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Prevalence and factors associated with antenatal depressive symptoms among women enrolled in Option B+ antenatal HIV care in Malawi: a cross-sectional analysis
| Content Provider | Scilit |
|---|---|
| Author | Harrington, Bryna J. Pence, Brian W. John, Mathias Melhado, Caroline G. Phulusa, Jacob Mthiko, Bryan Gaynes, Bradley N. Maselko, Joanna Miller, William C. Hosseinipour, Mina C. |
| Copyright Year | 2018 |
| Description | Background: Option B+ has increased the number of pregnant women initiating antiretroviral therapy for HIV, yet retention in HIV care is sub-optimal. Retention may be affected by antenatal depression. However, few data exist on antenatal depression in this population. Aim: Describe the prevalence and factors associated with antenatal depression among Malawian women enrolled in Option B+. Method: At their first antenatal visit, women with HIV provided demographic and psychosocial information, including depression as measured with the locally validated Edinburgh Postnatal Depression Scale (EPDS). Prevalence ratios (PR) for factors associated with probable depression (EPDS ≥6) were estimated with log binomial regression. Results: 9.5% (95% CI: 7.5–11.9%) of women screened positive for current depression, and 46% self-reported a history of depression or anxiety. Women were more likely to screen positive for current depression if they reported a history of depression (adjusted PR: 2.42; 95% CI: 1.48–3.95) or had ever experienced intimate partner violence (1.77; 1.11–2.81). Having an unintended current pregnancy (1.78; 0.99–3.21), being unmarried (1.66; 0.97–2.84), or employed (1.56; 1.00–2.44) had potential associations with probable depression. Conclusions: Probable antenatal depression affected a notable proportion of women living with HIV, comparable to other global regions. Screening for antenatal depression in HIV care should be considered. |
| Related Links | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6440874/pdf |
| Ending Page | 205 |
| Page Count | 8 |
| Starting Page | 198 |
| ISSN | 09638237 |
| e-ISSN | 13600567 |
| DOI | 10.1080/09638237.2018.1487542 |
| Journal | Journal of Mental Health |
| Issue Number | 2 |
| Volume Number | 28 |
| Language | English |
| Publisher | Informa UK Limited |
| Publisher Date | 2018-09-29 |
| Access Restriction | Open |
| Subject Keyword | Journal: Journal of Mental Health Ethnic Studies Public, Environmental and Occupational Health Antenatal Depression Hiv Option B+ Sub-saharan Africa |
| Content Type | Text |
| Resource Type | Article |
| Subject | Psychiatry and Mental Health |
