A pilot pragmatic trial of a 'what matters most'-based intervention targeting intersectional stigma related to being pregnant and living with HIV in Botswana

Autor: Lawrence H. Yang, Evan L. Eschliman, Haitisha Mehta, Supriya Misra, Ohemaa B. Poku, Patlo Entaile, Timothy D. Becker, Tadele Melese, Merrian J. Brooks, Marlene Eisenberg, Melissa A. Stockton, Karen Choe, Danielle Tal, Tingyu Li, Vivian F. Go, Bruce G. Link, Shathani Rampa, Valerie W. Jackson, Gorata D. Manyeagae, Tonya Arscott-Mills, Melody Goodman, Philip R. Opondo, Ari R. Ho-Foster, Michael B. Blank
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: AIDS Research and Therapy, Vol 19, Iss 1, Pp 1-11 (2022)
Druh dokumentu: article
ISSN: 1742-6405
DOI: 10.1186/s12981-022-00454-3
Popis: Abstract We conducted a pilot trial of an intervention targeting intersectional stigma related to being pregnant and living with HIV while promoting capabilities for achieving ‘respected motherhood’ (‘what matters most’) in Botswana. A pragmatic design allocated participants to the intervention (N = 44) group and the treatment-as-usual (N = 15) group. An intent-to-treat, difference-in-difference analysis found the intervention group had significant decreases in HIV stigma (d = − 1.20; 95% CI − 1.99, − 0.39) and depressive symptoms (d = − 1.96; 95% CI − 2.89, − 1.02) from baseline to 4-months postpartum. Some, albeit less pronounced, changes in intersectional stigma were observed, suggesting the importance of structural-level intervention components to reduce intersectional stigma.
Databáze: Directory of Open Access Journals
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