Effects of a Home-Based Intervention on HIV Prevention Health Behaviors in Pregnant/Postpartum Kenyan Women: Estimating Moderating Effects of Depressive Symptoms
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
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| Veröffentlicht in: | AIDS and behavior 2021-04, Vol.25 (4), p.1026-1036 |
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| creator | 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. |
| description | 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 |
| doi_str_mv | 10.1007/s10461-020-03046-2 |
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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).</description><identifier>ISSN: 1090-7165</identifier><identifier>EISSN: 1573-3254</identifier><identifier>DOI: 10.1007/s10461-020-03046-2</identifier><identifier>PMID: 33057976</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adolescent ; Counseling ; Depression - epidemiology ; Disease prevention ; Female ; Gestational age ; Health Behavior ; Health problems ; Health Psychology ; Health services ; Help seeking behavior ; HIV ; HIV Infections - prevention & control ; Human immunodeficiency virus ; Humans ; Infant ; Infectious Diseases ; Kenya - epidemiology ; Maternal and infant welfare ; Medical tests ; Medicine ; Medicine & Public Health ; Mental depression ; Original Paper ; Postpartum ; Postpartum Period ; Pregnancy ; Pregnant Women ; Prevention ; Public Health ; Regression analysis ; Robustness (mathematics) ; Scores ; Symptoms ; Women ; Womens health</subject><ispartof>AIDS and behavior, 2021-04, Vol.25 (4), p.1026-1036</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2020</rights><rights>Springer Science+Business Media, LLC, part of Springer Nature 2020.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-da16b6296c82a16124a90cbf512b499c313b6ab8fd71092965440d18c9ed89383</citedby><cites>FETCH-LOGICAL-c474t-da16b6296c82a16124a90cbf512b499c313b6ab8fd71092965440d18c9ed89383</cites><orcidid>0000-0001-9203-765X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10461-020-03046-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10461-020-03046-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,777,781,882,27325,27905,27906,33755,41469,42538,51300</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33057976$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Anderson, Jami L.</creatorcontrib><creatorcontrib>Li, Peng</creatorcontrib><creatorcontrib>Bukusi, Elizabeth A.</creatorcontrib><creatorcontrib>Darbes, Lynae A.</creatorcontrib><creatorcontrib>Hatcher, Abigail M.</creatorcontrib><creatorcontrib>Helova, Anna</creatorcontrib><creatorcontrib>Kwena, Zachary A.</creatorcontrib><creatorcontrib>Musoke, Pamela L.</creatorcontrib><creatorcontrib>Owino, George</creatorcontrib><creatorcontrib>Oyaro, Patrick</creatorcontrib><creatorcontrib>Rogers, Anna Joy G.</creatorcontrib><creatorcontrib>Turan, Janet M.</creatorcontrib><title>Effects of a Home-Based Intervention on HIV Prevention Health Behaviors in Pregnant/Postpartum Kenyan Women: Estimating Moderating Effects of Depressive Symptoms</title><title>AIDS and behavior</title><addtitle>AIDS Behav</addtitle><addtitle>AIDS Behav</addtitle><description>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).</description><subject>Adolescent</subject><subject>Counseling</subject><subject>Depression - epidemiology</subject><subject>Disease prevention</subject><subject>Female</subject><subject>Gestational age</subject><subject>Health Behavior</subject><subject>Health problems</subject><subject>Health Psychology</subject><subject>Health services</subject><subject>Help seeking behavior</subject><subject>HIV</subject><subject>HIV Infections - prevention & control</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Infant</subject><subject>Infectious Diseases</subject><subject>Kenya - epidemiology</subject><subject>Maternal and infant welfare</subject><subject>Medical tests</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental depression</subject><subject>Original Paper</subject><subject>Postpartum</subject><subject>Postpartum Period</subject><subject>Pregnancy</subject><subject>Pregnant Women</subject><subject>Prevention</subject><subject>Public Health</subject><subject>Regression analysis</subject><subject>Robustness (mathematics)</subject><subject>Scores</subject><subject>Symptoms</subject><subject>Women</subject><subject>Womens 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Jami L.</creator><creator>Li, Peng</creator><creator>Bukusi, Elizabeth A.</creator><creator>Darbes, Lynae A.</creator><creator>Hatcher, Abigail M.</creator><creator>Helova, Anna</creator><creator>Kwena, Zachary A.</creator><creator>Musoke, Pamela L.</creator><creator>Owino, George</creator><creator>Oyaro, Patrick</creator><creator>Rogers, Anna Joy G.</creator><creator>Turan, Janet M.</creator><general>Springer US</general><general>Springer Nature 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L.</au><au>Owino, George</au><au>Oyaro, Patrick</au><au>Rogers, Anna Joy G.</au><au>Turan, Janet M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of a Home-Based Intervention on HIV Prevention Health Behaviors in Pregnant/Postpartum Kenyan Women: Estimating Moderating Effects of Depressive Symptoms</atitle><jtitle>AIDS and behavior</jtitle><stitle>AIDS Behav</stitle><addtitle>AIDS Behav</addtitle><date>2021-04-01</date><risdate>2021</risdate><volume>25</volume><issue>4</issue><spage>1026</spage><epage>1036</epage><pages>1026-1036</pages><issn>1090-7165</issn><eissn>1573-3254</eissn><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).</abstract><cop>New York</cop><pub>Springer US</pub><pmid>33057976</pmid><doi>10.1007/s10461-020-03046-2</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0001-9203-765X</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | AIDS and behavior, 2021-04, Vol.25 (4), p.1026-1036 |
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| source | MEDLINE; Sociological Abstracts; Springer Nature - Complete Springer Journals |
| subjects | Adolescent Counseling Depression - epidemiology Disease prevention Female Gestational age Health Behavior Health problems Health Psychology Health services Help seeking behavior HIV HIV Infections - prevention & control Human immunodeficiency virus Humans Infant Infectious Diseases Kenya - epidemiology Maternal and infant welfare Medical tests Medicine Medicine & Public Health Mental depression Original Paper Postpartum Postpartum Period Pregnancy Pregnant Women Prevention Public Health Regression analysis Robustness (mathematics) Scores Symptoms Women Womens health |
| title | Effects of a Home-Based Intervention on HIV Prevention Health Behaviors in Pregnant/Postpartum Kenyan Women: Estimating Moderating Effects of Depressive Symptoms |
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