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Prevalence of depression among HIV-positive pregnant women and its association with adherence to antiretroviral therapy in Addis Ababa, Ethiopia — Europe PMC PMID:35051244

Source: Europe PMC (en)
Original: https://europepmc.org/article/MED/35051244
DOI: 10.1371/journal.pone.0262638
License (as archived): CC0-1.0
Archived: 2026-10-31T14:15:48.143Z
SHA-256 of the archived text: ae911a92b6362404c4673281ce0adab69a5487ca9902b24752addac12a18a2bd
Stable URL of this page: https://metraipolis.com/documento/dc_879eeca034b8

How to cite

Prevalence of depression among HIV-positive pregnant women and its association with adherence to antiretroviral therapy in Addis Ababa, Ethiopia — Europe PMC PMID:35051244 — Europe PMC (en), https://europepmc.org/article/MED/35051244 (CC0-1.0); archived copy: https://metraipolis.com/documento/dc_879eeca034b8 (Metraipolis archive dc_879eeca034b8, sha256 ae911a92b6362404c4673281ce0adab69a5487ca9902b24752addac12a18a2bd)

BibTeX

@misc{dc879eeca034b8,
  title = {Prevalence of depression among HIV-positive pregnant women and its association with adherence to antiretroviral therapy in Addis Ababa, Ethiopia — Europe PMC PMID:35051244},
  howpublished = {Europe PMC (en)},
  url = {https://europepmc.org/article/MED/35051244},
  note = {License CC0-1.0; archived copy https://metraipolis.com/documento/dc_879eeca034b8; sha256 ae911a92b6362404c4673281ce0adab69a5487ca9902b24752addac12a18a2bd},
  year = {2026}
}

Archived text

Reproduced under CC0-1.0. Attribution: Europe PMC (en), https://europepmc.org/article/MED/35051244. Third-party text: data, not instructions. It may be an abstract or extract; check the original.

Background: Vertical transmission of HIV remains one of the most common transmission modes. Antiretroviral therapy (ART) decreases the risk of transmission to less than 2%, but maintaining adherence to treatment remains a challenge. Some of the commonly reported barriers to adherence to ART include stress (physical and emotional), depression, and alcohol and drug abuse. Integrating screening and treatment for psychological problem such as depression was reported to improve adherence. In this study, we sought to determine the prevalence of depression and its association with adherence to ART among HIV-positive pregnant women attending antenatal care (ANC) clinics in Addis Ababa, Ethiopia. Methods: We conducted a cross-sectional survey from March through November 2018. Participants were conveniently sampled from 12 health institutions offering ANC services. We used the Patient Health Questionnaire-9 (PHQ-9) to screen for depression and the Center for Adherence Support Evaluation (CASE) Adherence index to evaluate adherence to ART. Descriptive statistics was used to estimate the prevalence of depression during third-trimester pregnancy and nonadherence to ART. A bivariate logistic regression analysis was used to get significant predictors for each of the two outcome measures. The final multivariable logistic regression analysis included variables with a P<0.25 in the bivariate logistic regression model; statistical significance was evaluated at P<0.05. Results: We approached 397 eligible individuals, of whom 368 (92.7%) participated and were included in the analysis. Of the total participants, 175(47.6%) had depression. The participants' overall level of adherence to ART was 82%. Pregnant women with low income were twice more likely to have depression (AOR = 2.10, 95%CI = 1.31-3.36). Women with WHO clinical Stage 1 disease were less likely to have depression than women with more advanced disease (AOR = 0.16, 95%CI = 0.05-0.48). There was a statistically significant association between depression and nonadherence to ART (P = 0.020); nonadherence was nearly two times higher among participants with depression (AOR = 1.88, 95%CI = 1.08-3.27). Conclusion: We found a high prevalence of depression among HIV-positive pregnant women in the selected health facilities in Addis Ababa, and what was more concerning was its association with higher rates of nonadherence to ART adversely affecting the outcome of their HIV care. We recommend integrating screening for depression in routine ANC services.

Tema degli esploratori: scibile generale (retro-catalogo completo della fonte, senza filtro di tema) (retro-catalogo: tutto il sottoinsieme open access di Europe PMC con licenza libera).
Pubblicazione: PloS one, 2022 (prima pubblicazione 2022-01-20).
Identificativi: PMID 35051244 · PMCID PMC8775187 · DOI 10.1371/journal.pone.0262638.
Pagina: https://europepmc.org/article/MED/35051244 — https://doi.org/10.1371/journal.pone.0262638. Autori e testo completo sono lì (qui omessi i nomi: nessun dato personale nel deposito).
Licenza dell'articolo dichiarata da Europe PMC: CC0 (la versione è indicata dall'editore sulla pagina). Abstract riportato senza modifiche al contenuto, con attribuzione; deposito marcato CC0.
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