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

International Journal of Environmental Research and Public Health
Nontokozo Lilian MbathaSphiwe Madiba

Abstract

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...Continue Reading

References

Jun 1, 1987·The British Journal of Psychiatry : the Journal of Mental Science·J L CoxR Sagovsky
Jun 4, 2002·AIDS Care·M Kwalombota
Dec 21, 2006·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Gretchen AntelmanMary C Smith Fawzi
Mar 14, 2007·Journal of Developmental and Behavioral Pediatrics : JDBP·Margaret Shandor MilesMark Scher
Sep 18, 2009·Archives of Women's Mental Health·Valeria A MelloAndre Malbergier
Aug 13, 2011·Bulletin of the World Health Organization·Pamela J SurkanMaureen M Black
Oct 21, 2011·Child Psychiatry and Human Development·Laura E Kersten-AlvarezCees Hoefnagels
Mar 13, 2012·Child Psychiatry and Human Development·Dawn KingstonHeather Whitfield
Jun 9, 2012·Journal of Perinatology : Official Journal of the California Perinatal Association·C E RogersT E Inder
Mar 19, 2013·South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde·Liane Manikkam, Jonathan K Burns
Nov 6, 2013·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Anna DowAnnelies Van Rie
Aug 15, 2014·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Dixon ChibandaMelanie Abas
Nov 22, 2014·Current Psychiatry Reports·Maria Giulia NanniLuigi Grassi
Dec 2, 2014·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Angela KaidaDavid R Bangsberg
Dec 3, 2014·Lancet·Alan SteinCarmine M Pariante
Jun 1, 2009·African Journal of AIDS Research : AJAR·René Brandt
Dec 10, 2015·Journal of Affective Disorders·Alessandra BiaggiCarmine M Pariante
Feb 5, 2016·African Journal of Primary Health Care & Family Medicine·Ethelwynn L Stellenberg, Johanna M Abrahams
Jun 3, 2016·SAHARA J : Journal of Social Aspects of HIV/AIDS Research Alliance·Karl PeltzerDeborah Jones
Mar 23, 2017·Developmental Psychobiology·Lisa Ecklund-FloresWilliam P Fifer

❮ Previous
Next ❯

Software Mentioned

STATA
Raosoft Sample Size Calculator

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.