Prevalence of suicidal ideation and associated factors among HIV positive perinatal women on follow-up at Gondar town health institutions, Northwest Ethiopia: a cross-sectional study.

Tytuł:: Prevalence of suicidal ideation and associated factors among HIV positive perinatal women on follow-up at Gondar town health institutions, Northwest Ethiopia: a cross-sectional study.
Autorzy:: Zewdu LB; University of Gondar Comprehensive Specialized Hospital, Gondar, Ethiopia.
Reta MM; Department of Internal Medicine, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Yigzaw N; Department of Psychiatry, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Tamirat KS; Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia. .
Źródło:: BMC pregnancy and childbirth [BMC Pregnancy Childbirth] 2021 Jan 09; Vol. 21 (1), pp. 42. Date of Electronic Publication: 2021 Jan 09.
Typ publikacji:: Journal Article; Multicenter Study
Język:: English
Imprint Name(s):: Original Publication: London : BioMed Central, [2001-
MeSH Terms:: Suicidal Ideation*
HIV Infections/*psychology
Pregnancy Complications, Infectious/*psychology
Adult ; Depression/epidemiology ; Epidemiologic Methods ; Ethiopia/epidemiology ; Female ; HIV Infections/therapy ; HIV Infections/transmission ; HIV Seropositivity/psychology ; Humans ; Infectious Disease Transmission, Vertical/prevention & control ; Pregnancy ; Pregnancy Complications/epidemiology ; Pregnancy Complications/psychology ; Pregnancy Complications, Infectious/therapy ; Pregnancy, Unplanned/psychology ; Prevalence ; Social Support ; Young Adult
References:: Depress Res Treat. 2016;2016:8913160. (PMID: 27747101)
J Womens Health (Larchmt). 2006 Jun;15(5):599-611. (PMID: 16796487)
AIDS Care. 2016 Jul;28(7):884-9. (PMID: 27045273)
J Glob Health. 2017 Jun;7(1):010701. (PMID: 28567281)
Psychiatr Serv. 2000 Jul;51(7):903-7. (PMID: 10875956)
J Affect Disord. 2010 Apr;122(1-2):102-8. (PMID: 19615753)
AIDS Behav. 2019 Jan;23(1):126-131. (PMID: 29959721)
Ann Gen Psychiatry. 2018 Jun 1;17:23. (PMID: 29881440)
AIDS Behav. 2018 Oct;22(10):3188-3197. (PMID: 29752621)
Womens Health Issues. 2005 Mar-Apr;15(2):89-95. (PMID: 15767199)
PLoS One. 2018 Apr 16;13(4):e0194885. (PMID: 29659595)
AIDS Care. 2017 May;29(5):593-597. (PMID: 27690544)
Soc Psychiatry Psychiatr Epidemiol. 2018 Apr;53(4):363-372. (PMID: 29445850)
Medicine (Baltimore). 2017 Oct;96(40):e8055. (PMID: 28984760)
BMC Pregnancy Childbirth. 2018 Nov 29;18(1):462. (PMID: 30486804)
Ethiop J Health Sci. 2020 Mar;30(2):179-188. (PMID: 32165807)
PLoS One. 2018 Nov 29;13(11):e0207005. (PMID: 30496302)
BMC Int Health Hum Rights. 2015 Dec 28;15:33. (PMID: 26711659)
J Int AIDS Soc. 2016 Apr 06;19(1):20309. (PMID: 27056361)
AIDS. 2019 Dec 15;33 Suppl 3:S197-S201. (PMID: 31725433)
Arch Womens Ment Health. 2017 Apr;20(2):321-331. (PMID: 28032214)
Contributed Indexing:: Keywords: Ethiopia; Perinatal women; Suicidal ideation
Entry Date(s):: Date Created: 20210110 Date Completed: 20210517 Latest Revision: 20210517
Update Code:: 20240105
PubMed Central ID:: PMC7797091
DOI:: 10.1186/s12884-020-03529-z
PMID:: 33422024
: Czasopismo naukowe

Pełny tekst

Background: Suicidal behaviors cover a range or continuum of acts from suicidal ideations to a series of actions, commonly known as suicidal attempts or deliberate self-harms. Though different mental disorders related studies were conducted among HIV/AIDS patients, there is a scarcity of information about the magnitude and determinants of suicidal thoughts among perinatal women. Therefore, this study aimed to determine the prevalence of suicidal ideation and associated factors among HIV positive perinatal women in the study setting.
Methods: An institution-based cross-sectional study was conducted among perinatal women on treatment to the prevention of mother to child transmission of HIV/AIDS at Gondar town health facilities. A total of 422 HIV-positive perinatal women were selected systematically and the data collected through medical record review and interview using a Composite International Diagnostic Interview (CIDI) toolkit. A binary and multivariable logistic regression model was employed to identify factors associated with suicidal ideation. An Adjusted Odds Ratio (AOR) with 95% Confidence Interval (CI) was computed to see the strength of association between outcome and independent variables. Characteristics having less than 0.05 p-value had been taken as significant factors associated with the outcome of interest.
Result: The prevalence of suicidal ideation was found to be 8.2% (95% CI; 5.7 to 11.3) and with a standard error of 0.013. Perinatal depression (AOR=4.40, 95%CI: 1.63 11.85), not disclosed HIV status (AOR=3.73, 95%CI: 1.44 9.65), and unplanned pregnancy (AOR=2.75, 95%CI: 1.21 6.21) were significant factors associated with suicidal ideation.
Conclusion: The magnitude of suicidal ideation among HIV positive perinatal women was found to be low. Perinatal depression, non-disclosed HIV status, and unplanned pregnancy were factors significantly associated with suicidal ideation. This finding suggests the integration of mental health services with maternal and HIV support programs.

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