Low Birthweight, Retention in HIV Care, and Adherence to ART Among Postpartum Women Living with HIV in Ghana

被引：8

作者：

Sakyi, Kwame S. ^{[1
,2
,3
]}

Lartey, Margaret Y. ^{[4
]}

Dension, Julie A. ^{[1
]}

Kennedy, Caitlin E. ^{[1
]}

Mullany, Luke C. ^{[2
,5
]}

Owusu, Prince G. ^{[2
]}

Kwara, Awewura ^{[6
]}

Surkan, Pamela J. ^{[1
,2
]}

机构：

[1] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Int Hlth, Social & Behav Intervent Program, 615 N Wolfe St, Baltimore, MD 21205 USA

[2] Ctr Learning & Childhood Dev Ghana, AF 3190 Adenta Flats, Accra, Ghana

[3] Oakland Univ, Sch Hlth Sci, Dept Publ & Environm Wellness, 3101 Human Hlth Bldg,433 Meadow Brook Rd, Rochester, MI 48309 USA

[4] Univ Ghana, Sch Med & Dent, Dept Med & Therapeut, CHS, POB GP 4236, Accra, Ghana

[5] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Int Hlth Global Epidemiol & Dis Control, 615 N Wolfe St, Baltimore, MD 21205 USA

[6] Univ Florida, Dept Med, Div Infect Dis & Global Med, 2055 Mowry Rd,Ste 250,POB 103600, Gainesville, FL USA

来源：

AIDS AND BEHAVIOR | 2019年 / 23卷 / 02期

基金：

美国国家卫生研究院;

关键词：

Low birthweight; Retention in HIV care; ART adherence; Postpartum women; Qualitative; GESTATIONAL-AGE INFANTS; INFECTED PREGNANT-WOMEN; FOLLOW-UP; INCOME COUNTRIES; MIDDLE-INCOME; TRANSMISSION; CHILDREN; PRETERM; MOTHERS; RISK;

D O I：

10.1007/s10461-018-2194-2

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Care for low birthweight (LBW) infants can contribute to psychological difficulties and stigma among mothers living with HIV, creating challenges for antiretroviral therapy (ART) adherence and retention in HIV care. We explored how caring for LBW infants affects maternal ART adherence and retention in care. We conducted 30 in-depth interviews with postpartum women living with HIV in Accra, Ghana: 15 with LBW infants and 15 with normal birthweight (NBW) infants. Compared to mothers with NBW infants, mothers with LBW infants described how caring for their newborns led to increased caregiver burden, prolonged hospital stays, and stigmacontributing to incomplete ART adherence and missed clinical appointments. For a few women, care for LBW infants created opportunities for re-engagement in HIV care and motivation to adhere to ART. Results suggest womenliving with HIV and LBW babies in Ghana face increased challenges that impact their adherence to care and ART.

引用

页码：433 / 444

页数：12

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