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- Title
Effects of a Home-Based Intervention on HIV Prevention Health Behaviors in Pregnant/Postpartum Kenyan Women: Estimating Moderating Effects of Depressive Symptoms.
- Authors
Anderson, Jami L.; Li, Peng; Bukusi, Elizabeth A.; Darbes, Lynae A.; Hatcher, Abigail M.; Helova, Anna; Kwena, Zachary A.; Musoke, Pamela L.; Owino, George; Oyaro, Patrick; Rogers, Anna Joy G.; Turan, Janet M.
- Abstract
We estimated effects of maternal depressive symptoms, utilizing the Patient Health Questionnaire-8 (PHQ-8), on women's HIV prevention behaviors in Migori County, Kenya. Pregnant women ≥ 18 years old, with gestational age of < 37 weeks, were randomized into standard care or three home visits (2 during pregnancy, 1 postpartum) promoting couple HIV testing and counseling (CHTC) and HIV prevention. Of 105 female participants, 37 (35.24%) reported depressive symptoms and 50 (47.62%) were HIV-positive. Three Poisson regressions with robust variance (univariable, multivariable, and multivariable with depressive symptoms/study arm interaction) were modeled for three outcomes: CHTC, infant HIV testing, health-seeking postpartum. In multivariable analysis with interaction, a moderating trend for the interaction between depressive symptoms and individual health-seeking was observed (p-value = 0.067). Women scoring ≤ 9 (n = 68) on the PHQ-8 and participating in home visits were 1.76 times more likely to participate in individual health-seeking compared to participants in standard care (ARR 1.76, 95% CI 1.17–2.66).
- Subjects
KENYA; WOMEN'S education; DIAGNOSIS of HIV infections; HIV prevention; HEALTH education; COUNSELING; CONFIDENCE intervals; HOME care services; MULTIVARIATE analysis; PREGNANT women; GESTATIONAL age; MEDICAL screening; HELP-seeking behavior; MOTHERHOOD; PARENTING; RANDOMIZED controlled trials; HEALTH behavior; PUERPERIUM; MENTAL depression; QUESTIONNAIRES; DESCRIPTIVE statistics; STATISTICAL sampling; SEXUAL partners; POSTNATAL care; EDUCATIONAL outcomes; HEALTH promotion; POISSON distribution
- Publication
AIDS & Behavior, 2021, Vol 25, Issue 4, p1026
- ISSN
1090-7165
- Publication type
Article
- DOI
10.1007/s10461-020-03046-2