ArticleAIDS patient care and STDs2015
A mixed-methods approach to understanding barriers to postpartum retention in care among low-income, HIV-infected women.
Article in AIDS patient care and STDs, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
52 citing papers in PubMed, 4 syntheses or guidelines pooled it, 79 citations in OpenAlex.
- A Systematic Review of the Impact of HIV-Related Stigma and Serostatus Disclosure on Retention in Care and Antiretroviral Therapy Adherence Among Women with HIV in the United States/Canada.AIDS patient care and STDs · 2024Pooled it
- A systematic review of the qualitative literature on barriers to high-quality prenatal and postpartum care among low-income women.Health services research · 2022Pooled it
- A Systematic Review of Patient-, Provider-, and Health System-Level Predictors of Postpartum Health Care Use by People of Color and Low-Income and/or Uninsured Populations in the United States.Journal of women's health (2002) · 2021Pooled it
- Mental health and retention in HIV care: A systematic review and meta-analysis.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2018Pooled it
- Mapping the Postpartum Experience Through Obstetric Patient Navigation for Low-Income Individuals.Journal of women's health (2002) · 2024Trial
- Women in the HIV Care Continuum: Assessing Re-linking Women to Care and Maintaining Viral Suppression Postpartum in Philadelphia from 2012 to 2023.AIDS and behavior · 2026Article
- Multi-disciplinary support of infant feeding choice for parents living with HIV: experience across a guideline change.Frontiers in reproductive health · 2026Article
- Primary Care Clinician Perspectives on Barriers to Postpartum Transition to Primary Care.Journal of women's health (2002) · 2025Article
- Article
- Barriers to Retention in Care among Adults with HIV in Developed Countries: An Integrative Review.AIDS and behavior · 2025Review
- Article
- Factors Associated With Retention in HIV Care Within 12 Months Postpartum: A Retrospective Cohort Study.Journal of acquired immune deficiency syndromes (1999) · 2025Article
- Toward improving retention in HIV care after pregnancy: lessons from a post-pandemic cohort in the United States.Frontiers in medicine · 2025Article
- "I Have to Stand Up on My Own and Do the Best I Can for My Kids"AIDS and behavior · 2024Article
- Article
- A qualitative metasynthesis of stigma in women living with HIV in the United States.International journal for equity in health · 2023Article
- Mental health, substance use, and risky sexual behaviors among women living with HIV.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2023Article
- The feasibility and acceptability of a task-shifted intervention for perinatal depression among women living with HIV in Malawi: a qualitative analysis.BMC psychiatry · 2022Article
- Associations between female birth sex and risk of chronic kidney disease development among people with HIV in the USA: A longitudinal, multicentre, cohort study.EClinicalMedicine · 2022Article
- The Boundary of HIV Care: Barriers and Facilitators to Care Engagement Among People with HIV in the United States.AIDS patient care and STDs · 2022Article
Corrections and comments
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Authors and funding
8 authors at 6 institutions in 1 country.
Funding
Abstract
Optimal retention in HIV care postpartum is necessary to benefit the health and wellbeing of mothers and their infants. However, postpartum retention in HIV care among low-income women is suboptimal, particularly in the Southern United States. A mixed-methods study was conducted to identify factors associated with postpartum retention in care among HIV-infected women. Participants (n=35) were recruited during pregnancy at two county clinics and completed self-report demographic and psychosocial surveys. Twenty-two women who returned for a postpartum appointment completed a semi-structured interview about lifestyle factors and retention in care. Of the participants enrolled at baseline, 71.4% completed a follow-up with an obstetrician (OB), while 57.1% completed a follow-up with a primary care physician (PCP). High CD4 count at delivery, low viral load at baseline, low levels of depression, high interpersonal social support, and fewer other children were significantly associated with completion of postpartum follow-up. Barriers and facilitators to retention identified during qualitative interviews included competing responsibilities for time, lack of social support outside of immediate family members, limited transportation access, experiences of institutionalized stigma, knowledge about the benefits of adherence, and strong relationships with healthcare providers. OB and PCP follow-up postpartum was suboptimal in this sample. Findings underscore the importance of addressing depressive symptoms, social support, viral suppression, competing responsibilities for time, institutionalized stigma, and transportation issues in order to reduce the barriers that inhibit women from seeking postpartum HIV care.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.