Common mental disorders and intimate partner violence against pregnant women living with HIV in Cameroon: a cross-sectional analysis.

Publisher: BioMed Central Country of Publication: England NLM ID: 100967799 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2393 (Electronic) Linking ISSN: 14712393 NLM ISO Abbreviation: BMC Pregnancy Childbirth Subsets: MEDLINE

Original Publication: London : BioMed Central, [2001-

HIV Infections*/diagnosis ; HIV Infections*/epidemiology ; HIV Infections*/psychology ; Intimate Partner Violence*/prevention & control ; Intimate Partner Violence*/psychology ; Intimate Partner Violence*/statistics & numerical data ; Mental Disorders*/diagnosis ; Mental Disorders*/epidemiology ; Mental Disorders*/psychology ; Pregnancy Complications*/diagnosis ; Pregnancy Complications*/epidemiology ; Pregnancy Complications*/psychology; Maternal Health Services/*standards ; Pregnant Women/*psychology; Adult ; Cameroon/epidemiology ; Cross-Sectional Studies ; Female ; Health Services Needs and Demand ; Humans ; Mental Health/standards ; Pregnancy ; Prevalence

Background: Women living with HIV are at increased risk of poor mental health and intimate partner violence (IPV). Mental health disorders have been consistently associated with suboptimal HIV-related outcomes. Little is known about the prevalence or correlates of mental health disorders among pregnant women living with HIV in sub-Saharan Africa.
Methods: This study assessed the prevalence of probable common mental disorders (CMD), i.e., depressive or anxiety disorders, and the relationship between probable CMD and recent IPV among pregnant women living with HIV in Cameroon. The sample included 230 pregnant women living with HIV aged > 18 enrolled in care at 10 HIV clinics in Cameroon. Probable CMD was assessed with the WHO Self Reporting Questionnaire (SRQ-20). Multivariable logistic regression was conducted to assess the relationship between IPV and probable CMD.
Results: Almost half (42%) of participants had probable CMD using a 7/8 cut-off of the SRQ-20. Emotional, physical, and sexual IPV were reported by 44, 37, and 31% of respondents, respectively. In multivariable regression analyses, all forms of IPV assessed were significantly associated with greater odds of probable CMD.
Conclusions: Pregnant women living with HIV in Cameroon had a high prevalence of probable CMD and IPV. Screening and services to address IPV and mental health are urgently needed for this population. Integrated interventions to both prevent and screen and address IPV and probable CMD should be developed, implemented, and evaluated.

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K01 MH114721 United States MH NIMH NIH HHS; UL1 TR002553 United States TR NCATS NIH HHS; P2C HD050924 United States HD NICHD NIH HHS; K01MH114721 United States MH NIMH NIH HHS

Keywords: Africa; HIV; Mental health; Pregnancy; Violence

Date Created: 20210305 Date Completed: 20210521 Latest Revision: 20240821

20240821

PMC7934543

10.1186/s12884-021-03673-0

33663428