Prevalence and associated factor of postpartum depression among mothers living with HIV at an urban postnatal clinic in Uganda

Background: Postpartum depression among mothers living with HIV is a significant public health problem due to its effects on engagement in care, HIV disease progression, and an increased risk of mother-to-child transmission of HIV. Objective: The objective of this study was to determine the prevalen...

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Main Authors: Naomi Kyeremaa Yeboa, Patience Muwanguzi, Connie Olwit, Charles Peter Osingada, Tom Denis Ngabirano
Format: Article
Language:English
Published: SAGE Publishing 2023-02-01
Series:Women's Health
Online Access:https://doi.org/10.1177/17455057231158471
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author Naomi Kyeremaa Yeboa
Patience Muwanguzi
Connie Olwit
Charles Peter Osingada
Tom Denis Ngabirano
author_facet Naomi Kyeremaa Yeboa
Patience Muwanguzi
Connie Olwit
Charles Peter Osingada
Tom Denis Ngabirano
author_sort Naomi Kyeremaa Yeboa
collection DOAJ
description Background: Postpartum depression among mothers living with HIV is a significant public health problem due to its effects on engagement in care, HIV disease progression, and an increased risk of mother-to-child transmission of HIV. Objective: The objective of this study was to determine the prevalence and factors associated with postpartum depression among mothers living with HIV. Design: The study employed a cross-sectional quantitative research design. Methods: In this cross-sectional survey, we consecutively recruited 290 participants among mothers attending postnatal, immunization, and family planning clinics at an urban clinic in Uganda. Using an interviewer-administered questionnaire, we collected data on socio-demographics, obstetric, and HIV-related characteristics. Postpartum depression was assessed using the Patient Health Questionnaire version 9. We classified participants with Patient Health Questionnaire version 9 scores of ⩾10 as having postpartum depression. We conducted logistic regression to examine the association between postpartum depression and independent variables. Results: The prevalence of postpartum depression was 15.9%. After controlling for other variables, participants who reported poor male partner support were more likely to experience postpartum depression compared to those who had good partner support (adjusted odds ratio = 4.52, confidence interval = 2.31–8.84, p value < 0.001). Conclusion: Mothers living with HIV should be routinely assessed for the presence of depression and male partner support. Health care providers of HIV-infected women should design strategies to promote male partner support for better maternal, infant, and HIV treatment outcomes.
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spelling doaj.art-0c69ae31c47f4211a6a1b14a5b9eeb542023-02-28T15:33:16ZengSAGE PublishingWomen's Health1745-50652023-02-011910.1177/17455057231158471Prevalence and associated factor of postpartum depression among mothers living with HIV at an urban postnatal clinic in UgandaNaomi Kyeremaa Yeboa0Patience Muwanguzi1Connie Olwit2Charles Peter Osingada3Tom Denis Ngabirano4School of Nursing and Midwifery, College of Health and Allied Sciences, University of Cape Coast, Cape Coast, GhanaSchool of Health Sciences, College of Health Sciences, Makerere University, Kampala, UgandaSchool of Health Sciences, College of Health Sciences, Makerere University, Kampala, UgandaSchool of Health Sciences, College of Health Sciences, Makerere University, Kampala, UgandaSchool of Health Sciences, College of Health Sciences, Makerere University, Kampala, UgandaBackground: Postpartum depression among mothers living with HIV is a significant public health problem due to its effects on engagement in care, HIV disease progression, and an increased risk of mother-to-child transmission of HIV. Objective: The objective of this study was to determine the prevalence and factors associated with postpartum depression among mothers living with HIV. Design: The study employed a cross-sectional quantitative research design. Methods: In this cross-sectional survey, we consecutively recruited 290 participants among mothers attending postnatal, immunization, and family planning clinics at an urban clinic in Uganda. Using an interviewer-administered questionnaire, we collected data on socio-demographics, obstetric, and HIV-related characteristics. Postpartum depression was assessed using the Patient Health Questionnaire version 9. We classified participants with Patient Health Questionnaire version 9 scores of ⩾10 as having postpartum depression. We conducted logistic regression to examine the association between postpartum depression and independent variables. Results: The prevalence of postpartum depression was 15.9%. After controlling for other variables, participants who reported poor male partner support were more likely to experience postpartum depression compared to those who had good partner support (adjusted odds ratio = 4.52, confidence interval = 2.31–8.84, p value < 0.001). Conclusion: Mothers living with HIV should be routinely assessed for the presence of depression and male partner support. Health care providers of HIV-infected women should design strategies to promote male partner support for better maternal, infant, and HIV treatment outcomes.https://doi.org/10.1177/17455057231158471
spellingShingle Naomi Kyeremaa Yeboa
Patience Muwanguzi
Connie Olwit
Charles Peter Osingada
Tom Denis Ngabirano
Prevalence and associated factor of postpartum depression among mothers living with HIV at an urban postnatal clinic in Uganda
Women's Health
title Prevalence and associated factor of postpartum depression among mothers living with HIV at an urban postnatal clinic in Uganda
title_full Prevalence and associated factor of postpartum depression among mothers living with HIV at an urban postnatal clinic in Uganda
title_fullStr Prevalence and associated factor of postpartum depression among mothers living with HIV at an urban postnatal clinic in Uganda
title_full_unstemmed Prevalence and associated factor of postpartum depression among mothers living with HIV at an urban postnatal clinic in Uganda
title_short Prevalence and associated factor of postpartum depression among mothers living with HIV at an urban postnatal clinic in Uganda
title_sort prevalence and associated factor of postpartum depression among mothers living with hiv at an urban postnatal clinic in uganda
url https://doi.org/10.1177/17455057231158471
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