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. 2018 Dec;30(12):1580-1585.
doi: 10.1080/09540121.2018.1510101. Epub 2018 Aug 18.

HIV care continuum outcomes of pregnant women living with HIV with and without depression

Florence M Momplaisir  1 , Erika Aaron  1   2 , Lisa Bossert  3 , Emily Anderson  2 , Mom Tatahmentan  3 , Vivienne Okafor  4 , Ashley Kemembin  5 , Pamela Geller  1 , John Jemmott  6 , Kathleen A Brady  2
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HIV care continuum outcomes of pregnant women living with HIV with and without depression

Florence M Momplaisir et al. AIDS Care. 2018 Dec.

Abstract

Women living with HIV (WLWH) suffer from poor viral suppression and retention postpartum. The effect of perinatal depression on care continuum outcomes during pregnancy and postpartum is unknown. We performed a retrospective cohort analysis using HIV surveillance data of pregnant WLWH enrolled in perinatal case management in Philadelphia and evaluated the association between possible or definite depression with four outcomes: viral suppression at delivery, care engagement within three months postpartum, retention and viral suppression at one-year postpartum. Out of 337 deliveries (2005-2013) from 281 WLWH, 53.1% (n = 179) had no depression; 46.9% had either definite (n = 126) or possible (n = 32) depression during pregnancy. There were no differences by depression status across all four HIV care continuum outcomes in unadjusted and adjusted analyses. The prevalence of possible or definite depression was high among pregnant WLWH. HIV care continuum outcomes did not differ by depression status, likely because of supportive services and intensive case management provided to women with possible or definite depression.

Keywords: HIV care continuum; HIV/AIDS; depression; maternal health; retention in care.

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Conflict of interest statement

Disclosure statement

No potential conflict of interest was reported by the authors.

Figures

Figure 1.
Figure 1.
HIC care continuum outcomes of women in the perinatal period by depression status, 2005–2013.
See this image and copyright information in PMC

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