The relationship between social support and postpartum depression among HIV-positive women:the mediating effect of anxiety
Objective To investigate the relationship between social support and postpartum depression among HIV-positive women,and to explore anxiety's mediating effect on this association.Methods A cross-sectional study with convenience sampling was conducted among HIV-positive women who gave birth at a specialized infectious diseases hospital in Nanning.A questionnaire survey was utilized to evaluate the interrelationships among the study variables using partial correlation tests,and a simple mediation analysis was performed to explore the intermediary role of anxiety in the relationship between social support and postpartum depression,employing the Process macro.Results The study included 349 HIV-positive women.Social support,including subjective support,objective support,and support utilization,was negatively correlated with anxiety(r=-0.251 to-0.314,P＜0.01),and postpartum depression(r=-0.257 to-0.345,P＜0.05).Anxiety was positively correlated with postpartum depression(r=0.729,P＜0.001).Anxiety partially mediated the relationship between social support,subjective support,support utilization,and postpartum depression,accounting for 60.34％,57.88％,and 57.58％of the total effect,respectively.Anxiety fully mediated the relationship between objective support and postpartum depression,accounting for 74.06％of the total effect.Conclusions Social support and its various facets can directly and indirectly influence the occurrence of postpartum depression among HIV-positive women through the mediating role of anxiety.Enhancing social support for HIV-positive women could reduce anxiety levels and thereby decrease the risk of postpartum depression.
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