Full Text Available
Note: Clicking the button above will open the full text document at the original institutional repository in a new window.
Examining patterns of intimate partner violence and depression amongst a cohort of pregnant and postpartum women in Cape Town, South Africa
Depression and intimate partner violence (IPV) frequently co-occur among women in South Africa (SA) with elevated risk in the antenatal and postnatal period. Both phenomena have also been shown to reduce uptake and adherence to human immunodeficiency virus (HIV) treatments. In this secondary analysi...
Saved in:
| Main Author: | |
|---|---|
| Other Authors: | |
| Format: | Thesis |
| Language: | English |
| Published: |
Department of Public Health and Family Medicine
2024
|
| Subjects: | |
| Tags: |
No Tags, Be the first to tag this record!
|
| _version_ | 1867611269465374720 |
|---|---|
| access_status_str | Open Access |
| author | Bagg, Kayla |
| author2 | de Voux, Alex |
| author_browse | Bagg, Kayla de Voux, Alex |
| author_facet | de Voux, Alex Bagg, Kayla |
| author_sort | Bagg, Kayla |
| collection | Thesis |
| description | Depression and intimate partner violence (IPV) frequently co-occur among women in South Africa (SA) with elevated risk in the antenatal and postnatal period. Both phenomena have also been shown to reduce uptake and adherence to human immunodeficiency virus (HIV) treatments. In this secondary analysis, we examined patterns of IPV exposure and depression in a cohort of pregnant HIV-negative women on oral pre-exposure prophylaxis (PrEP). Data from 1195 women at enrolment was retrospectively analyzed from an existing dataset. Participants were recruited from two midwife obstetric units in Cape Town and followed from enrolment to 12 months post-partum with 3-monthly interviews. Women between the ages of 16–18 years were 3.15 (95% CI: 1.30, 7.07) times as likely to score above 11 on the Edinburgh Postnatal Depression Scale (EPDS), indicating depression, compared to women >25 years. Women who self-reported experiencing IPV at baseline had 2.77 (95% CI: 1.61, 4.61) times the odds of an EPDS score ³11 compared to those who did not report experiencing IPV at baseline. In conjunction with this, the London Measure of Unplanned Pregnancies (LMUP) was used to determine the pregnancy intentions of the mothers. The prevalence of maternal mental health problems during pregnancy and postpartum is alarming, particularly among women in low- and middle-income countries (LMIC). These include IPV and depression which could lead to poor adherence to oral pre-exposure prophylaxis (PrEP) and ultimately HIV infection. Screening for depression in the postpartum period may also have an impact on IPV victimization. Identifying pregnant women who are experiencing either IPV or depression and linking them with the necessary services, may improve PrEP outcomes. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/40749 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2024 |
| publishDateRange | 2024 |
| publishDateSort | 2024 |
| publisher | Department of Public Health and Family Medicine |
| publisherStr | Department of Public Health and Family Medicine |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/40749 Examining patterns of intimate partner violence and depression amongst a cohort of pregnant and postpartum women in Cape Town, South Africa Bagg, Kayla de Voux, Alex family medicine Depression and intimate partner violence (IPV) frequently co-occur among women in South Africa (SA) with elevated risk in the antenatal and postnatal period. Both phenomena have also been shown to reduce uptake and adherence to human immunodeficiency virus (HIV) treatments. In this secondary analysis, we examined patterns of IPV exposure and depression in a cohort of pregnant HIV-negative women on oral pre-exposure prophylaxis (PrEP). Data from 1195 women at enrolment was retrospectively analyzed from an existing dataset. Participants were recruited from two midwife obstetric units in Cape Town and followed from enrolment to 12 months post-partum with 3-monthly interviews. Women between the ages of 16–18 years were 3.15 (95% CI: 1.30, 7.07) times as likely to score above 11 on the Edinburgh Postnatal Depression Scale (EPDS), indicating depression, compared to women >25 years. Women who self-reported experiencing IPV at baseline had 2.77 (95% CI: 1.61, 4.61) times the odds of an EPDS score ³11 compared to those who did not report experiencing IPV at baseline. In conjunction with this, the London Measure of Unplanned Pregnancies (LMUP) was used to determine the pregnancy intentions of the mothers. The prevalence of maternal mental health problems during pregnancy and postpartum is alarming, particularly among women in low- and middle-income countries (LMIC). These include IPV and depression which could lead to poor adherence to oral pre-exposure prophylaxis (PrEP) and ultimately HIV infection. Screening for depression in the postpartum period may also have an impact on IPV victimization. Identifying pregnant women who are experiencing either IPV or depression and linking them with the necessary services, may improve PrEP outcomes. 2024-11-28T08:03:03Z 2024-11-28T08:03:03Z 2024 2024-11-27T10:03:58Z Thesis / Dissertation Masters MPH http://hdl.handle.net/11427/40749 eng application/pdf Department of Public Health and Family Medicine Faculty of Health Sciences University of Cape Town |
| spellingShingle | family medicine Bagg, Kayla Examining patterns of intimate partner violence and depression amongst a cohort of pregnant and postpartum women in Cape Town, South Africa |
| thesis_degree_str | Master's |
| title | Examining patterns of intimate partner violence and depression amongst a cohort of pregnant and postpartum women in Cape Town, South Africa |
| title_full | Examining patterns of intimate partner violence and depression amongst a cohort of pregnant and postpartum women in Cape Town, South Africa |
| title_fullStr | Examining patterns of intimate partner violence and depression amongst a cohort of pregnant and postpartum women in Cape Town, South Africa |
| title_full_unstemmed | Examining patterns of intimate partner violence and depression amongst a cohort of pregnant and postpartum women in Cape Town, South Africa |
| title_short | Examining patterns of intimate partner violence and depression amongst a cohort of pregnant and postpartum women in Cape Town, South Africa |
| title_sort | examining patterns of intimate partner violence and depression amongst a cohort of pregnant and postpartum women in cape town south africa |
| topic | family medicine |
| url | http://hdl.handle.net/11427/40749 |
| work_keys_str_mv | AT baggkayla examiningpatternsofintimatepartnerviolenceanddepressionamongstacohortofpregnantandpostpartumwomenincapetownsouthafrica |