Household decision-making power and the mental health and well-being of women initiating antiretroviral treatment in Oromia, Ethiopia
Low decision-making power (DMP) has been associated with HIV seropositivity among women in sub-Saharan Africa. As treatment accessibility and life expectancy for HIV-positive individuals increase, greater attention to the mental health and well-being of HIV-positive women is needed. This study examined whether low DMP was associated with psychological distress, social support or health-related quality of life (HRQoL) among women initiating ART. The sample included 722 women aged 18 or older initiating ART during 2012-2013 at six HIV clinics in Oromia, Ethiopia. DMP was assessed with five questions about household resource control and decision-making. Psychological distress was assessed with the Kessler Psychological Distress Scale (K10). HRQoL was assessed with the overall subscale of the HIV/AIDS-Targeted Quality of Life instrument. Multivariable logistic regression analyses controlled for age, education, and location (urban/rural). Most respondents (63%) reported high DMP, followed by medium (27%) and low (10%) DMP. More than half (57%) reported psychological distress. Compared to medium DMP, low DMP among married or cohabitating women was associated with greater odds of low social support (aOR: 1.9 [1.3, 2.9]; high DMP among women not in a relationship was associated with greater odds of low social support (aOR: 4.4 [2.4, 8.1]) and psychological distress (aOR: 1.7 [1.1, 2.6]). Interventions to reduce psychological distress among women initiating ART should consider the familial context, as high DMP among women not in a relationship was associated with psychological distress. High DMP may indicate weak social ties and fewer material resources, particularly among women not in a relationship.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2018 |
|---|---|
| Erschienen: |
2018 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:30 |
|---|---|
| Enthalten in: |
AIDS care - 30(2018), 2 vom: 03. Feb., Seite 211-218 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Parcesepe, Angela M [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
ART |
|---|
| Anmerkungen: |
Date Completed 31.08.2018 Date Revised 27.03.2024 published: Print-Electronic Citation Status MEDLINE |
|---|
| doi: |
10.1080/09540121.2017.1360998 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM274482029 |
|---|
| LEADER | 01000caa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM274482029 | ||
| 003 | DE-627 | ||
| 005 | 20240327232737.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231225s2018 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1080/09540121.2017.1360998 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1350.xml |
| 035 | |a (DE-627)NLM274482029 | ||
| 035 | |a (NLM)28774191 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Parcesepe, Angela M |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Household decision-making power and the mental health and well-being of women initiating antiretroviral treatment in Oromia, Ethiopia |
| 264 | 1 | |c 2018 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 31.08.2018 | ||
| 500 | |a Date Revised 27.03.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Low decision-making power (DMP) has been associated with HIV seropositivity among women in sub-Saharan Africa. As treatment accessibility and life expectancy for HIV-positive individuals increase, greater attention to the mental health and well-being of HIV-positive women is needed. This study examined whether low DMP was associated with psychological distress, social support or health-related quality of life (HRQoL) among women initiating ART. The sample included 722 women aged 18 or older initiating ART during 2012-2013 at six HIV clinics in Oromia, Ethiopia. DMP was assessed with five questions about household resource control and decision-making. Psychological distress was assessed with the Kessler Psychological Distress Scale (K10). HRQoL was assessed with the overall subscale of the HIV/AIDS-Targeted Quality of Life instrument. Multivariable logistic regression analyses controlled for age, education, and location (urban/rural). Most respondents (63%) reported high DMP, followed by medium (27%) and low (10%) DMP. More than half (57%) reported psychological distress. Compared to medium DMP, low DMP among married or cohabitating women was associated with greater odds of low social support (aOR: 1.9 [1.3, 2.9]; high DMP among women not in a relationship was associated with greater odds of low social support (aOR: 4.4 [2.4, 8.1]) and psychological distress (aOR: 1.7 [1.1, 2.6]). Interventions to reduce psychological distress among women initiating ART should consider the familial context, as high DMP among women not in a relationship was associated with psychological distress. High DMP may indicate weak social ties and fewer material resources, particularly among women not in a relationship | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a ART | |
| 650 | 4 | |a Ethiopia | |
| 650 | 4 | |a HIV | |
| 650 | 4 | |a decision-making power | |
| 650 | 4 | |a diagnosis | |
| 650 | 4 | |a mental health | |
| 650 | 4 | |a quality of life | |
| 650 | 4 | |a treatment | |
| 700 | 1 | |a Tymejczyk, Olga |e verfasserin |4 aut | |
| 700 | 1 | |a Remien, Robert |e verfasserin |4 aut | |
| 700 | 1 | |a Gadisa, Tsigereda |e verfasserin |4 aut | |
| 700 | 1 | |a Kulkarni, Sarah Gorrell |e verfasserin |4 aut | |
| 700 | 1 | |a Hoffman, Susie |e verfasserin |4 aut | |
| 700 | 1 | |a Melaku, Zenebe |e verfasserin |4 aut | |
| 700 | 1 | |a Elul, Batya |e verfasserin |4 aut | |
| 700 | 1 | |a Nash, Denis |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t AIDS care |d 1989 |g 30(2018), 2 vom: 03. Feb., Seite 211-218 |w (DE-627)NLM012951560 |x 1360-0451 |7 nnns |
| 773 | 1 | 8 | |g volume:30 |g year:2018 |g number:2 |g day:03 |g month:02 |g pages:211-218 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1080/09540121.2017.1360998 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 30 |j 2018 |e 2 |b 03 |c 02 |h 211-218 | ||