Burden of HIV-Related Stigma and Post-Partum Depression: A Cross-Sectional Study of Patients Attending Prevention of Mother-to-Child Transmission Clinic at Kenyatta National Hospital in Nairobi.
Burden of HIV-Related Stigma and Post-Partum Depression: A Cross-Sectional Study of Patients Attending Prevention of Mother-to-Child Transmission Clinic at Kenyatta National Hospital in Nairobi.
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HIV相关污名和产后抑郁的负担：对内罗毕肯雅塔国立医院预防母婴传播诊所就诊患者的横断面研究。
DOI：
10.3389/fpsyt.2020.532557
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发表时间：
2020
影响因子：
4.7
通讯作者：
Kumar M
中科院分区：
文献类型：
--
作者：
Yator O;Mathai M;Albert T;Kumar M
背景资料：我们看看各种艾滋病毒相关的污名亚型，特别是内化类型，如何与产后抑郁症（PPD）感染艾滋病毒的妇女之间的互动。此外，我们确定了影响参加预防母婴传播（PMTCT）诊所的妇女的耻辱感和PPD的关键心理社会风险因素。方法：在这种横断面设计中，招募了123名女性艾滋病毒感染者。年龄在18至50岁之间的参与者，在2014年6月至9月期间在肯雅塔国家医院（KNH）寻求PMTCT服务至少8周产后参加了这项研究。采用艾滋病污名量表（HASI-P）评定艾滋病污名，采用爱丁堡产后抑郁量表（EPDS）评定产后抑郁。双变量和多变量回归模型被用来确定与艾滋病毒相关的耻辱量表的个人特征。调查结束后进行了深度访谈，探讨个体的污名和抑郁经历。结果：平均年龄为31.2岁（SD = 5.2）。59名（48%）妇女筛查出明显的抑郁症状。产后抑郁对内化污名、实施污名和总污名有显著预测作用（P < 0.05）。年龄越大，内化的耻辱感越少。与伴侣生活在一起与更多的内化耻辱有关。每月收入超过100美元可以保护人们免受耻辱。拥有良好的家庭社会支持可以防止内化的耻辱感。较高的教育水平可以保护人们不受歧视。接受性传播感染的治疗是一个风险因素，无论是制定和整体的耻辱。结论：艾滋病毒相关的耻辱需要通过综合心理卫生保健计划在PMTCT解决。产后抑郁症需要综合管理，以改善感染艾滋病毒的妇女的短期和长期结果。
Background: We look at how various HIV-related stigma subtypes, especially internalizing types, interact with postpartum depression (PPD) among women living with HIV. Additionally, we identify key psychosocial risk factors that influence stigma and PPD among women attending Prevention of Mother-to-Child Transmission (PMTCT) clinics. Methods: In this cross-sectional design, 123 women living with HIV were recruited. Participants ages between 18 and 50, who were at least 8 weeks postpartum seeking PMTCT services at Kenyatta National Hospital (KNH), between June and September 2014 participated in the study. HIV/AIDS Stigma Instrument—PLWHA (HASI–P) was used to assesses stigma and Postpartum depression was assessed by Edinburgh Postnatal Depression Scale (EPDS). Bivariate and multivariate regression models were used to determine the individual characteristics associated with the HIV-related stigma Scale. Post survey a few in-depth-interviews were conducted to explore individuals' stigma and depression experiences. Results: The mean age was 31.2 years (SD = 5.2). Fifty-nine (48%) women screened positive for significant depressive symptoms. Post-partum depression was a significant predictor of internalized stigma, enacted, and total stigma (P < 0.05). Older age was associated with less internalized stigma. Living with a partner was associated with more internalized stigma. Having an income above 100 USD per month was protective against stigma. Having good family social support was protective against internalized stigma. A higher educational level was protective against enacted stigma. Being treated for STIs was a risk factor for both enacted and overall stigma. Conclusions: HIV-related stigma needs to be addressed through integrated mental health care programs in PMTCT. Postpartum depression requires comprehensive management to improve short- and long-term outcomes of women living with HIV.
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影响因子：
1.9
作者：
Morrison SD;Banushi VH;Sarnquist C;Gashi VH;Osterberg L;Maldonado Y;Harxhi A
通讯作者：
Harxhi A
DOI：
10.1016/j.hsag.2015.11.006
发表时间：
2016-01-01
期刊：
Health SA Gesondheid (Online)
影响因子：
--
作者：
Chidrawi, H. Christa;Greeff, Minrie;Doak, Colleen M.
通讯作者：
Doak, Colleen M.
影响因子：
8
作者：
Chung, EK;McCollum, KF;Culhane, JF
通讯作者：
Culhane, JF
影响因子：
4.9
作者：
Logie, Carmen;James, Llana;Loutfy, Mona
通讯作者：
Loutfy, Mona
影响因子：
3.3
作者：
Fekete, Erin M.;Williams, Stacey L.;Skinta, Matthew D.
通讯作者：
Skinta, Matthew D.