AIDS Research and Therapy (Jun 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
- 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 W. Jackson,
- Gorata D. Manyeagae,
- Tonya Arscott-Mills,
- Melody Goodman,
- Philip R. Opondo,
- Ari R. Ho-Foster,
- Michael B. Blank
Affiliations
- Lawrence H. Yang
- Department of Social and Behavioral Sciences, School of Global Public Health, New York University
- Evan L. Eschliman
- Department of Health, Behavior and Society, Bloomberg School of Public Health, Johns Hopkins University
- Haitisha Mehta
- Department of Clinical and Counseling Psychology, Teachers College, Columbia University
- Supriya Misra
- Department of Public Health, San Francisco State University
- Ohemaa B. Poku
- Division of Gender, Sexuality, and Health, HIV Center for Clinical and Behavioral Studies, Columbia University and New York State Psychiatric Institute
- Patlo Entaile
- Botswana-UPenn Partnership
- Timothy D. Becker
- Department of Psychiatry, Icahn School of Medicine at Mount Sinai
- Tadele Melese
- Department of Obstetrics and Gynaecology, Faculty of Medicine, University of Botswana
- Merrian J. Brooks
- Botswana-UPenn Partnership
- Marlene Eisenberg
- Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania
- Melissa A. Stockton
- Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons & New York State Psychiatric Institute
- Karen Choe
- Department of Clinical and Counseling Psychology, Teachers College, Columbia University
- Danielle Tal
- Department of Clinical and Counseling Psychology, Teachers College, Columbia University
- Tingyu Li
- Department of Clinical and Counseling Psychology, Teachers College, Columbia University
- Vivian F. Go
- Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill
- Bruce G. Link
- School of Public Policy, University of California Riverside
- Shathani Rampa
- Department of Psychology, University of Botswana
- Valerie W. Jackson
- Department of Anesthesia, University of California San Francisco
- Gorata D. Manyeagae
- Department of Statistics, Faculty of Social Sciences, University of Botswana
- Tonya Arscott-Mills
- Department of Pediatrics and Adolescent Health, Faculty of Medicine, University of Botswana
- Melody Goodman
- Department of Biostatistics, School of Global Public Health, New York University
- Philip R. Opondo
- Department of Psychiatry, Faculty of Medicine, University of Botswana
- Ari R. Ho-Foster
- Center for Global Health, Perelman School of Medicine, University of Pennsylvania
- Michael B. Blank
- Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania
- DOI
- https://doi.org/10.1186/s12981-022-00454-3
- Journal volume & issue
-
Vol. 19,
no. 1
pp. 1 – 11
Abstract
Abstract 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.
Keywords
