Burden of HIV-related stigma and associated factors among women living with depression accessing PMTCT services in Dar es Salaam, Tanzania.
Burden of HIV-related stigma and associated factors among women living with depression accessing PMTCT services in Dar es Salaam, Tanzania.
复制标题
DOI：
10.1080/09540121.2022.2050174
复制
发表时间：
2022-12
影响因子：
1.7
通讯作者：
Figge, Caleb J.
中科院分区：
文献类型：
--
作者：
Minja, Anna Agape;Larson, Elysia;Aloyce, Zenaice;Araya, Ricardo;Kaale, Anna;Kaaya, Sylvia F.;Kamala, Janeth;Kasmani, Muhummed Nadeem;Komba, Amina;Mwimba, Angelina;Ngakongwa, Fileuka;Siril, Hellen;Fawzi, Mary C. Smith;Somba, Magreat;Sudfeld, Christopher R.;Figge, Caleb J.
与艾滋病毒相关的耻辱是一系列不良健康结果的潜在危险因素，包括心理健康症状、不遵守治疗和药物滥用。在撒哈拉以南非洲等艾滋病毒感染率和相关耻辱持续居高不下的情况下，了解与艾滋病毒相关的耻辱在促进医疗保健结果方面的作用对于弱势群体（例如感染艾滋病毒的孕妇）至关重要。目前的研究调查了坦桑尼亚达累斯萨拉姆 742 名患有抑郁症和艾滋病毒的孕妇（M 年龄 = 29.6 岁）接受艾滋病毒母婴传播预防 (PMTCT) 服务时与艾滋病毒相关的耻辱的一系列风险和保护因素。危险因素包括抑郁症状、不遵守抗逆转录病毒治疗、亲密伴侣暴力、食品不安全和酗酒问题。保护性因素包括披露艾滋病毒感染状况、社会支持、与伴侣的欣赏关系、希望和自我效能。研究结果强调了坦桑尼亚艾滋病毒感染孕妇与艾滋病毒相关耻辱的关键社会心理和行为决定因素，并可为围产期护理规划和干预措施提供信息，以优化心理健康和依从性结果。
HIV-related stigma represents a potent risk factor for a range of poor health outcomes, including mental health symptoms, treatment non-adherence, and substance use. Understanding the role of HIV-related stigma in promoting healthcare outcomes is critical for vulnerable populations, such as pregnant women living with HIV, in contexts with continued high rates of HIV and associated stigma, such as sub-Saharan Africa. The current study examined a range of risk and protective factors for HIV-related stigma with 742 pregnant women (M age = 29.6 years) living with depression and HIV accessing prevention of mother-to-child transmission of HIV (PMTCT) services in Dar es Salaam, Tanzania. Risk factors included depressive symptoms, ART non-adherence, intimate partner violence, food insecurity, and alcohol problems. Protective factors included disclosure of HIV status, social support, an appreciative relationship with their partner, hope, and self-efficacy. Findings highlight key psychosocial and behavioral determinants of HIV-related stigma for pregnant women living with HIV in Tanzania, and can inform perinatal care programming and interventions to optimize mental health and adherence outcomes.
登录
查看更多内容
DOI：
10.1080/09540121.2018.1563281
发表时间：
2019-05-04
影响因子：
1.7
作者：
Garfin, Dana Rose;Shin, Sanghyuk S.;Nyamathi, Adeline M.
通讯作者：
Nyamathi, Adeline M.
影响因子：
4.5
作者：
Manyahi, Joel;Jullu, Boniphace S.;Matee, Mecky I.
通讯作者：
Matee, Mecky I.
影响因子：
3.8
作者：
Antelman, G;Fawzi, MCS;Fawzi, WW
通讯作者：
Fawzi, WW
DOI：
10.1080/09540121.2013.774317
发表时间：
2013-10-01
影响因子：
1.7
作者：
Emlet, Charles A.;Brennan, David J.;Rourke, Sean B.
通讯作者：
Rourke, Sean B.
影响因子：
64.3
作者：
Shidhaye, Rahul;Murhar, Vaibhav;Patel, Vikram
通讯作者：
Patel, Vikram