Common mental disorders and intimate partner violence against pregnant women living with HIV in Cameroon: a cross-sectional analysis

Parcesepe, Angela M.; Cordoba, Evette; Gallis, John A.; Headley, Jennifer; Tchatchou, Berenger; Hembling, John; Soffo, Claudian; Baumgartner, Joy Noel

doi:10.1186/s12884-021-03673-0

Cited by 8 publications

(9 citation statements)

References 51 publications

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“…Over 40% of respondents reported physical assault by a partner and 26% reported sexual violence in adulthood. This is similar to a meta-analysis which found that 33% of PWH in sub-Saharan Africa reported having experienced IPV and to a study of pregnant women living with HIV in Cameroon in which 37% reported physical IPV and 31% reported sexual IPV [9,10]. HIV-related stigma is often a direct or indirect cause of violence against PWH and has been consistently associated with poor mental health.…”

Section: Resultssupporting

confidence: 84%

“…However, a meta-analysis estimated that 33% of women with HIV in SSA have experienced IPV [9]. Other studies have reported substantially higher prevalence of IPV among women with HIV across global settings [10,11]. For example, a study of women with HIV in South Africa found that 81% of respondents reported having experienced physical or sexual IPV in their lifetime [11].…”

Section: Introductionmentioning

confidence: 99%

“…For example, a study of women with HIV in South Africa found that 81% of respondents reported having experienced physical or sexual IPV in their lifetime [11]. Research with pregnant women with HIV in Cameroon found that more than half (63%) reported having experienced IPV in the past 12 months [10]. While research remains scare, experiences of childhood abuse and maltreatment have been commonly reported among PWH in sub-Saharan Africa [1,12].…”

Section: Introductionmentioning

confidence: 99%

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Prevalence of potentially traumatic events and symptoms of depression, anxiety, hazardous alcohol use, and post-traumatic stress disorder among people with HIV initiating HIV care in Cameroon

Parcesepe

Filiatreau

Ebasone³

et al. 2023

BMC Psychiatry

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Background This study explored the relationship between specific types of potentially traumatic events (PTEs) and symptoms of mental health disorders among people with HIV (PWH) in Cameroon. Methods We conducted a cross-sectional study with 426 PWH in Cameroon between 2019–2020. Multivariable log binominal regression was used to estimate the association between exposure (yes/no) to six distinct types of PTE and symptoms of depression (Patient Health Questionnaire-9 score > 9), PTSD (PTSD Checklist for DSM-5 score > 30), anxiety (Generalized Anxiety Disorder-7 scale score > 9), and hazardous alcohol use (Alcohol Use Disorders Identification Test score > 7 for men; > 6 for women). Results A majority of study participants (96%) reported exposure to at least one PTE, with a median of 4 PTEs (interquartile range: 2–5). The most commonly reported PTEs were seeing someone seriously injured or killed (45%), family members hitting or harming one another as a child (43%), physical assault or abuse from an intimate partner (42%) and witnessing physical assault or abuse (41%). In multivariable analyses, the prevalence of PTSD symptoms was significantly higher among those who reported experiencing PTEs during childhood, violent PTEs during adulthood, and the death of a child. The prevalence of anxiety symptoms was significantly higher among those who reported experiencing both PTEs during childhood and violent PTEs during adulthood. No significant positive associations were observed between specific PTEs explored and symptoms of depression or hazardous alcohol use after adjustment. Conclusions PTEs were common among this sample of PWH in Cameroon and associated with PTSD and anxiety symptoms. Research is needed to foster primary prevention of PTEs and to address the mental health sequelae of PTEs among PWH.

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Section: Resultssupporting

confidence: 84%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Prevalence of potentially traumatic events and symptoms of depression, anxiety, hazardous alcohol use, and post-traumatic stress disorder among people with HIV initiating HIV care in Cameroon

Parcesepe

Filiatreau

Ebasone³

et al. 2023

BMC Psychiatry

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“…Out of the 32 included studies, the majority were conducted among people living with HIV, [12][13][14][15][16][17][18][19][20][21][22][23][24] followed by students, [25][26][27][28][29][30] hospital patients (including patients with diabetes, cancer and tuberculosis), [31][32][33][34] pregnant and postpartum women, 15 35 36 general population, 37 female sex workers 38 and children 38 39 (online supplemental table 2)…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

Prevalence, risk factors and management of common mental health disorders in Cameroon: a systematic review

Ngwa,

Mpofu,

Patricia

et al. 2024

bmjph

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ObjectivesThis review aimed to synthesise evidence on (1) the prevalence of common mental health disorders (MHDs) in Cameroon; (2) the effectiveness of mental health management interventions; (3) the risk factors for common MHDs in Cameroon and (4) map the state of research on common mental disorders in Cameroon.DesignA systematic review.Data sourcesWe performed a comprehensive search for articles in major public health databases including PubMed, Scopus, Medline, CINAHL, PsycINFO, Web of Science, Embase, CINAHL from inception of each database to June 2022.Eligibility criteriaPublished articles on the prevalence, risk factors or intervention for management of common MHDs in Cameroon met the inclusion criteria for this systematic review.Data extraction and synthesisThe abstract and full-text screening, and data extraction were performed independently by at least two researchers. The results have been reported based on a narrative synthesis.ResultsAfter the screening stages, 32 articles met the inclusion criteria and were included in this study. A high prevalence of common MHDs among different groups, including teenage mothers, students and people living with HIV, was observed. We identified important risk factors for these conditions in the general population and among high-risk groups. We also identified two interventions which show promising results for the management of depression among individuals with HIV in Cameroon.ConclusionOur review recorded a high prevalence of common MHDs and identified important risk factors for MHDs among different groups. Increased priority and participatory action with all stakeholders including individuals, communities/policy holders and in research where a huge gap remains to be filled, is crucial in reducing the burden of MHDs in Cameroon.PROSPERO registration numberCRD42022348427.

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“…Furthermore, HIV care engagement is disproportionately affected by mental health disorders, which are in turn frequently associated with IPV. Mental health disorders include IPV trauma, posttraumatic stress disorder (PTSD), and depression [81]. IPV has been linked with suboptimal HIV treatment outcomes such as antiretroviral therapy (ART) discontinuity [82], poor ART adherence 6 [53], and lack of viral suppression among women [83].…”

Section: Ipv and Hiv-positive Black Womenmentioning

confidence: 99%

Understanding the Intersections of IPV and HIV and Their Impact on Infant Feeding Practices: A Narrative Literature Review

Fseifes,

Etowa

2023

Preprint

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Intimate partner violence (IPV), particularly sexual and emotional violence, against Black mothers who acquire human immunodeficiency virus (HIV) during childbearing age is a significant health and social concern worldwide requiring targeted interventions and precautions. IPV against women increases the chances of early mixed feeding, putting infants at high risk of mother-to-child transmission of HIV and increased infant morbidities. Although violence complicates many Black mothers’ lives, there is limited research evidence about the critical intersections of violence, HIV, and Black motherhood. Women's fears associated with IPV make them less likely to disclose their positive HIV status to their partners which subsequently prevents them from using the recommended guidelines for safe infant feeding practices. This review aims to explore the critical intersections between IPV and HIV and the impact of both on the infant feeding practices of Black mothers living with HIV. Furthermore, the theme of IPV and how it overlaps with other factors such as HIV-positive status and gender dynamics to compromise the Black motherhood experience are the focus of this narrative review of existing literature. Understanding the intersection of IPV and other factors influencing infant feeding practices among women living with HIV will help inform programming and policy interventions for HIV-positive Black mothers who may be experiencing IPV during the perinatal period.

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Common mental disorders and intimate partner violence against pregnant women living with HIV in Cameroon: a cross-sectional analysis

Cited by 8 publications

References 51 publications

Prevalence of potentially traumatic events and symptoms of depression, anxiety, hazardous alcohol use, and post-traumatic stress disorder among people with HIV initiating HIV care in Cameroon

Prevalence of potentially traumatic events and symptoms of depression, anxiety, hazardous alcohol use, and post-traumatic stress disorder among people with HIV initiating HIV care in Cameroon

Prevalence, risk factors and management of common mental health disorders in Cameroon: a systematic review

Understanding the Intersections of IPV and HIV and Their Impact on Infant Feeding Practices: A Narrative Literature Review

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