Screening for psychological morbidity in HIV-infected and HIV-uninfected pregnant women using community counselors in Zimbabwe

Journal of the International Association of Physicians in AIDS Care : JIAPAC
Lynda Stranix-ChibandaAvinash K Shetty

Abstract

To examine the prevalence of psychological morbidity in HIV-infected and uninfected pregnant women seeking antenatal care in Zimbabwe. Pregnant women were screened for psychological morbidity at the initial antenatal care visit using the 14-item Shona Symptom Questionnaire (SSQ) before voluntary HIV counseling and testing (VCT). The primary outcome measure was "cases," as determined by a SSQ score of >or= 8. Demographic characteristics and HIV status were compared between cases and noncases to determine the risk factors for psychological morbidity. Of the 437 participants, psychological morbidity was detected in 73 (17%) women before undergoing VCT. Risk factors for psychological morbidity included having a spouse older than 35 years of age. HIV infection by itself was not a risk factor for psychological morbidity for women. There is a high burden of psychological morbidity among pregnant women in Zimbabwe. Mental health services should be integrated into antenatal care to improve psychological health for all women in Zimbabwe.

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Citations

Jul 18, 2009·Social Psychiatry and Psychiatric Epidemiology·Robert C StewartFrancis Creed
Sep 18, 2009·Archives of Women's Mental Health·Dixon ChibandaAvinash K Shetty
Nov 6, 2013·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Anna DowAnnelies Van Rie
Sep 21, 2010·Journal of Women's Health·Dixon ChibandaAvinash K Shetty
Oct 17, 2014·Tropical Medicine & International Health : TM & IH·Melanie AbasDixon Chibanda
Nov 27, 2007·Bulletin of the World Health Organization·Winfreda ChandisarewaAvinash K Shetty
Jul 25, 2013·Journal of the International Association of Providers of AIDS Care·Dixon ChibandaSimbarashe Rusakaniko
Jul 21, 2014·Culture, Medicine and Psychiatry·Bonnie N KaiserHunter M Keys
Sep 29, 2018·The South African Journal of Psychiatry : SAJP : the Journal of the Society of Psychiatrists of South Africa·James January, Moses J Chimbari
Feb 2, 2019·BMC Pregnancy and Childbirth·Eugenia NyamukohoDixon Chibanda
Nov 27, 2018·The South African Journal of Psychiatry : SAJP : the Journal of the Society of Psychiatrists of South Africa·James January, Moses J Chimbari

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