Prevalence and psychosocial correlates of suicidal ideation among pregnant women living with HIV in Mpumalanga Province, South Africa.
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 (N = 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.
a Department of Psychiatry and Behavioral Sciences , University of Miami Miller School of Medicine , Miami , FL , USA.
Violeta J
VJ
Rodriguez
a Department of Psychiatry and Behavioral Sciences , University of Miami Miller School of Medicine , Miami , FL , USA.
Ryan R
RR
Cook
b HIV/AIDS/STIs and TB (HAST) Research Programme, Human Sciences Research Council , Pretoria , South Africa.|c ASEAN Institute for Health Development , Mahidol University , Salaya , Thailand.|d Department of Psychology , University of Limpopo , Turfloop , South Africa.
Karl
K
Peltzer
a Department of Psychiatry and Behavioral Sciences , University of Miami Miller School of Medicine , Miami , FL , USA.
Deborah L
DL
Jones
D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D015658:HIV Infections / Q000523:psychology*; D006801:Humans; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000523:psychology*; D037841:Pregnant People / Q000523:psychology*; D015995:Prevalence; D012307:Risk Factors; D012424:Rural Population; D057545:Social Stigma; D013019:South Africa / Q000453:epidemiology; D013179:Spouse Abuse / Q000523:psychology; D059020:Suicidal Ideation; D055815:Young Adult
HIV; South Africa; Suicidal ideation; intimate partner violence; pregnancy; stigma
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