Prevalence of prenatal and postpartum depression and associated factors among HIV-infected women in public primary care in rural South Africa: a longitudinal study
SOURCE: AIDS Care
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2018
TITLE AUTHOR(S): K.Peltzer, V.J.Rodriquez, T.K.Lee, D.Jones
KEYWORDS: ANTENATAL CARE, HIV/AIDS, RURAL COMMUNITIES, WOMEN
DEPARTMENT: Public Health, Societies and Belonging (HSC)
Print: HSRC Library: shelf number 10279
HANDLE: 20.500.11910/11868
URI: http://hdl.handle.net/20.500.11910/11868
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2018
TITLE AUTHOR(S): K.Peltzer, V.J.Rodriquez, T.K.Lee, D.Jones
KEYWORDS: ANTENATAL CARE, HIV/AIDS, RURAL COMMUNITIES, WOMEN
DEPARTMENT: Public Health, Societies and Belonging (HSC)
Print: HSRC Library: shelf number 10279
HANDLE: 20.500.11910/11868
URI: http://hdl.handle.net/20.500.11910/11868
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at researchoutputs@hsrc.ac.za.
Abstract
This study aimed to assess the longitudinal prevalence of prenatal and postnatal depression and associated factors among HIV-infected women in rural South Africa. In a longitudinal, cluster randomized, prevention of mother to child transmission (PMTCT) intervention trial, 681 HIV infected prenatal women in 12 community health centres in Mpumalanga province, South Africa, were recruited in 2015 by consecutive sampling at 8???24 weeks pregnancy and followed up at 32 weeks prenatally, and 6 and 12 months postpartum (retention rate = 59.2%). Results indicate that at baseline, 48.7% of the women screened positive for depression (scores of ???13 on the ???Edinburgh Postnatal Depression Scale 10???), while postnatally (at 12 months) the prevalence was 35.6%. Mothers who did not have depression before or after were 205 (50.1%), those who had depression before and after were 58 (14.4%), those who had depression only before were 81 (20.1%), and those who had depression only after were 59 (14.6%). In multinominal logistic regression analyses, less education and physical and psychological intimate partner violence were associated with sustained perinatal depression. Participation in the PMTCT intervention was associated with remitting depression while alcohol use was associated with the onset of postnatal depression. Using generalized linear mixed models in longitudinal analyses, psychological partner violence, lack of male involvement during pregnancy and non-adherence to antiretroviral treatment were associated with depression. In conclusion, a high pre- and postnatal prevalence of depression was found highlighting the utility of interventions to address prevention and treatment of perinatal depression.-
Related Research Outputs:
- NASFAM funding proposal for the National AIDS Commission
- Depression among pregnant rural South African women undergoing HIV testing
- Experience of abuse among women in a rural subdistrict of Limpopo province, South Africa
- Food security aspects of the impact of HIV/AIDS on rural women in smallholder agriculture
- What can a woman do with a camera?: turning the female gaze on poverty and HIV and AIDS in rural South Africa
- Rural women, HIV and human rights abuses in South Africa: a critical review
- Psychological distress and associated factors among a sample of pregnant women in South Africa
- HIV knowledge, disclosure and sexual risk among pregnant women and their partners in rural South Africa
- Recent HIV prevalence trends among pregnant women and all women in sub-Saharan Africa: implications for HIV estimates
- Acceptability of women-delivered HIV self-testing to the male partner, and additional interventions: a qualitative study of antenatal care participants in Malawi
- Multiple perspectives on factors affecting early antenatal care attendance in the context of PMTCT in a rural district of South Africa
- Influences on exclusive breastfeeding among rural HIV-infected South African women: a cluster randomized control trial
- Women are weak when they are amongst men: participation in rural water committees in South Africa
- The impact of HIV/AIDS on land issues in Kwazulu-Natal province South Africa: case studies from Muden, Dondotha, Kwadumisa and Kwanyuswa
- HIV/AIDS in Southern Africa: executive summary
- Investment into eco-tourism projects: KwaZulu-Natal coastal belt: South Africa
- Research visit to Namibia, Zambia and Botswana
- Research visit to Swaziland, Lesotho and Mauritius
- Women are weak when they are amongst men: the participation of women in rural water commitees in South Africa
- HIV/AIDS/STD knowledge, attitudes, beliefs and behaviours in a rural South African adult population