500.11910/10919
URI: http://hdl.handle.net/20.500.11910/10919
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at researchoutputs@hsrc.ac.za.
Abstract
Patient???provider family planning discussions and preconception counseling can reduce maternal and neonatal risks by increasing adherence to provider recommendations and antiretroviral medication. However, HIV-infected women may not discuss reproductive intentions with providers due to anticipation of negative reactions and stigma. This study aimed to identify correlates of patient-provider family planning discussions among HIV-infected women in rural South Africa, an area with high rates of antenatal HIV and suboptimal rates of prevention of mother-to-child transmission (PMTCT) of HIV. Participants were N=673 pregnant HIV-infected women who completed measures of family planning discussions and knowledge, depression, stigma, intimate partner violence, and male involvement. Participants were, on average, 28 plus 6 years old, and half of them had completed at least 10-11 years of education. Most women were unemployed and had a monthly income of less than ~US$76. Fewer than half of the women reported having family planning discussions with providers. Correlates of patient-provider family planning discussions included younger age, discussions about PMTCT of HIV, male involvement, and decreased stigma (p < 0.05). Depression was indirectly associated with patient-provider family planning discussions through male involvement. That is, depression decreased male involvement, and in turn, male involvement increased patient-provider family planning discussions. Therefore, by decreasing male involvement, depression indirectly decreased family planning discussions. Study findings point to the importance of family planning strategies that address depression and facilitate male involvement to enhance communication between patients and providers and optimize maternal and neonatal health outcomes. This study underscores the need for longitudinal assessment of men's impact on family planning discussions both pre- and postpartum. Increasing support for provision of mental health services during pregnancy is merited to ensure the health of pregnant women living with HIV and their infants.-
Related Research Outputs:
- Awareness and use of and barriers to family planning services among female university students in Lesotho
- Fertility intentions of prenatal and postpartum HIV-positive women in primary care in Mpumalanga province, South Africa: a longitudinal study
- South African nurses' accounts for choosing to be termination of pregnancy providers
- Depression among pregnant rural South African women undergoing HIV testing
- Factors influencing pregnancy desires among HIV positive women in Gert Sibande district in Mpumalanga, South Africa
- Project Masihambisane: a cluster randomised controlled trial with peer mentors to improve outcomes for pregnant mothers living with HIV
- Psychological distress and associated factors among a sample of pregnant women in South Africa
- Partner violence and associated factors among pregnant women in Nkangala district, South Africa
- Alcohol consumption among HIV-positive pregnant women in KwaZulu-Natal, South Africa: prevalence and correlates
- Prevalence of alcohol use and associated factors in pregnant antenatal care attendees in Mpumalanga, South Africa
- Partner violence and associated factors among pregnant women in Nkangala district, Mpumalanga
- HIV knowledge and sexual risk behavior among pregnant couples in South Africa: the PartnerPlus project
- Sexual HIV risk behaviour and associated factors among pregnant women in Mpumalanga, South Africa
- 'Mind the gap': observations in the absence of guidelines for alcohol abstinence among expectant women in South Africa
- The nutrition transition and adequacy of the diet of pregnant women in Kenya
- Equity in maternal health in South Africa: analysis of health service access and health status in a national household survey
- A cluster randomized controlled trial evaluating the efficacy of peer mentors to support South African women living with HIV and their infants
- Pregnant women living with HIV (WLH) supported at clinics by peer WLH: a cluster randomized controlled trial
- Collecting maternal health information from HIV-positive pregnant women using mobile phone-assisted face-to-face interviews in southern Africa
- HIV knowledge, disclosure and sexual risk among pregnant women and their partners in rural South Africa