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Loneliness and perceived social support in pregnancy and early postpartum of mothers living with HIV in Ontario, Canada

机译：在加拿大安大略省患有艾滋病毒的怀孕和母亲早期母亲的孤独和感知社会支持

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摘要

The HIV Mothering Study (n = 72) was a prospective, observational, cohort study exploring psychosocial experiences and needs of WLWHIV in pregnancy and postpartum. We performed quantitative analysis of determinants of loneliness (UCLA Loneliness Scale) and lower perceived social support (SS) (Medical Outcomes Study-Social Support Survey). The hypothesized determinants included: age, years with HIV, racism (Everyday Discrimination Scale), depression (Edinburgh Postnatal Depression Scale [EPDS]), nadir CD4 (200 cells/mu L), tertiary vs. community HIV care, and marital status. The median age was 33 (IQR = 30-37); 65.3% were African/Caribbean/Black. Multivariable analyses revealed associations between marital status and perceived social support (beta = -16.48, p 0.0001), and this association was also seen with change over time (p = 0.02). Variables associated with SS that did not change over time were: income, EDS racism, EPDS score. Significant associations with loneliness were seen with the same variables associated with SS. Variables associated with loneliness that also changed over time were: EDS Racism (beta = 0.22, p = 0.0005, and over time p = 0.003), and EPDS score (beta = 0.74, p 0.0001), and over time (p = 0.0211). Variables associated with loneliness but that did not change over time were: marital status and income. This analysis provides clinicians with prenatal risk factors which may be associated with increase loneliness and lower SS during pregnancy and postpartum: marital status, income, racism and depression.
机译：HIV母性研究（N = 72）是探讨怀孕和产后WLWHV活动的心理社会经验和需求的前瞻性，观察，队列的研究。我们对孤独的决定因素进行了定量分析（UCLA孤独规模）和降低的社会支持（SS）（医学结果研究 - 社会支持调查）。假设的决定因素包括：年龄，艾滋病毒，种族主义（日常歧视规模），抑郁症（爱丁堡产后抑郁尺度[EPDS]），Nadir CD4（＆ 200个细胞/ mu l），第三族与群落艾滋病毒护理，和婚姻地位。中位年龄为33（IQR = 30-37）; 65.3％是非洲/加勒比/黑色。多变量分析揭示了婚姻状况和感知社会支持（Beta = -16.48，P＆LT; 0.0001）之间的关联，并且随着时间的变化，也会看到这种关联（P = 0.02）。与随着时间的推移没有变化的SS相关的变量是：收入，EDS种族主义，EPD分数。用与SS相关的相同变量观察到具有孤独感的重要关联。与寂寞相关的变量也随时间变化的是：EDS种族主义（Beta = 0.22，p = 0.0005，以及随时间P = 0.003），并且EPD分数（Beta = 0.74，P <0.0001），随着时间的推移（P = 0.0211）。与寂寞相关但随着时间的推移没有变化的变量是：婚姻状况和收入。该分析为临床医生提供了妊娠期和产后在怀孕期间增加孤独和下部的产前危险因素：婚姻状况，收入，种族主义和抑郁症。

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  • 来源
    《AIDS care.》 |2019年第3期|共8页
  • 作者

    Khan S.; Ion A.; Alyass A.; Greene S.; Kwaramba G.; Smith S.; Carvalhal A.; Kennedy V. L.; Walmsley S.; Loutfy M.;

  • 作者单位

    McMaster Univ Pediat Infect Dis 1280 Main St West HSC-3A Hamilton ON L8S 4K1 Canada;

    McMaster Univ Dept Social Work Hamilton ON Canada;

    McMaser Univ Dept Clin Epidemiol Hamilton ON Canada;

    McMaster Univ Dept Social Work Hamilton ON Canada;

    Univ Toronto St Michaels Hosp Dept Med Toronto ON Canada;

    Univ Toronto St Michaels Hosp Dept Med Toronto ON Canada;

    Univ Toronto Dept Psychiat Toronto ON Canada;

    Univ Toronto Womens Coll Hosp Womens Coll Res Inst Toronto ON Canada;

    Univ Toronto Univ Hlth Network Dept Med Toronto ON Canada;

    Univ Toronto Womens Coll Hosp Womens Coll Res Inst Toronto ON Canada;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 传染病;
  • 关键词

    HIV; pregnancy; loneliness; social support;

    机译：艾滋病毒;怀孕;寂寞;社会支持;

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