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Mental health and other clinical and social characteristics of young mothers living with HIV in Zimbabwe: a mixed-methods study.

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Title: Mental health and other clinical and social characteristics of young mothers living with HIV in Zimbabwe: a mixed-methods study.
Authors: Mupambireyi, Zivai, Simms, Victoria, Mavhu, Webster, Mutasa, Concilia, Matsikire, Edward, Ricotta, April, Senzanje, Beula, Pierotti, Chiara, Mushavi, Angela, Willis, Nicola, Cowan, Frances M.
Source: AIDS Care. Jun2025, Vol. 37 Issue 6, p931-941. 11p.
Subjects: Mental illness risk factors, Sexual partners, Mental health, Viral load, Intimate partner violence, Affinity groups, Interviewing, HIV infections, Treatment effectiveness, Descriptive statistics, Psychology of HIV-positive persons, Thematic analysis, Odds ratio, Psychology of mothers, Research methodology, Social support, Data analysis software, Self-disclosure, Symptoms
Geographic Terms: Zimbabwe
Abstract: Young women living with HIV (YWLHIV) experience numerous stressors including treatment management and poor parent modelling. We investigated YWLHIV's mental health and other clinical and social characteristics to inform tailored support. YWLHIV (15–24 years old) participating in a peer-support model tailored for young mothers (Young Mentor Mum intervention) completed a self-administered interview and had clinical and psychological assessments in March to April 2019. A subset participated in in-depth interviews and had their partners interviewed. We analysed quantitative and qualitative data using STATA 15 and thematic analysis, respectively. We enrolled 177 YWLHIV. We found high rates of maternal viral suppression (86.9% with viral load <1000 copies/ml). Over half were at risk of common mental disorder (CMD), scoring above the cut-off point (SSQ ≥8, 50.3%) and depression (EPDS ≥12, 55.9%). CMD risk was higher among women who reported intimate partner violence in the past year (64.1% vs 39.4%; adjusted OR 2.48 (1.12, 5.48) for violence 1–2 times and 2.41 (0.99–5.85) for higher frequency; p =.03). HIV status disclosure was limited; only 44.1% had disclosed to their partners. YWLHIV confront challenges which affect their health and that of their children. Youth-focused mental health interventions coupled with couples counselling and violence prevention need to be scaled up. [ABSTRACT FROM AUTHOR]
Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Mental health and other clinical and social characteristics of young mothers living with HIV in Zimbabwe: a mixed-methods study.
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22AIDS+Care%22&quot;&gt;AIDS Care&lt;/searchLink&gt;. Jun2025, Vol. 37 Issue 6, p931-941. 11p.
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  Data: Young women living with HIV (YWLHIV) experience numerous stressors including treatment management and poor parent modelling. We investigated YWLHIV&#39;s mental health and other clinical and social characteristics to inform tailored support. YWLHIV (15–24 years old) participating in a peer-support model tailored for young mothers (Young Mentor Mum intervention) completed a self-administered interview and had clinical and psychological assessments in March to April 2019. A subset participated in in-depth interviews and had their partners interviewed. We analysed quantitative and qualitative data using STATA 15 and thematic analysis, respectively. We enrolled 177 YWLHIV. We found high rates of maternal viral suppression (86.9% with viral load &lt;1000 copies/ml). Over half were at risk of common mental disorder (CMD), scoring above the cut-off point (SSQ ≥8, 50.3%) and depression (EPDS ≥12, 55.9%). CMD risk was higher among women who reported intimate partner violence in the past year (64.1% vs 39.4%; adjusted OR 2.48 (1.12, 5.48) for violence 1–2 times and 2.41 (0.99–5.85) for higher frequency; p =.03). HIV status disclosure was limited; only 44.1% had disclosed to their partners. YWLHIV confront challenges which affect their health and that of their children. Youth-focused mental health interventions coupled with couples counselling and violence prevention need to be scaled up. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of AIDS Care is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/09540121.2025.2473948
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      – Code: eng
        Text: English
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        PageCount: 11
        StartPage: 931
    Subjects:
      – SubjectFull: Mental illness risk factors
        Type: general
      – SubjectFull: Sexual partners
        Type: general
      – SubjectFull: Mental health
        Type: general
      – SubjectFull: Viral load
        Type: general
      – SubjectFull: Intimate partner violence
        Type: general
      – SubjectFull: Affinity groups
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: HIV infections
        Type: general
      – SubjectFull: Treatment effectiveness
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Psychology of HIV-positive persons
        Type: general
      – SubjectFull: Thematic analysis
        Type: general
      – SubjectFull: Odds ratio
        Type: general
      – SubjectFull: Psychology of mothers
        Type: general
      – SubjectFull: Research methodology
        Type: general
      – SubjectFull: Social support
        Type: general
      – SubjectFull: Data analysis software
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      – SubjectFull: Self-disclosure
        Type: general
      – SubjectFull: Symptoms
        Type: general
      – SubjectFull: Zimbabwe
        Type: general
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              Text: Jun2025
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