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A pilot pragmatic trial of a “what matters most”-based intervention targeting intersectional stigma related to being pregnant and living with HIV in Botswana

Article scientifique 2022 Anglais

Résumé

We conducted a pilot trial of an intervention targeting intersectional stigma related to being pregnant and living with HIV while promoting capabilities for achieving 'respected motherhood' ('what matters most') in Botswana. A pragmatic design allocated participants to the intervention (N = 44) group and the treatment-as-usual (N = 15) group. An intent-to-treat, difference-in-difference analysis found the intervention group had significant decreases in HIV stigma (d = - 1.20; 95% CI - 1.99, - 0.39) and depressive symptoms (d = - 1.96; 95% CI - 2.89, - 1.02) from baseline to 4-months postpartum. Some, albeit less pronounced, changes in intersectional stigma were observed, suggesting the importance of structural-level intervention components to reduce intersectional stigma.

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Yang, L., Eschliman, E., Mehta, H., Misra, S., Poku, O., Entaile, P., Becker, T., Melese, T., Brooks, M., Eisenberg, M., Stockton, M., Choe, K., Tal, D., Li, T., Go, V., Link, B., Rampa, S., Jackson, V., Manyeagae, G., Arscott‐Mills, T., Goodman, M., Opondo, P., Ho‐Foster, A., Blank, M. (2022). A pilot pragmatic trial of a “what matters most”-based intervention targeting intersectional stigma related to being pregnant and living with HIV in Botswana. https://doi.org/10.1186/s12981-022-00454-3

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Auteur(s)

Lawrence H. Yang Evan L. Eschliman Haitisha Mehta Supriya Misra Ohemaa B. Poku Patlo Entaile Timothy D. Becker Tadele Melese Merrian J. Brooks Marlene Eisenberg Melissa A. Stockton Karen Choe Danielle Tal Tingyu Li Vivian F. Go Bruce G. Link Shathani Rampa Valerie Jackson Gorata D. Manyeagae Tonya Arscott‐Mills Melody S. Goodman Philip Opondo Ari Ho‐Foster Michael B. Blank

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