Maternal and child health outcomes in rural South African mothers living with and without HIV

Karl W. le Roux; Joan Christodoulou; Emily C. Davis; Linnea Stansert Katzen; Elaine Dippenaar; Mark Tomlinson; Mary Jane Rotheram-Borus

doi:10.1080/09540121.2019.1679706

Maternal and child health outcomes in rural South African mothers living with and without HIV

Karl W. le Roux, Joan Christodoulou^*, Emily C. Davis, Linnea Stansert Katzen, Elaine Dippenaar, Mark Tomlinson, Mary Jane Rotheram-Borus

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

4 Citations (Scopus)

Abstract

In the era of widespread antiretroviral therapy (ART), consequences of being HIV-exposed is unclear for children, especially in rural communities. A population sample of consecutive births (470/493) in the Eastern Cape of South Africa (SA) were recruited and reassessed at five points over the first 24 months. Maternal and child outcomes between mothers living with and without HIV were assessed using multiple linear and logistic regressions. At birth, 28% of the sample was mothers living with HIV and five additional mothers seroconverted. All mothers living with HIV reported taking ART. The rate of depressed mood and IPV was similar across serostatus. However, mothers living with HIV significantly decreased their alcohol use after learning about their pregnancy and were more likely to exclusively breastfeed when compared to mothers without HIV. Despite maternal HIV status, children had similar growth across the first 24 months of life. Future work is needed to assess if these developmental trajectories will persist.

Original language	English
Pages (from-to)	452-461
Number of pages	10
Journal	AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
Volume	32
Issue number	4
Early online date	22 Oct 2019
DOIs	https://doi.org/10.1080/09540121.2019.1679706
Publication status	Published - 02 Apr 2020
Externally published	Yes

Bibliographical note

Funding Information:
This study was funded by the National Institute of Mental Health (NIMH); [grant number R01MH111391], the Center for HIV Identification, Prevention and Treatment Services (CHIPTS); [grant number P30MH058107], the National Institute on Alcohol Abuse and Alcoholism (NIAAA); [grant numbers R01AA017104 and R24AA022919], the Postdoctoral HIV Research Training Program for HIV Combination Prevention [grant number T32MH109205], and the Elma Foundation. Mark Tomlinson is supported by the National Research Foundation, South Africa and is a Lead Investigator of the Centre of Excellence in Human Development, University Witwatersrand, South Africa.

Publisher Copyright:
© 2019, © 2019 Informa UK Limited, trading as Taylor & Francis Group.

Keywords

exclusive breastfeeding
HIV
HIV exposed children
rural
South Africa

ASJC Scopus subject areas

Social Psychology
Health(social science)
Public Health, Environmental and Occupational Health

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1080/09540121.2019.1679706Licence: Unspecified

Cite this

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abstract = "In the era of widespread antiretroviral therapy (ART), consequences of being HIV-exposed is unclear for children, especially in rural communities. A population sample of consecutive births (470/493) in the Eastern Cape of South Africa (SA) were recruited and reassessed at five points over the first 24 months. Maternal and child outcomes between mothers living with and without HIV were assessed using multiple linear and logistic regressions. At birth, 28% of the sample was mothers living with HIV and five additional mothers seroconverted. All mothers living with HIV reported taking ART. The rate of depressed mood and IPV was similar across serostatus. However, mothers living with HIV significantly decreased their alcohol use after learning about their pregnancy and were more likely to exclusively breastfeed when compared to mothers without HIV. Despite maternal HIV status, children had similar growth across the first 24 months of life. Future work is needed to assess if these developmental trajectories will persist.",

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note = "Funding Information: This study was funded by the National Institute of Mental Health (NIMH); [grant number R01MH111391], the Center for HIV Identification, Prevention and Treatment Services (CHIPTS); [grant number P30MH058107], the National Institute on Alcohol Abuse and Alcoholism (NIAAA); [grant numbers R01AA017104 and R24AA022919], the Postdoctoral HIV Research Training Program for HIV Combination Prevention [grant number T32MH109205], and the Elma Foundation. Mark Tomlinson is supported by the National Research Foundation, South Africa and is a Lead Investigator of the Centre of Excellence in Human Development, University Witwatersrand, South Africa. Publisher Copyright: {\textcopyright} 2019, {\textcopyright} 2019 Informa UK Limited, trading as Taylor & Francis Group.",

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Maternal and child health outcomes in rural South African mothers living with and without HIV

Abstract

Bibliographical note

Keywords

ASJC Scopus subject areas

UN SDGs

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