The prevalence and determinants of depression among HIV-positive perinatal women receiving antiretroviral therapy in India

Sarna, Avina; Singh, Roopal Jyoti; Duggal, Mona; Chandra, Prabha S.; Reynolds, Nancy

doi:10.1007/s00737-018-0904-4

Cited by 11 publications

(8 citation statements)

References 15 publications

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“…However, the current study prevalence falls within the range of prior prevalence estimates reported in sub-Saharan Africa and South Africa (42.2-49.3%), such as a prevalence of depressive symptoms of 43% reported by Kakyo et al [45] in a rural district in Uganda. The prevalence is also lower than the 52.5% reported from a study conducted in India among women on ART [46].…”

Section: Discussioncontrasting

confidence: 66%

“…Furthermore, there was no association between non-disclosure of HIV positive status and the development of PND, even though a quarter of the mothers who reported PND symptoms had not disclosed their status to any family member and did not know their partner’s HIV status. Sarna et al [ 46 ] suggest that non-disclosure of HIV status to family members due to stigma and concerns about having a HIV negative child may predispose women to PND.…”

Section: Discussionmentioning

confidence: 99%

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Clinical and Obstetric Risk Factors for Postnatal Depression in HIV Positive Women: A Cross Sectional Study in Health Facilities in Rural KwaZulu-Natal

Mbatha

Mokwena

Madiba

2020

IJERPH

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Postnatal depression (PND) remains underdiagnosed and undertreated in different socio-economic backgrounds in South Africa. This study determined the prevalence of and clinical and obstetric risk factors for PND symptoms among HIV positive women in health facilities in a rural health district in South Africa. The Edinburgh Postnatal Depression Scale was used to measure PND from 386 women who had delivered a live infant. More than half (58.5%) tested HIV positive during the current pregnancy. The prevalence of PND symptoms was 42.5%. Logistic regression analysis yielded significant associations between clinical and obstetric variables of pre-term baby (p-value < 0.01), baby health status p-value < 0.01), baby hospitalization, (p-value < 0.01), and knowing the baby’s HIV status (p-value = 0.047). Maternal variables associated with PND were level of education (p-value < 0.01), monthly income (p-value < 0.01), and source of income (p-value = 0.05). At multivariate analysis, none of the clinical and obstetrical risk factors were independently associated with the PND. The high prevalence of PND symptoms underscore the need to integrate routine screening for PND in prevention of mother to child transmission of HIV programmes to enable early diagnosing and treatment of PND.

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Section: Discussioncontrasting

confidence: 66%

Section: Discussionmentioning

confidence: 99%

Clinical and Obstetric Risk Factors for Postnatal Depression in HIV Positive Women: A Cross Sectional Study in Health Facilities in Rural KwaZulu-Natal

Mbatha

Mokwena

Madiba

2020

IJERPH

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“…The prevalence of perinatal depression is higher than 38.4% in a similar study in Ethiopia 21 . The prevalence of antenatal depression of 61.6% as measured by the EPDS with a cutoff ≥13 is slightly higher than the prevalence found in a previous study in Ekiti State, Nigeria (49.5%) 28 , 47.6% in Addis Ababa, Ethiopia 21 , and 52.5% in India among women on ART 29 . The differences in prevalence might be due to differences in sociodemographic characteristics and tools used to assess depression.…”

Section: Discussioncontrasting

confidence: 58%

Depression and Perceived Stress among Perinatal Women Living with HIV in Ibadan, Nigeria

Akinsolu¹,

Lawale²,

Bankole³

et al. 2023

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Background: Pregnancy can be a period of increased psychological susceptibility for women living with HIV. This study aimed to determine the prevalence and factors associated with depression and psychological stress among women living with HIV during their perinatal period in Ibadan, Nigeria. Methods: This study was a facility-based cross-sectional survey conducted in three HIV treatment centers. The study population consisted of women living with HIV 18 years and above who were pregnant or had given birth within the last two years. Data obtained were analyzed using Statistical Package for Social Science version 25. Results: A total of 402 participants were eligible for this study. About 69.0% and 78.0% of the participants were depressed and had perceived stress respectively. Women who had positive partners (OR=0.60, 95% CI=0.20-1.30) were found to be significantly associated with perceived depression. Women who reported having a gestational age between 29-40 weeks (OR=0.054 95% CI = 0.006, 0.500) were found to be significantly associated with perceived stress. Factors associated with the co-occurrence of symptoms of depression and perceived stress were partner status, income level, family support, gestational age, and years on ART. Conclusions: Given the high prevalence of major depression, perceived stress, and the co-occurrence of depression and perceived stress among women living with HIV, mental health care should be incorporated into the routine maternal healthcare for all women, especially those living with HIV.

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“…It is estimated that more than 60% and 40% of people living with HIV in China exhibited symptoms of depression and anxiety respectively . Moreover, depression and anxiety have been linked to suboptimal HIV treatment outcomes, worse quality of life and increased mortality .…”

Section: Introductionmentioning

confidence: 99%

Longitudinal trajectories of emotional problems and unmet mental health needs among people newly diagnosed with HIV in China

et al. 2019

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Introduction Concern over mental health morbidity affecting people living with HIV is increasing worldwide. The objective of this study was to describe the longitudinal trajectories of depression and anxiety, and mental health service utilization among people newly diagnosed with HIV. Methods This was an observational cohort study that enrolled people newly diagnosed with HIV consecutively and followed them for one year in Changsha, China. Socio‐demographic, clinical and psychological data were collected at the baseline and at one‐year follow‐up. Participants were recruited between March 1, 2013 and September 30, 2014. The final follow‐up was in September 30, 2015. Results Among 557 people newly diagnosed with HIV enrolled at the baseline, 410 (73.6%) completed the one‐year follow‐up survey (median (interquartile range) age at follow‐up: 29 (25, 39) years; 376 men (91.7%)), and were included in the analysis. 39.3% and 30.2% of the 410 participants were screened with significant symptoms of depression and anxiety at baseline respectively. An overall drop in the prevalence of each condition was found at follow‐up, however, 10.5% and 6.1% of participants were found to have persistent depression and anxiety. The results of mixed‐effect models showed that bisexuality, homosexual transmission, other clinical symptoms (for example, not on antiretroviral therapy (ART)), non‐disclosure, higher levels of HIV/AIDS‐related stress, and lack of social support were associated with significant symptoms of depression and anxiety. One year after diagnosis, 8.3% had visited healthcare providers for emotional or psychological problems. Conclusions Despite the obvious need people newly diagnosed with HIV in China rarely seek professional help. Integrating depression and anxiety screening and referral into HIV care settings is warranted.

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The prevalence and determinants of depression among HIV-positive perinatal women receiving antiretroviral therapy in India

Cited by 11 publications

References 15 publications

Clinical and Obstetric Risk Factors for Postnatal Depression in HIV Positive Women: A Cross Sectional Study in Health Facilities in Rural KwaZulu-Natal

Clinical and Obstetric Risk Factors for Postnatal Depression in HIV Positive Women: A Cross Sectional Study in Health Facilities in Rural KwaZulu-Natal

Depression and Perceived Stress among Perinatal Women Living with HIV in Ibadan, Nigeria

Longitudinal trajectories of emotional problems and unmet mental health needs among people newly diagnosed with HIV in China

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