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 | |
dc.contributor.author | Makin, Jennifer D | |
dc.contributor.author | Kershaw, Trace S | |
dc.contributor.author | Forsyth, Brian WC | |
dc.contributor.author | Jeffery, Bridget | |
dc.contributor.author | Sikkema, Kathleen J | |
dc.coverage.spatial | 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 | ||
dc.identifier.eissn | 1541-0331 | |
dc.identifier.uri | ||
dc.language | eng | |
dc.publisher | Informa UK Limited | |
dc.relation.ispartof | Women Health | |
dc.relation.isversionof | 10.1080/03630242.2011.606356 | |
dc.relation.journal | Women and Health | |
dc.subject | Adaptation, Psychological | |
dc.subject | Adult | |
dc.subject | Avoidance Learning | |
dc.subject | Case-Control Studies | |
dc.subject | Female | |
dc.subject | Follow-Up Studies | |
dc.subject | HIV Seropositivity | |
dc.subject | Health Resources | |
dc.subject | Humans | |
dc.subject | Poverty | |
dc.subject | Pregnancy | |
dc.subject | Pregnancy Complications, Infectious | |
dc.subject | Regression Analysis | |
dc.subject | Self Concept | |
dc.subject | Self Disclosure | |
dc.subject | Self-Help Groups | |
dc.subject | Social Support | |
dc.subject | South Africa | |
dc.subject | 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 | ||
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 | |
pubs.organisational-group | Duke Population Research Center | |
pubs.organisational-group | Duke Population Research Institute | |
pubs.organisational-group | Global Health Institute | |
pubs.organisational-group | Institutes and Provost's Academic Units | |
pubs.organisational-group | Psychiatry & Behavioral Sciences | |
pubs.organisational-group | Psychiatry & Behavioral Sciences, Medical Psychology | |
pubs.organisational-group | Psychology and Neuroscience | |
pubs.organisational-group | 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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