Evidence map›Paper›PMID 33997940›Full record

ArticleAIDS and behavior2021

"I Found Out I was Pregnant, and I Started Feeling Stressed": A Longitudinal Qualitative Perspective of Mental Health Experiences Among Perinatal Women Living with HIV.

Emily L Tuthill, Ann E Maltby, Belinda C Odhiambo, Eliud Akama, Jennifer A Pellowski, Craig R Cohen, Sheri D Weiser, Amy A Conroy

Registry-linked trialAbstract read
In one paragraph

Article in AIDS and behavior, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05219552 (Understanding the Role of Food Insecurity and Depression in Non-adherence to Option B+ Among Perinatal Kenyan Women Living With HIV), which is not on this map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT05219552 nacompletednot on this mapstarted 2022, after this paper: background citation

Understanding the Role of Food Insecurity and Depression in Non-adherence to Option B+ Among Perinatal Kenyan Women Living With HIV: A Syndemics Approach

TypeinterventionalSponsorUniversity of California, San FranciscoRan2022 to 2023Enrolled40ConditionsMental Health Issue, Hiv, Breastfeeding, ExclusiveArmspersonalized lactation support
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Risks to the Unborn: An Umbrella Review on the Effects of Prenatal Maternal Stress Caused by Natural Disasters.Stress and health : journal of the International Society for the Investigation of Stress · 2025
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  12. Journal of HIV/AIDS & social services · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Emily L TuthillDepartment of Community Health Systems, School of Nursing, University of California, 2 Koret Way, San Francisco, CA, 94143, USA. Emily.tuthill@ucsf.edu.ORCID http://orcid.org/0000-0001-6729-4101
Ann E MaltbyDepartment of Community Health Systems, School of Nursing, University of California, 2 Koret Way, San Francisco, CA, 94143, USA.
Belinda C OdhiamboDepartment of Community Health Systems, School of Nursing, University of California, 2 Koret Way, San Francisco, CA, 94143, USA.
Eliud AkamaKenya Medical Research Institute- Center for Microbiology Research, Nairobi, Kenya.
Jennifer A PellowskiDepartment of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI, USA.
Craig R CohenDepartment of Obstetrics, Gynecology and Reproductive Sciences, University of California San Francisco, San Francisco, CA, USA.
Sheri D WeiserDivision of HIV, Infectious Disease, and Global Medicine, Department of Medicine, University of California San Francisco, San Francisco, CA, USA.
Amy A ConroyDivision of Prevention Sciences, Department of Medicine, Center for AIDS Prevention Studies, University of California San Francisco, San Francisco, CA, USA.

Funding

Virology CoreP30AI027763 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI PETER W HUNT · 1988 to 2026
$93.6M
Ujima Mentoring ProgramP30MH062246 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MALLORY O JOHNSON · 2001 to 2026
$57.4M
Mentoring in Patient Oriented Research on Food Insecurity, HIV and AgingK24AI134326 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SHERI Dawn WEISER · 2017 to 2026
$1.4M
Understanding the role of food insecurity and depression in non-adherence to Option B+ among perinatal Kenyan women living with HIV: a Syndemics approach supplementK23MH116807 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI TUTHILL, EMILY · 2018 to 2022
$1.0M
Adherence to HIV Treatment Postpartum: The Implications of Transitions Among Women Living with HIV in South AfricaK01MH112443 · NIMH · BROWN UNIVERSITY · PI PELLOWSKI, JENNIFER ANN · 2017 to 2022
$893k
Relationship Factors and Engagement in HIV Care in Malawi: A Dyadic InvestigationK01MH107331 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CONROY, AMY ANNE · 2016 to 2019
$773k
NIAID NIH HHS K24 AI134326NIAID NIH HHS P30 AI027763NIH HHS K24AI134326NIMH NIH HHS K01 MH107331NIMH NIH HHS K01MH107331NIMH NIH HHS K01 MH112443NIMH NIH HHS K01MH112443NIMH NIH HHS K23 MH116807NIMH NIH HHS K23MH116807NIMH NIH HHS P30 MH062246
6 · The paper itself

Abstract

Globally, depressive symptoms among pregnant and postpartum (i.e., perinatal) women living with HIV (WLWH) are alarmingly high and associated with poor outcomes such as suboptimal adherence to antiretroviral therapy (ART), and early cessation of exclusive breastfeeding (EBF). Few qualitative studies have described the experience of perinatal depression among WLWH to identify the underlying social-structural determinants of poor mental health and potential strategies to intervene. We conducted a longitudinal qualitative study applying semi-structured interviews with 30 WLWH at three timepoints (28-38 weeks pregnant, 6-weeks postpartum and 5-7 months postpartum) to understand mental health experiences of perinatal WLWH in western Kenya. Financial insecurity emerged as the central theme impacting the mental health of women across time. Financial insecurity was often attributed to the loss of employment, related to pregnancy and the demands of breastfeeding and caring for an infant, as well as a lack of support from male partners. The loss of income and subsequent financial strain contributed to worsening levels of food insecurity and relationship stress and challenged engagement in HIV care. In this way, increased financial strain during the perinatal period negatively impacted the mental health of perinatal WLWH. Our findings suggest support to meet basic needs and remain engaged in HIV care during pregnancy and postpartum could improve perinatal mental health for WLWH in this setting.

Indexed as

HIV InfectionsMental HealthBreast FeedingFemaleHumansInfantLongitudinal StudiesMalePostpartum PeriodPregnancyExclusive breast feedingFinancial insecurityFood insecurityLongitudinal qualitativeMental healthPerinatal depressionPrevention of mother to child transmissionWomen living with HIV

Identifiers

PMID33997940
PMCPMC8126180

What OpenQuestion holds

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Registered trials

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.