@article{ref1,
title="Antenatal depressive symptoms in Kenyan women living with HIV: contributions of recent HIV diagnosis, stigma, and partner violence",
journal="AIDS care",
year="2021",
author="Osborn, Lusi and Ronen, Keshet and Larsen, Anna M. and Richardson, Barbra and Khasimwa, Brian and Chohan, Bhavna and Matemo, Daniel and Unger, Jennifer and Drake, Alison L. and Kinuthia, John and John-Stewart, Grace",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="Depression among pregnant women living with HIV (WLWH) in sub-Saharan Africa leads to poor pregnancy and HIV outcomes. This cross-sectional analysis utilized enrollment data from a randomized trial (Mobile WAChX, NCT02400671) in six Kenyan public maternal and child health clinics. Depressive symptoms were assessed with the Patient Health Questionnaire-9 (PHQ-9), stigma with the Stigma Scale for Chronic Illness, and intimate partner violence (IPV) with the Abuse Assessment Screen. Correlates of moderate-to-severe depressive symptoms (&quot;depression&quot;, PHQ-9 score ≥10) were assessed using generalized estimating equation models clustered by facility. Among 824 pregnant WLWH, 9% had depression; these women had more recent HIV diagnosis than those without depression (median 0.4 vs. 2.0 years since diagnosis, p = .008). Depression was associated with HIV-related stigma (adjusted Prevalence Ratio [aPR]:2.36, p = .025), IPV (aPR:2.93, p = .002), and lower social support score (aPR:0.99, p = .023). Using population-attributable risk percent to estimate contributors to maternal depression, 81% were attributable to stigma (27%), recent diagnosis (24%), and IPV (20%). Integrating depression screening and treatment in prevention of mother-to-child HIV transmission programs may be beneficial, particularly in women recently diagnosed or reporting stigma and IPV.<p /> <p>Language: en</p>",
language="en",
issn="0954-0121",
doi="10.1080/09540121.2021.1981216",
url="http://dx.doi.org/10.1080/09540121.2021.1981216"
}