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
Datos Bibliográficos
| ID | 15336436 |
|---|---|
| Autores | Emily L Tuthill (0000-0001-6729-4101, Unity Health System, autor de correspondencia), 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) |
| Año | 2021 |
| Volumen | 25 |
| Número | 12 |
| Páginas | 4154-4168 |
| Fecha de publicación | 2021-05-16 |
| Peer Reviewed | Sí |
| Open Access | Sí |
| Tipo | ARTICLE |
| Revista | AIDS and Behavior (JOURNAL) |
| Identificadores de la revista | ISSN: 1090-7165 • E-ISSN: 1573-3254 |
| Editorial | Springer Science+Business Media (PUBLISHER • DE) |
| DOI | 10.1007/s10461-021-03283-z |
| PMID | 33997940 |
| OpenAlex | W3162227064 |
| Idioma | EN |
| Citas recibidas | 7 |
| Referencias citadas | 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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The Mental Health Effects and Experiences of Breastfeeding Decision-Making Among Postpartum Women Living with HIV
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Validity/Reliability of PHQ-9 and PHQ-2 Depression Scales Among Adults Living with HIV/Aids in Western Kenya
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| Obras citantes distintas | 7 |
|---|---|
| Citas por año | 1,75 |
| Intervalo de citas | 2022 - 2026 (5) |
| Velocidad de citación | current |
| Altamente citado | No |
| Tipos de cita | Neutras: 7 |