Format

Send to

Choose Destination
AIDS Behav. 2017 Jan;21(1):274-282. doi: 10.1007/s10461-016-1389-7.

Social Support, Stigma and Antenatal Depression Among HIV-Infected Pregnant Women in South Africa.

Author information

1
Division of Epidemiology & Biostatistics, School of Public Health & Family Medicine, University of Cape Town, Cape Town, South Africa. kirstybrittain@gmail.com.
2
HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute, Columbia University, New York, NY, USA.
3
Division of Epidemiology & Biostatistics, School of Public Health & Family Medicine, University of Cape Town, Cape Town, South Africa.
4
ICAP, Columbia University, Mailman School of Public Health, New York, NY, USA.
5
College of Physicians & Surgeons, Columbia University, New York, NY, USA.

Abstract

Depression, HIV-related stigma and low levels of social support may be particularly prevalent and adversely affect health and treatment outcomes among HIV-infected pregnant women. We examined factors associated with social support and stigma among pregnant women initiating antiretroviral therapy in the Western Cape, South Africa; and explored associations with depressive symptoms (Edinburgh Postnatal Depression Scale; EPDS) in linear regression models. Among 623 participants, 11 and 19 % had elevated EPDS scores using thresholds described in the original development of the scale (scores ≥13 and ≥10, respectively). Social support and stigma were highly interrelated and were associated with depressive symptoms. Stigma was observed to moderate the association between social support and depression scores; when levels of stigma were high, no association between social support and depression scores was observed. Elevated depression scores are prevalent in this setting, and interventions to reduce stigma and to address risk factors for depressive symptoms are needed.

KEYWORDS:

Antenatal depression; Pregnancy; Social support; South Africa; Stigma

PMID:
27052843
PMCID:
PMC6116836
DOI:
10.1007/s10461-016-1389-7
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for Springer Icon for PubMed Central
Loading ...
Support Center