HIV care continuum outcomes of pregnant women living with HIV with and without depression

Autor:	Emily A. Anderson, Kathleen A. Brady, Lisa Bossert, Vivienne Okafor, Mom Tatahmentan, Florence Momplaisir, Pamela A. Geller, Erika Aaron, Ashley Kemembin, John B. Jemmott
Rok vydání:	2018
Předmět:	Adult medicine.medical_specialty Health (social science) Social Psychology Anti-HIV Agents Human immunodeficiency virus (HIV) HIV Infections medicine.disease_cause Article 03 medical and health sciences 0302 clinical medicine Acquired immunodeficiency syndrome (AIDS) Pregnancy Prevalence medicine Humans Maternal health 030212 general & internal medicine Viral suppression Pregnancy Complications Infectious reproductive and urinary physiology Depression (differential diagnoses) Retrospective Studies Philadelphia 030505 public health Depression business.industry Obstetrics Public Health Environmental and Occupational Health Continuity of Patient Care Viral Load medicine.disease Care Continuum Female 0305 other medical science business Case Management Perinatal Depression
Zdroj:	AIDS Care. 30:1580-1585
ISSN:	1360-0451 0954-0121
DOI:	10.1080/09540121.2018.1510101
Popis:	Women living with HIV (WLWH) suffer from poor viral suppression and retention postpartum. The effect of perinatal depression on care continuum outcomes during pregnancy and postpartum is unknown. We performed a retrospective cohort analysis using HIV surveillance data of pregnant WLWH enrolled in perinatal case management in Philadelphia and evaluated the association between possible or definite depression with four outcomes: viral suppression at delivery, care engagement within three months postpartum, retention and viral suppression at one-year postpartum. Out of 337 deliveries (2005–2013) from 281 WLWH, 53.1% (n = 179) had no depression; 46.9% had either definite (n = 126) or possible (n = 32) depression during pregnancy. There were no differences by depression status across all four HIV care continuum outcomes in unadjusted and adjusted analyses. The prevalence of possible or definite depression was high among pregnant WLWH. HIV care continuum outcomes did not differ by depression status, likely because of supportive services and intensive case management provided to women with possible or definite depression.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d9434df53e327bd197cd64d4968bf855 https://doi.org/10.1080/09540121.2018.1510101 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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