Skip to main content
construction release_alert
Scholars@Duke will be undergoing maintenance April 11-15. Some features may be unavailable during this time.
cancel
Journal cover image

Screening for Traumatic Experiences and Mental Health Distress Among Women in HIV Care in Cape Town, South Africa.

Publication ,  Journal Article
Yemeke, TT; Sikkema, KJ; Watt, MH; Ciya, N; Robertson, C; Joska, JA
Published in: Journal of interpersonal violence
November 2020

Traumatic events can negatively affect clinical outcomes among HIV positive women, particularly when those events result in ongoing psychological distress. Consequently, there have been calls to integrate screening and treatment of traumatic experiences and associated mental health disorders into HIV care. In South Africa, screening for traumatic experiences and mental health is not a routine part of HIV care. The goal of this study was to examine the prevalence of traumatic experiences and mental health distress among women in an HIV clinic in Cape Town, South Africa, and to explore the acceptability of routine screening in this setting. Seventy HIV positive women were screened following referral from health care workers in the clinic. Among the participants, 51% reported a history of sexual abuse and 75% reported physical intimate partner violence (physical IPV). Among all participants, 36% met screening criteria for depression; among those with traumatic experiences (n = 57), 70% met screening criteria for posttraumatic stress disorder (PTSD). Compared with reporting no sexual abuse or physical IPV, having experienced both sexual abuse and physical IPV was significantly associated with higher odds of depression, while reporting either sexual abuse or physical IPV individually was not significantly associated with increased odds of depression. Among women reporting sexual abuse, 61% were disclosing their experience for the first time during the screening; 31% of women with physical IPV experience were disclosing for the first time. Overall, 98% of participants thought screening should be routine and extended to all women as part of clinic care. Screening women for sexual abuse and physical IPV may be an important component of ensuring HIV care engagement.

Duke Scholars

Published In

Journal of interpersonal violence

DOI

EISSN

1552-6518

ISSN

0886-2605

Publication Date

November 2020

Volume

35

Issue

21-22

Start / End Page

4842 / 4862

Related Subject Headings

  • Stress Disorders, Post-Traumatic
  • South Africa
  • Sex Offenses
  • Risk Factors
  • Prevalence
  • Patient Acceptance of Health Care
  • Mental Health
  • Male
  • Intimate Partner Violence
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Yemeke, T. T., Sikkema, K. J., Watt, M. H., Ciya, N., Robertson, C., & Joska, J. A. (2020). Screening for Traumatic Experiences and Mental Health Distress Among Women in HIV Care in Cape Town, South Africa. Journal of Interpersonal Violence, 35(21–22), 4842–4862. https://doi.org/10.1177/0886260517718186
Yemeke, Tatenda T., Kathleen J. Sikkema, Melissa H. Watt, Nonceba Ciya, Corne Robertson, and John A. Joska. “Screening for Traumatic Experiences and Mental Health Distress Among Women in HIV Care in Cape Town, South Africa.Journal of Interpersonal Violence 35, no. 21–22 (November 2020): 4842–62. https://doi.org/10.1177/0886260517718186.
Yemeke TT, Sikkema KJ, Watt MH, Ciya N, Robertson C, Joska JA. Screening for Traumatic Experiences and Mental Health Distress Among Women in HIV Care in Cape Town, South Africa. Journal of interpersonal violence. 2020 Nov;35(21–22):4842–62.
Yemeke, Tatenda T., et al. “Screening for Traumatic Experiences and Mental Health Distress Among Women in HIV Care in Cape Town, South Africa.Journal of Interpersonal Violence, vol. 35, no. 21–22, Nov. 2020, pp. 4842–62. Epmc, doi:10.1177/0886260517718186.
Yemeke TT, Sikkema KJ, Watt MH, Ciya N, Robertson C, Joska JA. Screening for Traumatic Experiences and Mental Health Distress Among Women in HIV Care in Cape Town, South Africa. Journal of interpersonal violence. 2020 Nov;35(21–22):4842–4862.
Journal cover image

Published In

Journal of interpersonal violence

DOI

EISSN

1552-6518

ISSN

0886-2605

Publication Date

November 2020

Volume

35

Issue

21-22

Start / End Page

4842 / 4862

Related Subject Headings

  • Stress Disorders, Post-Traumatic
  • South Africa
  • Sex Offenses
  • Risk Factors
  • Prevalence
  • Patient Acceptance of Health Care
  • Mental Health
  • Male
  • Intimate Partner Violence
  • Humans