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dc.contributor.authorBernatsky, S
dc.contributor.authorSouza, R
dc.contributor.authorde Jong, K
dc.date.accessioned2008-05-23T14:43:24Z
dc.date.available2008-05-23T14:43:24Z
dc.date.issued2007-05
dc.identifier.citationMental health in HIV-positive pregnant women: results from Angola. 2007, 19 (5):674-6notAIDS Careen
dc.identifier.issn0954-0121
dc.identifier.pmid17505929
dc.identifier.doi10.1080/09540120601012705
dc.identifier.urihttp://hdl.handle.net/10144/27895
dc.descriptionTo access this article, click on "Additional Links" and wait till the publisher's website provides a free version.
dc.description.abstractOur objective was to assess the mental health status of pregnant women who are HIV-positive, compared with other groups of pregnant women. We evaluated pregnant HIV-positive women attending the Medecins Sans Frontiers (MSF) HIV clinic in Malanje, Angola (N = 23). The control group consisted of pregnant women coming for antenatal clinic consultations who were not known to be HIV-positive (N=134). To assess mental health, the 12-item General Health Questionnaire (GHQ-12) was used. A score of three or greater was considered to indicate significant emotional distress. We also examined determinants of emotional distress in logistic multivariate regression models. We found that the mean score on the GHQ-12 for the HIV-positive group was more than twice the mean score of the controls, indicating poorer mental health in the HIV-positive group. Two-thirds of HIV-positive women had significant emotional distress, more than twice that in the control group. As well as HIV status, marital status was a strong independent predictor of mental health status, with married women experiencing less emotional distress. Thus, in our sample, pregnant women who were HIV-positive had a much poorer mental health status than the controls. Strategies to improve the mental health of HIV-positive mothers must be implemented and evaluated; efforts to decrease the levels of stigma and discrimination in this population are of key importance.
dc.language.isoenen
dc.publisherTaylor & Francisen
dc.relation.urlhttp://www.informaworld.com/openurl?genre=article&issn=0954-0121&volume=19&issue=5&spage=674
dc.rightsFree access to this article was provided by kind permission of Taylor & Francisen
dc.subject.meshAdulten
dc.subject.meshAngolaen
dc.subject.meshDisease Transmission, Verticalen
dc.subject.meshFemaleen
dc.subject.meshHIV Infectionsen
dc.subject.meshHumansen
dc.subject.meshMental Healthen
dc.subject.meshPregnancyen
dc.subject.meshPregnancy Complications, Infectiousen
dc.subject.meshQuality of Lifeen
dc.subject.meshRegression Analysisen
dc.subject.meshSocioeconomic Factorsen
dc.titleMental health in HIV-positive pregnant women: results from Angola.en
dc.contributor.departmentMcGill University, Montreal, Quebec, Canada. sasha.bernatsky@mail.mcgill.caen
dc.identifier.journalAIDS Careen
html.description.abstractOur objective was to assess the mental health status of pregnant women who are HIV-positive, compared with other groups of pregnant women. We evaluated pregnant HIV-positive women attending the Medecins Sans Frontiers (MSF) HIV clinic in Malanje, Angola (N = 23). The control group consisted of pregnant women coming for antenatal clinic consultations who were not known to be HIV-positive (N=134). To assess mental health, the 12-item General Health Questionnaire (GHQ-12) was used. A score of three or greater was considered to indicate significant emotional distress. We also examined determinants of emotional distress in logistic multivariate regression models. We found that the mean score on the GHQ-12 for the HIV-positive group was more than twice the mean score of the controls, indicating poorer mental health in the HIV-positive group. Two-thirds of HIV-positive women had significant emotional distress, more than twice that in the control group. As well as HIV status, marital status was a strong independent predictor of mental health status, with married women experiencing less emotional distress. Thus, in our sample, pregnant women who were HIV-positive had a much poorer mental health status than the controls. Strategies to improve the mental health of HIV-positive mothers must be implemented and evaluated; efforts to decrease the levels of stigma and discrimination in this population are of key importance.


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