Prevalence of prenatal depression and associated factors among hiv-positive women in primary care in mpumalanga province, South Africa

Karl Peltzer, Violeta J. Rodriguez, Deborah Jones

Research output: Contribution to journalArticle

25 Scopus citations


This study aimed to assess the prevalence of depressed symptoms and associated factors in prenatal HIV-positive women in primary care facilities in rural South Africa. In a cross-sectional study, 663 HIV-positive prenatal women in 12 community health centres in Mpumalanga province, South Africa, were recruited by systematic sampling (every consecutive patient after HIV post-test counselling). Results indicate that overall, 48.7% [95% CI: 44.8, 52.6] of women during the prenatal period reported depressed mood (scores of ≥ 13 on the Edinburgh Postnatal Depression Scale 10). In multivariate analysis, not being employed, unplanned pregnancy, not having an HIV-positive child, poor antiretroviral therapy adherence, non-condom use at last sex, and intimate partner violence were associated with depressive symptoms. Potential risk factors among HIV-infected prenatal women were identified which could be utilized in interventions. Routine screening for depression may be integrated into prenatal care settings.

Original languageEnglish (US)
Pages (from-to)60-67
Number of pages8
JournalSahara J
Issue number1
StatePublished - Jan 1 2016



  • Antenatal care
  • Depressive symptoms
  • Edinburgh postnatal depression scale 10
  • HIV positive
  • Pregnant women
  • South Africa

ASJC Scopus subject areas

  • Immunology and Allergy
  • Health(social science)
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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