I Found Out I was Pregnant, and I Started Feeling Stressed”
A Longitudinal Qualitative Perspective of Mental Health Experiences Among Perinatal Women Living with HIV
Bibliographic Data
| ID | 15336436 |
|---|---|
| Authors | Emily L Tuthill (0000-0001-6729-4101, Unity Health System, corresponding author), Ann E Maltby (Unity Health System), Belinda C Odhiambo (University of California, San Francisco), Eliud Akama (0000-0003-1567-4756, Kenya Medical Research Institute), Jennifer A Pellowski (0000-0003-3316-4135, University of Cape Town), Craig R Cohen (0000-0001-8654-6634, University of California, San Francisco), Sheri D Weiser (0000-0002-7807-4072, University of California, San Francisco), Amy A Conroy (0000-0002-0609-5077, University of California, San Francisco) |
| Year | 2021 |
| Volume | 25 |
| Issue | 12 |
| Pages | 4154-4168 |
| Publication date | 2021-05-16 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | AIDS and Behavior (JOURNAL) |
| Journal identifiers | ISSN: 1090-7165 • E-ISSN: 1573-3254 |
| Publisher | Springer Science+Business Media (PUBLISHER • DE) |
| DOI | 10.1007/s10461-021-03283-z |
| PMID | 33997940 |
| OpenAlex | W3162227064 |
| Language | EN |
| Citations received | 7 |
| References cited | 38 |
Globally, depressive symptoms among pregnant and postpartum (i.e., perinatal) women living with HIV (WLWH) are alarmingly high and associated with poor outcomes such as suboptimal adherence to antiretroviral therapy (ART), and early cessation of exclusive breastfeeding (EBF). Few qualitative studies have described the experience of perinatal depression among WLWH to identify the underlying social-structural determinants of poor mental health and potential strategies to intervene. We conducted a longitudinal qualitative study applying semi-structured interviews with 30 WLWH at three timepoints (28-38 weeks pregnant, 6-weeks postpartum and 5-7 months postpartum) to understand mental health experiences of perinatal WLWH in western Kenya. Financial insecurity emerged as the central theme impacting the mental health of women across time. Financial insecurity was often attributed to the loss of employment, related to pregnancy and the demands of breastfeeding and caring for an infant, as well as a lack of support from male partners. The loss of income and subsequent financial strain contributed to worsening levels of food insecurity and relationship stress and challenged engagement in HIV care. In this way, increased financial strain during the perinatal period negatively impacted the mental health of perinatal WLWH. Our findings suggest support to meet basic needs and remain engaged in HIV care during pregnancy and postpartum could improve perinatal mental health for WLWH in this setting
Breastfeeding · Feeling · Health psychology · Longitudinal study · Mental health · Postnatal Care · Postpartum depression · Postpartum period · Pregnancy · Psychiatry · Public health · Qualitative research · Social support · Adolescent Sexual and Reproductive Health · HIV/AIDS Research and Interventions · Maternal Mental Health During Pregnancy and Postpartum · Medicine · Nursing · Psychology · Pediatrics
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Qualitative findings on the benefits of depression treatment for pregnant women living with HIV in Uganda
“When a man is stressed, it replicates in the house”
Feasibility, acceptability and lessons learned from an infant feeding intervention trial among women living with HIV in western Kenya
The Mental Health Effects and Experiences of Breastfeeding Decision-Making Among Postpartum Women Living with HIV
Money, Medicine, and Motherhood
An Intervention to Improve Mental Health and HIV Care Engagement Among Perinatal Women in Malawi
Longitudinal assessment of associations between food insecurity, antiretroviral adherence and HIV treatment outcomes in rural Uganda
Depressive Symptoms Increase Risk of HIV Disease Progression and Mortality Among Women in Tanzania
Global, regional, and national incidence, prevalence, and mortality of HIV, 1980–2017, and forecasts to 2030, for 195 countries and territories
Validity/Reliability of PHQ-9 and PHQ-2 Depression Scales Among Adults Living with HIV/Aids in Western Kenya
Depression and Adherence to Antiretroviral Therapy in Low-, Middle- and High-Income Countries
Mental health in HIV-positive pregnant women
Prevalence of prenatal and postpartum depression and associated factors among HIV-infected women in public primary care in rural South Africa
HIV-status disclosure and depression in the context of unintended pregnancy among South African women
Persistent household food insecurity, HIV, and maternal stress in Peri-Urban Ghana
Exploring the Experiences of Middle Income Mothers in Practicing Exclusive Breastfeeding in Nairobi, Kenya
Persistent Food Insecurity, but not HIV, is Associated with Depressive Symptoms Among Perinatal Women in Kenya
Perinatal Food Insecurity and Postpartum Psychosocial Stress are Positively Associated Among Kenyan Women of Mixed HIV Status
Trends and correlates of single motherhood in Kenya
Analysing Qualitative Longitudinal Research in Evaluations
Single Motherhood and Child Mortality in Sub-Saharan Africa
Using thematic analysis in psychology
Food insecurity, depression and the modifying role of social support among people living with HIV/Aids in rural Uganda
Longitudinal Qualitative Methods in Health Behavior and Nursing Research
| Unique citing works | 7 |
|---|---|
| Citations per year | 1,75 |
| Citation span | 2022 - 2026 (5) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 7 |