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Social Support, Stigma and Antenatal Depression Among HIV-Infected Pregnant Women in South Africa.
- Source :
-
AIDS and behavior [AIDS Behav] 2017 Jan; Vol. 21 (1), pp. 274-282. - Publication Year :
- 2017
-
Abstract
- Depression, HIV-related stigma and low levels of social support may be particularly prevalent and adversely affect health and treatment outcomes among HIV-infected pregnant women. We examined factors associated with social support and stigma among pregnant women initiating antiretroviral therapy in the Western Cape, South Africa; and explored associations with depressive symptoms (Edinburgh Postnatal Depression Scale; EPDS) in linear regression models. Among 623 participants, 11 and 19 % had elevated EPDS scores using thresholds described in the original development of the scale (scores ≥13 and ≥10, respectively). Social support and stigma were highly interrelated and were associated with depressive symptoms. Stigma was observed to moderate the association between social support and depression scores; when levels of stigma were high, no association between social support and depression scores was observed. Elevated depression scores are prevalent in this setting, and interventions to reduce stigma and to address risk factors for depressive symptoms are needed.
- Subjects :
- Adult
Anti-Retroviral Agents therapeutic use
Depression epidemiology
Depressive Disorder epidemiology
Female
HIV Infections drug therapy
HIV Infections epidemiology
Humans
Linear Models
Pregnancy
Pregnancy Complications epidemiology
Pregnancy Complications psychology
Pregnancy Complications, Infectious drug therapy
Pregnancy Complications, Infectious epidemiology
Prevalence
Risk Factors
South Africa epidemiology
Young Adult
Depression psychology
Depressive Disorder psychology
HIV Infections psychology
Pregnancy Complications, Infectious psychology
Pregnant Women psychology
Social Stigma
Social Support
Subjects
Details
- Language :
- English
- ISSN :
- 1573-3254
- Volume :
- 21
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- AIDS and behavior
- Publication Type :
- Academic Journal
- Accession number :
- 27052843
- Full Text :
- https://doi.org/10.1007/s10461-016-1389-7