IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v17y2020i22p8425-d444917.html
   My bibliography  Save this article

Clinical and Obstetric Risk Factors for Postnatal Depression in HIV Positive Women: A Cross Sectional Study in Health Facilities in Rural KwaZulu-Natal

Author

Listed:
  • Nontokozo Lilian Mbatha

    (Department of Public Health, School of Health Care Sciences, Sefako Makgatho Health Sciences University, Pretoria 0001, South Africa)

  • Kebogile Elizabeth Mokwena

    (Department of Public Health, School of Health Care Sciences, Sefako Makgatho Health Sciences University, Pretoria 0001, South Africa)

  • Sphiwe Madiba

    (Department of Public Health, School of Health Care Sciences, Sefako Makgatho Health Sciences University, Pretoria 0001, South Africa)

Abstract

Postnatal depression (PND) remains underdiagnosed and undertreated in different socio-economic backgrounds in South Africa. This study determined the prevalence of and clinical and obstetric risk factors for PND symptoms among HIV positive women in health facilities in a rural health district in South Africa. The Edinburgh Postnatal Depression Scale was used to measure PND from 386 women who had delivered a live infant. More than half (58.5%) tested HIV positive during the current pregnancy. The prevalence of PND symptoms was 42.5%. Logistic regression analysis yielded significant associations between clinical and obstetric variables of pre-term baby ( p -value < 0.01), baby health status p -value < 0.01), baby hospitalization, ( p -value < 0.01), and knowing the baby’s HIV status ( p -value = 0.047). Maternal variables associated with PND were level of education ( p -value < 0.01), monthly income ( p -value < 0.01), and source of income ( p -value = 0.05). At multivariate analysis, none of the clinical and obstetrical risk factors were independently associated with the PND. The high prevalence of PND symptoms underscore the need to integrate routine screening for PND in prevention of mother to child transmission of HIV programmes to enable early diagnosing and treatment of PND.

Suggested Citation

  • Nontokozo Lilian Mbatha & Kebogile Elizabeth Mokwena & Sphiwe Madiba, 2020. "Clinical and Obstetric Risk Factors for Postnatal Depression in HIV Positive Women: A Cross Sectional Study in Health Facilities in Rural KwaZulu-Natal," IJERPH, MDPI, vol. 17(22), pages 1-13, November.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:22:p:8425-:d:444917
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/17/22/8425/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/17/22/8425/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Siddharudha Shivalli & Nandihal Gururaj, 2015. "Postnatal Depression among Rural Women in South India: Do Socio-Demographic, Obstetric and Pregnancy Outcome Have a Role to Play?," PLOS ONE, Public Library of Science, vol. 10(4), pages 1-11, April.
    2. Coast, Ernestina & Leone, Tiziana & Hirose, Atsumi & Jones, Eleri, 2012. "Poverty and postnatal depression: a systematic mapping of the evidence from low and lower middle income countries," LSE Research Online Documents on Economics 44533, London School of Economics and Political Science, LSE Library.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Sheikh Jamal Hossain & Bharati Rani Roy & Aniqa Tasnim Hossain & Fardina Mehrin & SM Mulk Uddin Tipu & Fahmida Tofail & Shams El Arifeen & Thach Tran & Jane Fisher & Jena Hamadani, 2020. "Prevalence of Maternal Postpartum Depression, Health-Seeking Behavior and Out of Pocket Payment for Physical Illness and Cost Coping Mechanism of the Poor Families in Bangladesh: A Rural Community-Bas," IJERPH, MDPI, vol. 17(13), pages 1-13, July.
    2. O'Donnell, Owen, 2024. "Health and health system effects on poverty: A narrative review of global evidence," Health Policy, Elsevier, vol. 142(C).
    3. Harmeet Kaur Kang & Denny John & Bandana Bisht & Manmeet Kaur & Obrey Alexis & Aaron Worsley, 2020. "PROTOCOL: Effectiveness of interpersonal psychotherapy in comparison to other psychological and pharmacological interventions for reducing depressive symptoms in women diagnosed with postpartum depres," Campbell Systematic Reviews, John Wiley & Sons, vol. 16(1), March.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:17:y:2020:i:22:p:8425-:d:444917. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.