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Factors associated with postpartum physical and mental morbidity among women with known HIV status in Lusaka, Zambia.

机译:赞比亚卢萨卡艾滋病毒感染状况已知的妇女与产后身体和精神疾病的相关因素。

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摘要

The objective of our study was to investigate factors associated with postpartum physical and mental morbidity among women in Lusaka, Zambia with particular reference to known HIV status. Our study was part of the Breastfeeding and Postpartum Health (BFPH) longitudinal cohort study conducted between June 2001 and July 2003. Women were recruited at 34 weeks gestation and followed up to 16 weeks postpartum. Data on maternal health were collected at 3, 7, 10, and 14 days and at 3, 4, 5, 6, 9, 12, and 16 weeks postpartum. Maternal mental health data were collected from April 2002 onwards at recruitment and at seven days and six weeks postpartum. Data on physical morbidity were collected for 429 women (218 HIV-negative, 211 HIV-positive) and data on mental morbidity were collected for 272 women (134 HIV-negative, 138 HIV-positive). Multivariate logistic regression was used to examine factors associated with postpartum physical or mental morbidity. Postpartum physical morbidity was associated with HIV status, parity > or =5 and age < 20 years. Neither antenatal nor postpartum mental morbidity, as indicated by a self-reporting questionnaire 20-item (SRQ-20) score > or =7, were associated with HIV status or with postpartum physical morbidity in this population. Larger comparative studies are required to corroborate or contest these findings.
机译:我们研究的目的是调查与赞比亚卢萨卡妇女产后身体和精神疾病相关的因素,特别是已知的艾滋病毒感染状况。我们的研究是2001年6月至2003年7月间进行的母乳喂养和产后健康(BFPH)纵向队列研究的一部分。妇女在妊娠34周时被招募,并在产后16周进行随访。在产后3、7、10和14天以及3、4、5、6、9、12和16周时收集了有关孕产妇健康的数据。从2002年4月开始,在招募时以及产后7天和6周收集孕产妇心理健康数据。收集了429名妇女的身体发病率数据(218例HIV阴性,211例HIV阳性),收集了272例妇女的精神疾病数据(134例HIV阴性,138例HIV阳性)。多元logistic回归用于检查与产后身体或精神疾病相关的因素。产后身体发病与HIV状况相关,均等>或= 5且年龄<20岁。自我报告的20项问卷(SRQ-20)得分> 7或= 7,表明该人群的产前和产后精神病均与艾滋病毒状态或产后身体发病率无关。需要更大的比较研究来证实或质疑这些发现。

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