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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共 325 条
  • [11] Abrams E(2014)A systematic review of individual and contextual factors affecting ART initiation, adherence, and retention for HIV-infected pregnant and postpartum women PLoS ONE 9 e111421-2077
  • [12] Myer L(2012)Opt-out HIV testing during antenatal care: experiences of pregnant women in rural Uganda Health Policy Plan 27 69-103
  • [13] Colvin C(2012)“Telling my husband I have HIV is too heavy to come out of my mouth”: pregnant women’s disclosure experiences and support needs following antenatal HIV testing in eastern Uganda J Int AIDS Soc 15 17429-1173
  • [14] Konopka S(2014)Shame, guilt, and stress: community perceptions of barriers to engaging in prevention of mother to child transmission (PMTCT) programs in western Kenya AIDS Patient Care STDS 28 643-103
  • [15] Chalker J(2014)Linkage to HIV care, postpartum depression, and HIV-related stigma in newly diagnosed pregnant women living with HIV in Kenya: a longitudinal observational study BMC Pregnancy Childb 2014 400-173
  • [16] Jonas E(2014)Utilization of PMTCT services and associated factors among pregnant women attending antenatal clinics in Addis Ababa, Ethiopia BMC Pregnancy Childb 14 328-197
  • [17] Albertini J(2017)HIV status disclosure and associated outcomes among pregnant women enrolled in antiretroviral therapy in Uganda: a mixed methods study Reprod Health 14 107-359
  • [18] Amzel A(2012)Prevalence of common mental disorders in a rural district of Kenya, and socio-demographic risk factors Int J Environ Res Public Health 9 1810-55
  • [19] Kinuthia J(2017)Anxiety and depressive symptoms in women and men from early pregnancy to 30 months postpartum J Reprod Infant Psychol 35 431-15
  • [20] Singa B(2004)Prevalence of depression during pregnancy: a systematic review Obstet Gynecol 103 698-5811
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