SidaSubSaharaV1, Main, Exploration, bibRecord, 000683

Household decision-making power and the mental health and well-being of women initiating antiretroviral treatment in Oromia, Ethiopia.

Identifieur interne : 000683 ( Main/Exploration ); précédent : 000682; suivant : 000684

Household decision-making power and the mental health and well-being of women initiating antiretroviral treatment in Oromia, Ethiopia.

Auteurs : Angela M. Parcesepe [États-Unis] ; Olga Tymejczyk [États-Unis] ; Robert Remien [États-Unis] ; Tsigereda Gadisa [Éthiopie] ; Sarah Gorrell Kulkarni [États-Unis] ; Susie Hoffman [États-Unis] ; Zenebe Melaku [Éthiopie] ; Batya Elul [États-Unis] ; Denis Nash [États-Unis]

Source :

AIDS care [ 1360-0451 ] ; 2017.

RBID : pubmed:28774191

Abstract

Low decision-making power (DMP) has been associated with HIV seropositivity among women in sub-Saharan Africa. As treatment accessibility and life expectancy for HIV-positive individuals increase, greater attention to the mental health and well-being of HIV-positive women is needed. This study examined whether low DMP was associated with psychological distress, social support or health-related quality of life (HRQoL) among women initiating ART. The sample included 722 women aged 18 or older initiating ART during 2012-2013 at six HIV clinics in Oromia, Ethiopia. DMP was assessed with five questions about household resource control and decision-making. Psychological distress was assessed with the Kessler Psychological Distress Scale (K10). HRQoL was assessed with the overall subscale of the HIV/AIDS-Targeted Quality of Life instrument. Multivariable logistic regression analyses controlled for age, education, and location (urban/rural). Most respondents (63%) reported high DMP, followed by medium (27%) and low (10%) DMP. More than half (57%) reported psychological distress. Compared to medium DMP, low DMP among married or cohabitating women was associated with greater odds of low social support (aOR: 1.9 [1.3, 2.9]; high DMP among women not in a relationship was associated with greater odds of low social support (aOR: 4.4 [2.4, 8.1]) and psychological distress (aOR: 1.7 [1.1, 2.6]). Interventions to reduce psychological distress among women initiating ART should consider the familial context, as high DMP among women not in a relationship was associated with psychological distress. High DMP may indicate weak social ties and fewer material resources, particularly among women not in a relationship.

DOI: 10.1080/09540121.2017.1360998
PubMed: 28774191

Affiliations:

Le document en format XML

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<front><div type="abstract" xml:lang="en">Low decision-making power (DMP) has been associated with HIV seropositivity among women in sub-Saharan Africa. As treatment accessibility and life expectancy for HIV-positive individuals increase, greater attention to the mental health and well-being of HIV-positive women is needed. This study examined whether low DMP was associated with psychological distress, social support or health-related quality of life (HRQoL) among women initiating ART. The sample included 722 women aged 18 or older initiating ART during 2012-2013 at six HIV clinics in Oromia, Ethiopia. DMP was assessed with five questions about household resource control and decision-making. Psychological distress was assessed with the Kessler Psychological Distress Scale (K10). HRQoL was assessed with the overall subscale of the HIV/AIDS-Targeted Quality of Life instrument. Multivariable logistic regression analyses controlled for age, education, and location (urban/rural). Most respondents (63%) reported high DMP, followed by medium (27%) and low (10%) DMP. More than half (57%) reported psychological distress. Compared to medium DMP, low DMP among married or cohabitating women was associated with greater odds of low social support (aOR: 1.9 [1.3, 2.9]; high DMP among women not in a relationship was associated with greater odds of low social support (aOR: 4.4 [2.4, 8.1]) and psychological distress (aOR: 1.7 [1.1, 2.6]). Interventions to reduce psychological distress among women initiating ART should consider the familial context, as high DMP among women not in a relationship was associated with psychological distress. High DMP may indicate weak social ties and fewer material resources, particularly among women not in a relationship.</div>
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Le SIDA en Afrique subsaharienne (serveur d'exploration)

Household decision-making power and the mental health and well-being of women initiating antiretroviral treatment in Oromia, Ethiopia.

Household decision-making power and the mental health and well-being of women initiating antiretroviral treatment in Oromia, Ethiopia.

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Abstract

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