title: Prevalence of prenatal depression and associated factors among HIV-positive women in primary care in Mpumalanga province, South Africa.
abstract: This study aimed to assess the prevalence of depressed symptoms and associated factors in prenatal HIV-positive women in primary care facilities in rural South Africa. In a cross-sectional study, 663 HIV-positive prenatal women in 12 community health centres in Mpumalanga province, South Africa, were recruited by systematic sampling (every consecutive patient after HIV post-test counselling). Results indicate that overall, 48.7% [95% CI: 44.8, 52.6] of women during the prenatal period reported depressed mood (scores of ≥ 13 on the Edinburgh Postnatal Depression Scale 10). In multivariate analysis, not being employed, unplanned pregnancy, not having an HIV-positive child, poor antiretroviral therapy adherence, non-condom use at last sex, and intimate partner violence were associated with depressive symptoms. Potential risk factors among HIV-infected prenatal women were identified which could be utilized in interventions. Routine screening for depression may be integrated into prenatal care settings.
authors.affiliation: a PhD, is a distinguished Research Fellow in HIV/AIDS/STIs and TB (HAST) Research Programme , Human Sciences Research Council , Pretoria , South Africa.|b is a Professor at the ASEAN Institute for Health Development , Mahidol University , Salaya , Thailand.|c is a Research Associate in the Department of Research & Innovation , University of Limpopo , Sovenga , South Africa.
authors.forename: Karl
authors.initials: K
authors.lastname: Peltzer
authors.affiliation: d MSEd, is a Research Associate in Department of Psychiatry & Behavioral Sciences , University of Miami Miller School of Medicine , Miami , USA.
authors.forename: Violeta J
authors.initials: VJ
authors.lastname: Rodriguez
authors.affiliation: e PhD, is a Professor in Department of Psychiatry & Behavioral Sciences , University of Miami Miller School of Medicine , Miami , USA.
authors.forename: Deborah
authors.initials: D
authors.lastname: Jones
mesh_terms: D000293:Adolescent; D000328:Adult; D017280:Condoms / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D003863:Depression / Q000453:epidemiology*; D005260:Female; D006679:HIV Seropositivity / Q000188:drug therapy / Q000453:epidemiology*; D006801:Humans; D000066511:Intimate Partner Violence / Q000523:psychology; D055118:Medication Adherence / Q000523:psychology; D008875:Middle Aged; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000453:epidemiology*; D049168:Pregnancy, Unplanned / Q000523:psychology; D015995:Prevalence; D011320:Primary Health Care / Q000706:statistics & numerical data*; D011569:Psychiatric Status Rating Scales; D012307:Risk Factors; D013019:South Africa / Q000453:epidemiology; D014478:Unemployment / Q000523:psychology; D055815:Young Adult
keywords: Afrique du Sud; Des soins prénataux; Edinburgh Postnatal Depression Scale 10; HIV positive; South Africa; VIH positive; antenatal care; depressive symptoms; femmes enceintes; pregnant women; symptôme dépressifs