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Loneliness and perceived social support in pregnancy and early postpartum of mothers living with HIV in Ontario, Canada.
AIDS Care. 2019 03; 31(3):318-325.AC

Abstract

The HIV Mothering Study (n = 72) was a prospective, observational, cohort study exploring psychosocial experiences and needs of WLWHIV in pregnancy and postpartum. We performed quantitative analysis of determinants of loneliness (UCLA Loneliness Scale) and lower perceived social support (SS) (Medical Outcomes Study-Social Support Survey). The hypothesized determinants included: age, years with HIV, racism (Everyday Discrimination Scale), depression (Edinburgh Postnatal Depression Scale [EPDS]), nadir CD4 (<200 cells/μL), tertiary vs. community HIV care, and marital status. The median age was 33 (IQR = 30-37); 65.3% were African/Caribbean/Black. Multivariable analyses revealed associations between marital status and perceived social support (β = -16.48, p < 0.0001), and this association was also seen with change over time (p = 0.02). Variables associated with SS that did not change over time were: income, EDS racism, EPDS score. Significant associations with loneliness were seen with the same variables associated with SS. Variables associated with loneliness that also changed over time were: EDS Racism (β = 0.22, p = 0.0005, and over time p = 0.003), and EPDS score (β = 0.74, p < 0.0001), and over time (p = 0.0211). Variables associated with loneliness but that did not change over time were: marital status and income. This analysis provides clinicians with prenatal risk factors which may be associated with increase loneliness and lower SS during pregnancy and postpartum: marital status, income, racism and depression.

Authors+Show Affiliations

a Pediatric Infectious Diseases , McMaster University , Hamilton , Canada.b Department of Social Work , McMaster University , Hamilton , Canada.c Department of Clinical Epidemiology , McMaser University , Hamilton , Canada.b Department of Social Work , McMaster University , Hamilton , Canada.d Department of Medicine , University of Toronto, St. Michael's Hospital , Toronto , Canada.d Department of Medicine , University of Toronto, St. Michael's Hospital , Toronto , Canada.e Department of Psychiatry , University of Toronto , Toronto , Canada.f Women's College Research Institute , Women's College Hospital, University of Toronto & Maple Leaf Medical Clinic , Toronto , Canada.g Department of Medicine , University of Toronto, University Health Network , Toronto , Canada.f Women's College Research Institute , Women's College Hospital, University of Toronto & Maple Leaf Medical Clinic , Toronto , Canada.

Pub Type(s)

Journal Article
Observational Study
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

30157684

Citation

Khan, S, et al. "Loneliness and Perceived Social Support in Pregnancy and Early Postpartum of Mothers Living With HIV in Ontario, Canada." AIDS Care, vol. 31, no. 3, 2019, pp. 318-325.
Khan S, Ion A, Alyass A, et al. Loneliness and perceived social support in pregnancy and early postpartum of mothers living with HIV in Ontario, Canada. AIDS Care. 2019;31(3):318-325.
Khan, S., Ion, A., Alyass, A., Greene, S., Kwaramba, G., Smith, S., Carvalhal, A., Kennedy, V. L., Walmsley, S., & Loutfy, M. (2019). Loneliness and perceived social support in pregnancy and early postpartum of mothers living with HIV in Ontario, Canada. AIDS Care, 31(3), 318-325. https://doi.org/10.1080/09540121.2018.1515469
Khan S, et al. Loneliness and Perceived Social Support in Pregnancy and Early Postpartum of Mothers Living With HIV in Ontario, Canada. AIDS Care. 2019;31(3):318-325. PubMed PMID: 30157684.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Loneliness and perceived social support in pregnancy and early postpartum of mothers living with HIV in Ontario, Canada. AU - Khan,S, AU - Ion,A, AU - Alyass,A, AU - Greene,S, AU - Kwaramba,G, AU - Smith,S, AU - Carvalhal,A, AU - Kennedy,V L, AU - Walmsley,S, AU - Loutfy,M,for the HIV Mothering Study Team Y1 - 2018/08/29/ PY - 2018/8/31/pubmed PY - 2020/1/25/medline PY - 2018/8/31/entrez KW - HIV KW - loneliness KW - pregnancy KW - social support SP - 318 EP - 325 JF - AIDS care JO - AIDS Care VL - 31 IS - 3 N2 - The HIV Mothering Study (n = 72) was a prospective, observational, cohort study exploring psychosocial experiences and needs of WLWHIV in pregnancy and postpartum. We performed quantitative analysis of determinants of loneliness (UCLA Loneliness Scale) and lower perceived social support (SS) (Medical Outcomes Study-Social Support Survey). The hypothesized determinants included: age, years with HIV, racism (Everyday Discrimination Scale), depression (Edinburgh Postnatal Depression Scale [EPDS]), nadir CD4 (<200 cells/μL), tertiary vs. community HIV care, and marital status. The median age was 33 (IQR = 30-37); 65.3% were African/Caribbean/Black. Multivariable analyses revealed associations between marital status and perceived social support (β = -16.48, p < 0.0001), and this association was also seen with change over time (p = 0.02). Variables associated with SS that did not change over time were: income, EDS racism, EPDS score. Significant associations with loneliness were seen with the same variables associated with SS. Variables associated with loneliness that also changed over time were: EDS Racism (β = 0.22, p = 0.0005, and over time p = 0.003), and EPDS score (β = 0.74, p < 0.0001), and over time (p = 0.0211). Variables associated with loneliness but that did not change over time were: marital status and income. This analysis provides clinicians with prenatal risk factors which may be associated with increase loneliness and lower SS during pregnancy and postpartum: marital status, income, racism and depression. SN - 1360-0451 UR - https://www.unboundmedicine.com/medline/citation/30157684/Loneliness_and_perceived_social_support_in_pregnancy_and_early_postpartum_of_mothers_living_with_HIV_in_Ontario_Canada_ L2 - http://www.tandfonline.com/doi/full/10.1080/09540121.2018.1515469 DB - PRIME DP - Unbound Medicine ER -