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A pilot pragmatic trial of a "what matters most"-based intervention targeting intersectional stigma related to being pregnant and living with HIV in Botswana.
Yang, Lawrence H; Eschliman, Evan L; Mehta, Haitisha; Misra, Supriya; Poku, Ohemaa B; Entaile, Patlo; Becker, Timothy D; Melese, Tadele; Brooks, Merrian J; Eisenberg, Marlene; Stockton, Melissa A; Choe, Karen; Tal, Danielle; Li, Tingyu; Go, Vivian F; Link, Bruce G; Rampa, Shathani; Jackson, Valerie W; Manyeagae, Gorata D; Arscott-Mills, Tonya; Goodman, Melody; Opondo, Philip R; Ho-Foster, Ari R; Blank, Michael B.
Afiliação
  • Yang LH; Department of Social and Behavioral Sciences, School of Global Public Health, New York University, 708 Broadway, New York, NY, 10003, USA. ly1067@nyu.edu.
  • Eschliman EL; Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA. ly1067@nyu.edu.
  • Mehta H; Department of Health, Behavior and Society, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
  • Misra S; Department of Clinical and Counseling Psychology, Teachers College, Columbia University, New York, NY, USA.
  • Poku OB; Department of Public Health, San Francisco State University, San Francisco, CA, USA.
  • Entaile P; Division of Gender, Sexuality, and Health, HIV Center for Clinical and Behavioral Studies, Columbia University and New York State Psychiatric Institute, New York, NY, USA.
  • Becker TD; Botswana-UPenn Partnership, Gaborone, Botswana.
  • Melese T; Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
  • Brooks MJ; Department of Obstetrics and Gynaecology, Faculty of Medicine, University of Botswana, Gaborone, Botswana.
  • Eisenberg M; Botswana-UPenn Partnership, Gaborone, Botswana.
  • Stockton MA; Department of Pediatrics, Craig Dalsimer Division of Adolescent Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
  • Choe K; Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
  • Tal D; Department of Pediatrics and Adolescent Health, Faculty of Medicine, University of Botswana, Gaborone, Botswana.
  • Li T; Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
  • Go VF; Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons & New York State Psychiatric Institute, New York, USA.
  • Link BG; Department of Clinical and Counseling Psychology, Teachers College, Columbia University, New York, NY, USA.
  • Rampa S; Department of Clinical and Counseling Psychology, Teachers College, Columbia University, New York, NY, USA.
  • Jackson VW; Department of Clinical and Counseling Psychology, Teachers College, Columbia University, New York, NY, USA.
  • Manyeagae GD; Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, USA.
  • Arscott-Mills T; School of Public Policy, University of California Riverside, Riverside, CA, USA.
  • Goodman M; Department of Sociology, University of California Riverside, Riverside, CA, USA.
  • Opondo PR; Department of Psychology, University of Botswana, Gaborone, Botswana.
  • Ho-Foster AR; Department of Anesthesia, University of California San Francisco, San Francisco, CA, USA.
  • Blank MB; Department of Statistics, Faculty of Social Sciences, University of Botswana, Gaborone, Botswana.
AIDS Res Ther ; 19(1): 26, 2022 06 23.
Article em En | MEDLINE | ID: mdl-35739534
ABSTRACT
We conducted a pilot trial of an intervention targeting intersectional stigma related to being pregnant and living with HIV while promoting capabilities for achieving 'respected motherhood' ('what matters most') in Botswana. A pragmatic design allocated participants to the intervention (N = 44) group and the treatment-as-usual (N = 15) group. An intent-to-treat, difference-in-difference analysis found the intervention group had significant decreases in HIV stigma (d = - 1.20; 95% CI - 1.99, - 0.39) and depressive symptoms (d = - 1.96; 95% CI - 2.89, - 1.02) from baseline to 4-months postpartum. Some, albeit less pronounced, changes in intersectional stigma were observed, suggesting the importance of structural-level intervention components to reduce intersectional stigma.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Infecções por HIV Tipo de estudo: Clinical_trials Limite: Female / Humans / Pregnancy País/Região como assunto: Africa Idioma: En Revista: AIDS Res Ther Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Infecções por HIV Tipo de estudo: Clinical_trials Limite: Female / Humans / Pregnancy País/Região como assunto: Africa Idioma: En Revista: AIDS Res Ther Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Estados Unidos