@article{76db0e2b82b8429db93ea803a3f73291,
title = "A pilot pragmatic trial of a “what matters most”-based intervention targeting intersectional stigma related to being pregnant and living with HIV in Botswana",
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 {\textquoteleft}respected motherhood{\textquoteright} ({\textquoteleft}what matters most{\textquoteright}) 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 = "Botswana, Culture, Intersectional stigma, Pregnant women living with HIV, Stigma intervention",
author = "Yang, {Lawrence H.} and Eschliman, {Evan L.} and Haitisha Mehta and Supriya Misra and Poku, {Ohemaa B.} and Patlo Entaile and Becker, {Timothy D.} and Tadele Melese and Brooks, {Merrian J.} and Marlene Eisenberg and Stockton, {Melissa A.} and Karen Choe and Danielle Tal and Tingyu Li and Go, {Vivian F.} and Link, {Bruce G.} and Shathani Rampa and Jackson, {Valerie W.} and Manyeagae, {Gorata D.} and Tonya Arscott-Mills and Melody Goodman and Opondo, {Philip R.} and Ho-Foster, {Ari R.} and Blank, {Michael B.}",
note = "Funding Information: This research was supported by the National Institutes of Health/Fogarty R21 TW011084-01 (PI: Dr. Yang), a grant and core support services from the Penn Mental Health AIDS Research Center (PMHARC), an NIH-funded program (P30MH097488), and the Focus for Health Foundation. The study also benefited from core support services provided by the Penn Center for AIDS Research, an NIH-funded program (P30AI045008). Ohemaa B. Poku, PhD, MPH was supported by award number T32MH019139 from the National Institute of Mental Health. Lawrence Yang and Karen Choe were supported by the Li Ka Shing Foundation Initiative for Global Mental Health and Wellness. Publisher Copyright: {\textcopyright} 2022, The Author(s).",
year = "2022",
month = dec,
doi = "10.1186/s12981-022-00454-3",
language = "English (US)",
volume = "19",
journal = "AIDS Research and Therapy",
issn = "1742-6405",
publisher = "BioMed Central",
number = "1",
}