ArticleJournal of mental health (Abingdon, England)2019
Prevalence and factors associated with antenatal depressive symptoms among women enrolled in Option B+ antenatal HIV care in Malawi: a cross-sectional analysis.
Article in Journal of mental health (Abingdon, England), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.
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Who cites it
12 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- The epidemiology of maternal mental health in Africa: a systematic review.Archives of women's mental health · 2025Pooled it
- Antenatal depression and its predictors among HIV positive women in Sub-Saharan Africa; a systematic review and meta-analysis.Frontiers in psychiatry · 2024Pooled it
- Global Systematic Review of Common Mental Health Disorders in Adults Living with HIV.Current HIV/AIDS reports · 2021Pooled it
- Depressive disorder at the household level: prevalence and correlates of depressive symptoms among household members.Global health action · 2023Trial
- Intimate partner violence and mental health outcomes among ever-married women in Mozambique.BMC women's health · 2025Article
- Depression and associated factors among human immunodeficiency virus-positive pregnant women in sub-Saharan Africa: systematic review and meta-analysis.AJOG global reports · 2025Review
- Probable perinatal depression and social support among women enrolled in Malawi's Option B+ Program: A longitudinal analysis.Journal of affective disorders · 2022Observational
- Systematic review on the prevalence of perinatal depression in Malawi.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2022Article
- Prevalence and associated factors of intimate partner violence amongst women attending prevention of mother to child transmission services in Blantyre, Malawi.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2021Article
- Validation of screening tools for common mental health disorders in the methadone maintenance population in Hanoi, Vietnam.BMC psychiatry · 2021Article
- Integrated early childhood development services improve mothers' experiences with prevention of mother to child transmission (PMTCT) programs in Malawi: a qualitative study.BMC health services research · 2021Article
- "Pain in my heart": Understanding perinatal depression among women living with HIV in Malawi.PloS one · 2020Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
backgroundOption B+ has increased the number of pregnant women initiating antiretroviral therapy for HIV, yet retention in HIV care is sub-optimal. Retention may be affected by antenatal depression. However, few data exist on antenatal depression in this population.
aimDescribe the prevalence and factors associated with antenatal depression among Malawian women enrolled in Option B+.
methodAt their first antenatal visit, women with HIV provided demographic and psychosocial information, including depression as measured with the locally validated Edinburgh Postnatal Depression Scale (EPDS). Prevalence ratios (PR) for factors associated with probable depression (EPDS ≥6) were estimated with log binomial regression.
results9.5% (95% CI: 7.5-11.9%) of women screened positive for current depression, and 46% self-reported a history of depression or anxiety. Women were more likely to screen positive for current depression if they reported a history of depression (adjusted PR: 2.42; 95% CI: 1.48-3.95) or had ever experienced intimate partner violence (1.77; 1.11-2.81). Having an unintended current pregnancy (1.78; 0.99-3.21), being unmarried (1.66; 0.97-2.84), or employed (1.56; 1.00-2.44) had potential associations with probable depression.
conclusionsProbable antenatal depression affected a notable proportion of women living with HIV, comparable to other global regions. Screening for antenatal depression in HIV care should be considered.
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