Maternal and child health outcomes in rural South African mothers living with and without HIV. Issue 4 (2nd April 2020)

• Record Type: Journal Article
• Authors: le Roux, Karl W.; Christodoulou, Joan; Davis, Emily C.; Stansert Katzen, Linnea; Dippenaar, Elaine; Tomlinson, Mark; Rotheram-Borus, Mary Jane
• Is Part Of: AIDS care. Volume 32:Issue 4(2020)
• Page Start: 452
• Page End: 461
• Publication Date: 2020-04-02
• Subjects: HIV exposed children -- HIV -- rural -- South Africa -- exclusive breastfeeding; AIDS (Disease) -- Social aspects -- Periodicals; AIDS (Disease) -- Psychological aspects -- Periodicals; AIDS (Disease) -- Patients -- Care -- Periodicals; Acquired Immunodeficiency Syndrome; 362.1969792
• DOI: 10.1080/09540121.2019.1679706
• Languages: English
• ISSNs: 0954-0121

Abstract

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.