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Depression, retention in care, and uptake of PMTCT service in Kinshasa, the Democratic Republic of Congo: a prospective cohort.
- Source :
- AIDS Care; Mar2017, Vol. 29 Issue 3, p285-289, 5p
- Publication Year :
- 2017
-
Abstract
- There is a clear need for effective strategies to address the factors that affect retention, or lost-to-follow-up (LTFU) and adherence to HIV care and treatment. Depression in particular may play an important role in the high rates of LTFU along the prevention of mother-to-child HIV transmission (PMTCT) cascade in sub-Saharan Africa. This study assessed the association between prenatal depression and (1) LTFU or (2) uptake of PMTCT services. As part of a randomized control trial to evaluate the effect of conditional cash transfers on retention in and uptake of PMTCT services, newly diagnosed HIV-infected women, ≤32 weeks pregnant, registering for antenatal care (ANC), in 85 clinics in Kinshasa, Democratic Republic of Congo (DRC), were recruited and followed-up until LTFU, death, transfer out, or six weeks postpartum. Participants were interviewed at enrollment using a questionnaire which included the Patient Health Questionnaire (PHQ-9). Depression was defined as a PHQ-9 score of ≥15. Among 433 women enrolled, 51 (11.8%) had a PHQ-9 score ≥15 including 15 (3.5%) with a score ≥20. At six weeks postpartum, 67 (15.5%) were LFTU and 331 (76.4%) were in care and had accepted all available PTMCT services. Of participants with depression at enrollment, 17.7% (9/51) were LTFU at six weeks postpartum compared to 15.2% (58/382) among those without, but the association was not statistically significant. On the other hand, 78.4% (40/51) of participants with prenatal depression were in care at six weeks postpartum and had attended all their scheduled visits and accepted available services compared to 76.2% (291/382) among those without depression. In this cohort of newly diagnosed HIV-infected pregnant women, prenatal depression assessed with a PHQ-9 score ≥15 was not a strong predictor of LTFU among newly diagnosed HIV-infected women in Kinshasa, DRC. [ABSTRACT FROM PUBLISHER]
- Subjects :
- HIV prevention
THERAPEUTICS
VERTICAL transmission (Communicable diseases)
CONFIDENCE intervals
MENTAL depression
HIV infections
PSYCHOLOGY of HIV-positive persons
INTERVIEWING
LONGITUDINAL method
MEDICAL care use
PATIENT compliance
QUESTIONNAIRES
RESEARCH funding
LOGISTIC regression analysis
RANDOMIZED controlled trials
PATIENT dropouts
DATA analysis software
DESCRIPTIVE statistics
ODDS ratio
PREVENTION
Subjects
Details
- Language :
- English
- ISSN :
- 09540121
- Volume :
- 29
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- AIDS Care
- Publication Type :
- Academic Journal
- Accession number :
- 120932021
- Full Text :
- https://doi.org/10.1080/09540121.2016.1255708