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Mental health in HIV-positive pregnant women: results from Angola.

机译：HIV阳性孕妇的心理健康：安哥拉的结果。

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摘要

Our objective was to assess the mental health status of pregnant women who are HIV-positive, compared with other groups of pregnant women. We evaluated pregnant HIV-positive women attending the Medecins Sans Frontiers (MSF) HIV clinic in Malanje, Angola (N = 23). The control group consisted of pregnant women coming for antenatal clinic consultations who were not known to be HIV-positive (N=134). To assess mental health, the 12-item General Health Questionnaire (GHQ-12) was used. A score of three or greater was considered to indicate significant emotional distress. We also examined determinants of emotional distress in logistic multivariate regression models. We found that the mean score on the GHQ-12 for the HIV-positive group was more than twice the mean score of the controls, indicating poorer mental health in the HIV-positive group. Two-thirds of HIV-positive women had significant emotional distress, more than twice that in the control group. As well as HIV status, marital status was a strong independent predictor of mental health status, with married women experiencing less emotional distress. Thus, in our sample, pregnant women who were HIV-positive had a much poorer mental health status than the controls. Strategies to improve the mental health of HIV-positive mothers must be implemented and evaluated; efforts to decrease the levels of stigma and discrimination in this population are of key importance.
机译：我们的目标是评估与其他孕妇组相比，艾滋病毒呈阳性的孕妇的心理健康状况。我们评估了在安哥拉马兰吉（N = 23）参加无国界医生诊所（MSF）的HIV阳性孕妇。对照组由孕妇进行产前门诊诊治，她们不知道艾滋病毒呈阳性（N = 134）。为了评估心理健康状况，我们使用了12个项目的一般健康问卷（GHQ-12）。得分为三分或三分以上可表明存在严重的情绪困扰。我们还检查了逻辑多元回归模型中情绪困扰的决定因素。我们发现，HIV阳性组在GHQ-12上的平均得分是对照组平均得分的两倍以上，这表明HIV阳性组的心理健康状况较差。三分之二的艾滋病毒阳性妇女有严重的情绪困扰，是对照组的两倍多。与艾滋病毒感染状况一样，婚姻状况是心理健康状况的有力独立预测指标，已婚妇女的情绪困扰较小。因此，在我们的样本中，艾滋病毒呈阳性的孕妇的心理健康状况比对照组低得多。必须执行和评估改善艾滋病毒阳性母亲的心理健康的战略;减少该人群的污名和歧视程度的努力至关重要。

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