Prevalence and psychosocial correlates of suicidal ideation among pregnant women living with HIV in Mpumalanga Province, South Africa.
Identifieur interne : 000374 ( Main/Exploration ); précédent : 000373; suivant : 000375Prevalence and psychosocial correlates of suicidal ideation among pregnant women living with HIV in Mpumalanga Province, South Africa.
Auteurs : Violeta J. Rodriguez [États-Unis] ; Ryan R. Cook [États-Unis] ; Karl Peltzer [Afrique du Sud] ; Deborah L. Jones [États-Unis]Source :
- AIDS care [ 1360-0451 ] ; 2017.
Descripteurs français
- KwdFr :
- Adulte, Complications de la grossesse et maladies infectieuses (psychologie), Facteurs de risque, Femelle, Femmes enceintes (psychologie), Grossesse, Humains, Idéation suicidaire, Infections à VIH (psychologie), Jeune adulte, Population rurale, Prévalence, République d'Afrique du Sud (épidémiologie), Stigmate social, Violence conjugale (psychologie), Études transversales.
- MESH :
- psychologie : Complications de la grossesse et maladies infectieuses, Femmes enceintes, Infections à VIH, Violence conjugale.
- épidémiologie : République d'Afrique du Sud.
- Adulte, Facteurs de risque, Femelle, Grossesse, Humains, Idéation suicidaire, Jeune adulte, Population rurale, Prévalence, Stigmate social, Études transversales.
English descriptors
- KwdEn :
- Adult, Cross-Sectional Studies, Female, HIV Infections (psychology), Humans, Pregnancy, Pregnancy Complications, Infectious (psychology), Pregnant Women (psychology), Prevalence, Risk Factors, Rural Population, Social Stigma, South Africa (epidemiology), Spouse Abuse (psychology), Suicidal Ideation, Young Adult.
- MESH :
- epidemiology : South Africa.
- psychology : HIV Infections, Pregnancy Complications, Infectious, Pregnant Women, Spouse Abuse.
- Adult, Cross-Sectional Studies, Female, Humans, Pregnancy, Prevalence, Risk Factors, Rural Population, Social Stigma, Suicidal Ideation, Young Adult.
Abstract
Pregnant women living with HIV (WLHIV) in South Africa (SA) report higher rates of suicidal ideation than those who are HIV uninfected, and antenatal suicidal ideation has been previously associated with adverse maternal and neonatal outcomes. Few studies have attempted to identify correlates and psychosocial predictors of suicidal ideation in this population. In this study, we sought to estimate the prevalence of and identify risk factors for suicidal ideation among pregnant WLHIV in rural SA (N = 673). Thirty-nine percent of women endorsed suicidal ideation (95% CI: 35.2% to 42.3%) and in multivariable logistic regression analysis, suicidal ideation was associated with intimate partner violence and stigma, which interacted to multiplicatively increase the odds of suicidal thoughts. Given the high rates of reported suicidal ideation identified in this sample, and the potential harm to mothers and neonates, suicide risk assessment and management protocols for pregnant WLHIV should be considered for inclusion in the standard of care in rural SA.
DOI: 10.1080/09540121.2016.1238442
PubMed: 27690544
Affiliations:
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Cook</name><affiliation wicri:level="2"><nlm:affiliation>a Department of Psychiatry and Behavioral Sciences , University of Miami Miller School of Medicine , Miami , FL , USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>a Department of Psychiatry and Behavioral Sciences , University of Miami Miller School of Medicine , Miami , FL </wicri:regionArea><placeName><region type="state">Floride</region></placeName></affiliation></author><author><name sortKey="Peltzer, Karl" sort="Peltzer, Karl" uniqKey="Peltzer K" first="Karl" last="Peltzer">Karl Peltzer</name><affiliation wicri:level="1"><nlm:affiliation>b HIV/AIDS/STIs and TB (HAST) Research Programme, Human Sciences Research Council , Pretoria , South Africa.</nlm:affiliation><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>b HIV/AIDS/STIs and TB (HAST) Research Programme, Human Sciences Research Council , Pretoria </wicri:regionArea><wicri:noRegion>Pretoria </wicri:noRegion></affiliation></author><author><name sortKey="Jones, Deborah L" sort="Jones, Deborah L" uniqKey="Jones D" first="Deborah L" last="Jones">Deborah L. 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Few studies have attempted to identify correlates and psychosocial predictors of suicidal ideation in this population. In this study, we sought to estimate the prevalence of and identify risk factors for suicidal ideation among pregnant WLHIV in rural SA (N = 673). Thirty-nine percent of women endorsed suicidal ideation (95% CI: 35.2% to 42.3%) and in multivariable logistic regression analysis, suicidal ideation was associated with intimate partner violence and stigma, which interacted to multiplicatively increase the odds of suicidal thoughts. Given the high rates of reported suicidal ideation identified in this sample, and the potential harm to mothers and neonates, suicide risk assessment and management protocols for pregnant WLHIV should be considered for inclusion in the standard of care in rural SA.</div></front></TEI><affiliations><list><country><li>Afrique du Sud</li><li>États-Unis</li></country><region><li>Floride</li></region></list><tree><country name="États-Unis"><region name="Floride"><name sortKey="Rodriguez, Violeta J" sort="Rodriguez, Violeta J" uniqKey="Rodriguez V" first="Violeta J" last="Rodriguez">Violeta J. Rodriguez</name></region><name sortKey="Cook, Ryan R" sort="Cook, Ryan R" uniqKey="Cook R" first="Ryan R" last="Cook">Ryan R. Cook</name><name sortKey="Jones, Deborah L" sort="Jones, Deborah L" uniqKey="Jones D" first="Deborah L" last="Jones">Deborah L. Jones</name></country><country name="Afrique du Sud"><noRegion><name sortKey="Peltzer, Karl" sort="Peltzer, Karl" uniqKey="Peltzer K" first="Karl" last="Peltzer">Karl Peltzer</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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