Effects of a Home-Based Intervention on HIV Prevention Health Behaviors in Pregnant/Postpartum Kenyan Women: Estimating Moderating Effects of Depressive Symptoms

被引：0
作者：
Jami L. Anderson
Peng Li
Elizabeth A. Bukusi
Lynae A. Darbes
Abigail M. Hatcher
Anna Helova
Zachary A. Kwena
Pamela L. Musoke
George Owino
Patrick Oyaro
Anna Joy G. Rogers
Janet M. Turan
机构：
[1] University of Alabama at Birmingham,Department of Health Services Administration, School of Health Professions
[2] University of Alabama at Birmingham,School of Nursing
[3] Kenya Medical Research Institute,Centre for Microbiology Research
[4] University of Michigan,Center for Sexuality and Health Disparities, Department of Health Behavior and Biological Sciences, School of Nursing
[5] University of the Witwatersrand,School of Public Health
[6] University of Alabama at Birmingham,Department of Health Care Organization and Policy, School of Public Health
[7] University of Alabama at Birmingham,Sparkman Center for Global Health, School of Public Health
[8] University of Northern Iowa,Center for Social and Behavioral Research
[9] University of Tennessee Health Science Center,Department of Obstetrics and Gynecology
来源：
AIDS and Behavior | 2021年 / 25卷
关键词：
Maternal health; HIV; Depressive symptoms; Home-based;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
We estimated effects of maternal depressive symptoms, utilizing the Patient Health Questionnaire-8 (PHQ-8), on women’s HIV prevention behaviors in Migori County, Kenya. Pregnant women ≥ 18 years old, with gestational age of < 37 weeks, were randomized into standard care or three home visits (2 during pregnancy, 1 postpartum) promoting couple HIV testing and counseling (CHTC) and HIV prevention. Of 105 female participants, 37 (35.24%) reported depressive symptoms and 50 (47.62%) were HIV-positive. Three Poisson regressions with robust variance (univariable, multivariable, and multivariable with depressive symptoms/study arm interaction) were modeled for three outcomes: CHTC, infant HIV testing, health-seeking postpartum. In multivariable analysis with interaction, a moderating trend for the interaction between depressive symptoms and individual health-seeking was observed (p-value = 0.067). Women scoring ≤ 9 (n = 68) on the PHQ-8 and participating in home visits were 1.76 times more likely to participate in individual health-seeking compared to participants in standard care (ARR 1.76, 95% CI 1.17–2.66).
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页码：1026 / 1036
页数：10
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