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020 ▼a 9780438063013
035 ▼a (MiAaPQ)AAI10787212
035 ▼a (MiAaPQ)unc:17616
040 ▼a MiAaPQ ▼c MiAaPQ ▼d 248032
0820 ▼a 614.4
1001 ▼a Harrington, Bryna J.
24510 ▼a Probable Perinatal Depression, Engagement in HIV Care, and Viral Suppression among Malawian Women.
260 ▼a [S.l.] : ▼b The University of North Carolina at Chapel Hill., ▼c 2018
260 1 ▼a Ann Arbor : ▼b ProQuest Dissertations & Theses, ▼c 2018
300 ▼a 123 p.
500 ▼a Source: Dissertation Abstracts International, Volume: 79-10(E), Section: B.
500 ▼a Adviser: Brian W. Pence.
5021 ▼a Thesis (Ph.D.)--The University of North Carolina at Chapel Hill, 2018.
520 ▼a With broadened antiretroviral treatment (ART) eligibility, long-term HIV care engagement has been sub-optimal. Care engagement may be hindered by antenatal depression, yet depression screening is not routine in most African countries. We estimat
520 ▼a Participants' median age was 29 years, and at enrollment had a median 22 weeks gestation. Most were married (90%) and their current pregnancy was unintended (68%). Many women reported a history of depression or anxiety: 46% had a personal histor
520 ▼a Among women initiating ART (n=299), 10% had probable antenatal depression, yet only 2-5% postpartum. Sensitivity analyses to account for loss to follow up suggested that postpartum depression prevalence could have ranged from 2-11%. EPDS and PHQ
520 ▼a Most women were engaged in care through 12 months post-ART initiation: 85% attended all scheduled visits, and 81% were in care and virally suppressed. For both care engagement outcomes, there were no differences by antenatal depression status (v
520 ▼a Probable perinatal depression was more common antenatally than postpartum among women with HIV in Malawi. Factors associated with probable antenatal depression represented heightened psychosocial stress. Women with and without antenatal depressi
590 ▼a School code: 0153.
650 4 ▼a Epidemiology.
690 ▼a 0766
71020 ▼a The University of North Carolina at Chapel Hill. ▼b Epidemiology.
7730 ▼t Dissertation Abstracts International ▼g 79-10B(E).
773 ▼t Dissertation Abstract International
790 ▼a 0153
791 ▼a Ph.D.
792 ▼a 2018
793 ▼a English
85640 ▼u http://www.riss.kr/pdu/ddodLink.do?id=T14997383 ▼n KERIS
980 ▼a 201812 ▼f 2019
990 ▼a 관리자