The impact of structured support groups for pregnant South African women recently diagnosed HIV positive.

dc.contributor.author

Mundell, Jonathan P

dc.contributor.author

Visser, Maretha J

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Makin, Jennifer D

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Kershaw, Trace S

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Forsyth, Brian WC

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Jeffery, Bridget

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Sikkema, Kathleen J

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United States

dc.date.accessioned

2012-12-19T21:00:13Z

dc.date.issued

2011-08-31

dc.description.abstract

The authors of this study evaluated a structured 10-session psychosocial support group intervention for newly HIV-diagnosed pregnant South African women. Participants were expected to display increases in HIV disclosure, self-esteem, active coping and positive social support, and decreases in depression, avoidant coping, and negative social support. Three hundred sixty-one pregnant HIV-infected women were recruited from four antenatal clinics in Tshwane townships from April 2005 to September 2006. Using a quasi-experimental design, assessments were conducted at baseline and two and eight months post-intervention. A series of random effects regression analyses were conducted, with the three assessment points treated as a random effect of time. At both follow-ups, the rate of disclosure in the intervention group was significantly higher than that of the comparison group (p<0.001). Compared to the comparison group at the first follow-up, the intervention group displayed higher levels of active coping (t=2.68, p<0.05) and lower levels of avoidant coping (t=-2.02, p<0.05), and those who attended at least half of the intervention sessions exhibited improved self-esteem (t=2.11, p<0.05). Group interventions tailored for newly HIV positive pregnant women, implemented in resource-limited settings, may accelerate the process of adjusting to one's HIV status, but may not have sustainable benefits over time.

dc.identifier

http://www.ncbi.nlm.nih.gov/pubmed/21973110

dc.identifier.eissn

1541-0331

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https://hdl.handle.net/10161/6064

dc.language

eng

dc.publisher

Informa UK Limited

dc.relation.ispartof

Women Health

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10.1080/03630242.2011.606356

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Women and Health

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Adaptation, Psychological

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Adult

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Avoidance Learning

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Case-Control Studies

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Female

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Follow-Up Studies

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HIV Seropositivity

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Health Resources

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Humans

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Poverty

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Pregnancy

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Pregnancy Complications, Infectious

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Regression Analysis

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Self Concept

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Self Disclosure

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Self-Help Groups

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Social Support

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South Africa

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Young Adult

dc.title

The impact of structured support groups for pregnant South African women recently diagnosed HIV positive.

dc.type

Journal article

duke.description.issue

6

duke.description.volume

51

pubs.author-url

http://www.ncbi.nlm.nih.gov/pubmed/21973110

pubs.begin-page

546

pubs.end-page

565

pubs.issue

6

pubs.organisational-group

Center for Child and Family Policy

pubs.organisational-group

Clinical Science Departments

pubs.organisational-group

Duke

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Duke Population Research Center

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Duke Population Research Institute

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Global Health Institute

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Institutes and Provost's Academic Units

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Psychiatry & Behavioral Sciences

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Psychiatry & Behavioral Sciences, Medical Psychology

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Psychology and Neuroscience

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Sanford School of Public Policy

pubs.organisational-group

School of Medicine

pubs.organisational-group

Trinity College of Arts & Sciences

pubs.organisational-group

University Institutes and Centers

pubs.publication-status

Published

pubs.volume

51

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