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

Journal: AIDS care

Volume: 32

Issue: 4

Year of Publication: 2020

Affiliated Institutions:  Zithulele Training and Reseach Centre, Zithulele Hospital, Eastern Cape, South Africa. Department of Psychiatry and Biobehavioral Sciences, Semel Institute, University of California at Los Angeles, Los Angeles, CA, USA. Department of Psychology, Stellenbosch University, Matieland, South Africa.

Abstract summary 

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.

Authors & Co-authors:  le Roux Karl W KW Christodoulou Joan J Davis Emily C EC Stansert Katzen Linnea L Dippenaar Elaine E Tomlinson Mark M Rotheram-Borus Mary Jane MJ

Study Outcome 

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Statistics
Citations :  Black RE, Victora CG, Walker SP, Bhutta ZA, Christian P, Onis M. de, … Uauy R (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet, 382(9890), 427–451. 10.1016/S0140-6736(13)60937-X
Authors :  7
Identifiers
Doi : 10.1080/09540121.2019.1679706
SSN : 1360-0451
Study Population
Mothers
Mesh Terms
Anti-HIV Agents
Other Terms
HIV;HIV exposed children;South Africa;exclusive breastfeeding;rural
Study Design
Cross Sectional Study
Study Approach
Country of Study
South Africa
Publication Country
England