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Prevalence and psychosocial correlates of suicidal ideation among pregnant women living with HIV in Mpumalanga Province, South Africa.

Authors :
Rodriguez VJ
Cook RR
Peltzer K
Jones DL
Source :
AIDS care [AIDS Care] 2017 May; Vol. 29 (5), pp. 593-597. Date of Electronic Publication: 2016 Oct 02.
Publication Year :
2017

Abstract

Pregnant women living with HIV (WLHIV) in South Africa (SA) report higher rates of suicidal ideation than those who are HIV uninfected, and antenatal suicidal ideation has been previously associated with adverse maternal and neonatal outcomes. Few studies have attempted to identify correlates and psychosocial predictors of suicidal ideation in this population. In this study, we sought to estimate the prevalence of and identify risk factors for suicidal ideation among pregnant WLHIV in rural SA (Nā€‰=ā€‰673). Thirty-nine percent of women endorsed suicidal ideation (95% CI: 35.2% to 42.3%) and in multivariable logistic regression analysis, suicidal ideation was associated with intimate partner violence and stigma, which interacted to multiplicatively increase the odds of suicidal thoughts. Given the high rates of reported suicidal ideation identified in this sample, and the potential harm to mothers and neonates, suicide risk assessment and management protocols for pregnant WLHIV should be considered for inclusion in the standard of care in rural SA.

Details

Language :
English
ISSN :
1360-0451
Volume :
29
Issue :
5
Database :
MEDLINE
Journal :
AIDS care
Publication Type :
Academic Journal
Accession number :
27690544
Full Text :
https://doi.org/10.1080/09540121.2016.1238442