1. Maternal and child health outcomes in rural South African mothers living with and without HIV
- Author
-
le Roux, Karl W, Christodoulou, Joan, Davis, Emily C, Katzen, Linnea Stansert, Dippenaar, Elaine, Tomlinson, Mark, and Rotheram-Borus, Mary Jane
- Subjects
Public Health ,Health Sciences ,Behavioral and Social Science ,Pediatric AIDS ,Infectious Diseases ,Mental Health ,HIV/AIDS ,Pediatric ,2.2 Factors relating to the physical environment ,Aetiology ,Reproductive health and childbirth ,Infection ,Good Health and Well Being ,Anti-HIV Agents ,Breast Feeding ,Child ,Child Health ,Female ,HIV Infections ,Humans ,Maternal Health ,Mothers ,Outcome Assessment ,Health Care ,Pregnancy ,Rural Population ,South Africa ,Young Adult ,HIV exposed children ,HIV ,rural ,exclusive breastfeeding ,Public Health and Health Services ,Psychology ,Public health ,Sociology ,Clinical and health psychology - Abstract
In the era of widespread antiretroviral therapy (ART), consequences of being HIV-exposed is unclear for children, especially in rural communities. A population sample of consecutive births (470/493) in the Eastern Cape of South Africa (SA) were recruited and reassessed at five points over the first 24 months. Maternal and child outcomes between mothers living with and without HIV were assessed using multiple linear and logistic regressions. At birth, 28% of the sample was mothers living with HIV and five additional mothers seroconverted. All mothers living with HIV reported taking ART. The rate of depressed mood and IPV was similar across serostatus. However, mothers living with HIV significantly decreased their alcohol use after learning about their pregnancy and were more likely to exclusively breastfeed when compared to mothers without HIV. Despite maternal HIV status, children had similar growth across the first 24 months of life. Future work is needed to assess if these developmental trajectories will persist.
- Published
- 2020