{"id":"https://openalex.org/W7204171328","doi":"https://doi.org/10.3389/frph.2026.1900562","title":"Maternal stress in pregnancy and adverse birth outcomes among women living with HIV during the COVID-19 pandemic","display_name":"Maternal stress in pregnancy and adverse birth outcomes among women living with HIV during the COVID-19 pandemic","publication_year":2026,"publication_date":"2026-08-25","ids":{"openalex":"https://openalex.org/W7204171328","doi":"https://doi.org/10.3389/frph.2026.1900562","pmid":"https://pubmed.ncbi.nlm.nih.gov/42712660","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13550161"},"language":"en","primary_location":{"id":"doi:10.3389/frph.2026.1900562","doi":"https://doi.org/10.3389/frph.2026.1900562","is_oa":true,"landing_page_url":"https://doi.org/10.3389/frph.2026.1900562","pdf_url":"https://www.frontiersin.org/journals/reproductive-health/articles/10.3389/frph.2026.1900562/pdf","source":{"id":"https://openalex.org/S4210207188","display_name":"Frontiers in Reproductive Health","issn_l":"2673-3153","issn":["2673-3153"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Reproductive Health","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.frontiersin.org/journals/reproductive-health/articles/10.3389/frph.2026.1900562/pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5030452461","display_name":"Paige L. Williams","orcid":"https://orcid.org/0000-0002-7160-574X","observed_orcids":["https://orcid.org/0000-0002-7160-574X"]},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Paige L. Williams","raw_affiliation_strings":["Center for Biostatistics in AIDS Research, Harvard T.H. Chan School of Public Health","Department of Biostatistics, Harvard T.H. Chan School of Public Health","Department of Epidemiology, Harvard T.H. Chan School of Public Health"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Biostatistics in AIDS Research, Harvard T.H. Chan School of Public Health","institution_ids":["https://openalex.org/I136199984"]},{"raw_affiliation_string":"Department of Biostatistics, Harvard T.H. Chan School of Public Health","institution_ids":["https://openalex.org/I136199984"]},{"raw_affiliation_string":"Department of Epidemiology, Harvard T.H. Chan School of Public Health","institution_ids":["https://openalex.org/I136199984"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5133346070","display_name":"Jessica Lee","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jessica Lee","raw_affiliation_strings":["Center for Biostatistics in AIDS Research, Harvard T.H. Chan School of Public Health"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Biostatistics in AIDS Research, Harvard T.H. Chan School of Public Health","institution_ids":["https://openalex.org/I136199984"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5091912729","display_name":"Deborah Kacanek","orcid":"https://orcid.org/0000-0002-4877-2646","observed_orcids":["https://orcid.org/0000-0002-4877-2646"]},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Deborah Kacanek","raw_affiliation_strings":["Center for Biostatistics in AIDS Research, Harvard T.H. Chan School of Public Health"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Biostatistics in AIDS Research, Harvard T.H. Chan School of Public Health","institution_ids":["https://openalex.org/I136199984"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5008789818","display_name":"ELLEN GOULD CHADWICK","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1294278766","display_name":"Lurie Children's Hospital","ror":"https://ror.org/03a6zw892","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1294278766"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ellen G. Chadwick","raw_affiliation_strings":["Department of Pediatrics, Ann & Robert H. Lurie Children\u2019s Hospital of Chicago"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pediatrics, Ann & Robert H. Lurie Children\u2019s Hospital of Chicago","institution_ids":["https://openalex.org/I1294278766"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5148121783","display_name":"Haleigh Civiletto","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210138586","display_name":"Frontier Science & Technology Research Foundation, Inc.","ror":"https://ror.org/04hbhf775","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I4210138586"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Haleigh Civiletto","raw_affiliation_strings":["Frontier Science & Technology Research Foundation, Inc"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Frontier Science & Technology Research Foundation, Inc","institution_ids":["https://openalex.org/I4210138586"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5028391470","display_name":"Claire A. Berman","orcid":"https://orcid.org/0000-0001-5719-8482","observed_orcids":["https://orcid.org/0000-0001-5719-8482"]},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Claire A. Berman","raw_affiliation_strings":["Department of Epidemiology, Harvard T.H. Chan School of Public Health"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Epidemiology, Harvard T.H. Chan School of Public Health","institution_ids":["https://openalex.org/I136199984"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5011717961","display_name":"Ann Aschengrau","orcid":"https://orcid.org/0000-0001-8153-7712","observed_orcids":["https://orcid.org/0000-0001-8153-7712"]},"institutions":[{"id":"https://openalex.org/I111088046","display_name":"Boston University","ror":"https://ror.org/05qwgg493","country_code":"US","type":"education","lineage":["https://openalex.org/I111088046"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ann Aschengrau","raw_affiliation_strings":["Department of Epidemiology, Boston University School of Public Health"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Epidemiology, Boston University School of Public Health","institution_ids":["https://openalex.org/I111088046"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5054310680","display_name":"Liz Salomon","orcid":"https://orcid.org/0000-0001-9952-0134","observed_orcids":["https://orcid.org/0000-0001-9952-0134"]},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Liz Salomon","raw_affiliation_strings":["Department of Epidemiology, Harvard T.H. Chan School of Public Health"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Epidemiology, Harvard T.H. Chan School of Public Health","institution_ids":["https://openalex.org/I136199984"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5011656460","display_name":"Sue Siminski","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210138586","display_name":"Frontier Science & Technology Research Foundation, Inc.","ror":"https://ror.org/04hbhf775","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I4210138586"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sue Siminski","raw_affiliation_strings":["Frontier Science & Technology Research Foundation, Inc"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Frontier Science & Technology Research Foundation, Inc","institution_ids":["https://openalex.org/I4210138586"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5065275718","display_name":"Kathleen M. Powis","orcid":"https://orcid.org/0000-0002-4478-4471","observed_orcids":["https://orcid.org/0000-0002-4478-4471"]},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]},{"id":"https://openalex.org/I4210087915","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087915","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kathleen M. Powis","raw_affiliation_strings":["Department of Immunology and Infectious Diseases, Harvard T.H. Chan School of Public Health","Departments of Internal Medicine and Pediatrics, Massachusetts General Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Immunology and Infectious Diseases, Harvard T.H. Chan School of Public Health","institution_ids":["https://openalex.org/I136199984"]},{"raw_affiliation_string":"Departments of Internal Medicine and Pediatrics, Massachusetts General Hospital","institution_ids":["https://openalex.org/I4210087915"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":5,"corresponding_author_ids":["https://openalex.org/A5030452461"],"corresponding_institution_ids":["https://openalex.org/I136199984"],"apc_list":{"value":2550,"currency":"CHF","value_usd":3077},"apc_paid":{"value":2550,"currency":"CHF","value_usd":3077},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.62662768,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"8","issue":null,"first_page":"1900562","last_page":"1900562"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10786","display_name":"Maternal Mental Health During Pregnancy and Postpartum","score":0.9688000082969666,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10786","display_name":"Maternal Mental Health During Pregnancy and Postpartum","score":0.9688000082969666,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10082","display_name":"HIV/AIDS Research and Interventions","score":0.02070000022649765,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10168","display_name":"COVID-19 and Mental Health","score":0.008200000040233135,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/maternal-stress","display_name":"maternal stress","score":0.9359999895095825},{"id":"https://openalex.org/keywords/pregnancy","display_name":"pregnancy","score":0.8920000195503235},{"id":"https://openalex.org/keywords/women-living-with-hiv","display_name":"women living with HIV","score":0.875},{"id":"https://openalex.org/keywords/covid-19","display_name":"COVID-19 pandemic","score":0.9760000109672546},{"id":"https://openalex.org/keywords/adverse-birth-outcomes","display_name":"adverse birth outcomes","score":0.996999979019165},{"id":"https://openalex.org/keywords/depression","display_name":"depression","score":0.6039999723434448},{"id":"https://openalex.org/keywords/anxiety","display_name":"anxiety","score":0.6980000138282776},{"id":"https://openalex.org/keywords/racial-discrimination","display_name":"racial discrimination","score":0.8140000104904175},{"id":"https://openalex.org/keywords/social-distancing","display_name":"social distancing","score":0.8989999890327454},{"id":"https://openalex.org/keywords/intimate-partner-violence","display_name":"intimate partner violence","score":0.9850000143051147},{"id":"https://openalex.org/keywords/housing-instability","display_name":"housing instability","score":0.7699999809265137},{"id":"https://openalex.org/keywords/sleep-quality","display_name":"sleep quality","score":0.9900000095367432},{"id":"https://openalex.org/keywords/energy-levels","display_name":"energy levels","score":0.781000018119812},{"id":"https://openalex.org/keywords/postpartum-mental-health","display_name":"postpartum mental health","score":0.6800000071525574},{"id":"https://openalex.org/keywords/public-health-emergencies","display_name":"public health emergencies","score":0.5519999861717224}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7213000059127808},{"id":"https://openalex.org/C558461103","wikidata":"https://www.wikidata.org/wiki/Q154430","display_name":"Anxiety","level":2,"score":0.6383000016212463},{"id":"https://openalex.org/C2776867660","wikidata":"https://www.wikidata.org/wiki/Q1814941","display_name":"Depression (economics)","level":2,"score":0.5475000143051147},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.5378999710083008},{"id":"https://openalex.org/C89623803","wikidata":"https://www.wikidata.org/wiki/Q12184","display_name":"Pandemic","level":5,"score":0.5285000205039978},{"id":"https://openalex.org/C2778087770","wikidata":"https://www.wikidata.org/wiki/Q2297111","display_name":"Social support","level":2,"score":0.527999997138977},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.5002999901771545},{"id":"https://openalex.org/C31957729","wikidata":"https://www.wikidata.org/wiki/Q5282877","display_name":"Distancing","level":5,"score":0.4088999927043915},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.39959999918937683},{"id":"https://openalex.org/C197934379","wikidata":"https://www.wikidata.org/wiki/Q2047938","display_name":"Adverse effect","level":2,"score":0.3880999982357025},{"id":"https://openalex.org/C205545832","wikidata":"https://www.wikidata.org/wiki/Q17156455","display_name":"Young adult","level":2,"score":0.3862999975681305},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.3822999894618988},{"id":"https://openalex.org/C3018745865","wikidata":"https://www.wikidata.org/wiki/Q749115","display_name":"Postpartum period","level":3,"score":0.3695000112056732},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.3537999987602234},{"id":"https://openalex.org/C142052008","wikidata":"https://www.wikidata.org/wiki/Q954027","display_name":"Cross-sectional study","level":2,"score":0.33059999346733093},{"id":"https://openalex.org/C21036866","wikidata":"https://www.wikidata.org/wiki/Q181767","display_name":"Stress (linguistics)","level":2,"score":0.325300008058548},{"id":"https://openalex.org/C76709773","wikidata":"https://www.wikidata.org/wiki/Q7623445","display_name":"Stress measures","level":3,"score":0.31619998812675476},{"id":"https://openalex.org/C172656115","wikidata":"https://www.wikidata.org/wiki/Q2142613","display_name":"Social distance","level":5,"score":0.3151000142097473},{"id":"https://openalex.org/C122980154","wikidata":"https://www.wikidata.org/wiki/Q205555","display_name":"Feeling","level":2,"score":0.31189998984336853},{"id":"https://openalex.org/C3013748606","wikidata":"https://www.wikidata.org/wiki/Q15787","display_name":"Human immunodeficiency virus (HIV)","level":2,"score":0.3052000105381012},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.3012999892234802},{"id":"https://openalex.org/C2779703513","wikidata":"https://www.wikidata.org/wiki/Q34581","display_name":"Childbirth","level":3,"score":0.30000001192092896},{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.26930001378059387},{"id":"https://openalex.org/C2780262536","wikidata":"https://www.wikidata.org/wiki/Q2712836","display_name":"Postpartum depression","level":3,"score":0.2590999901294708},{"id":"https://openalex.org/C2910140627","wikidata":"https://www.wikidata.org/wiki/Q424221","display_name":"Acute Stress Disorder","level":3,"score":0.2590000033378601},{"id":"https://openalex.org/C142853389","wikidata":"https://www.wikidata.org/wiki/Q744778","display_name":"Association (psychology)","level":2,"score":0.25189998745918274}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.3389/frph.2026.1900562","doi":"https://doi.org/10.3389/frph.2026.1900562","is_oa":true,"landing_page_url":"https://doi.org/10.3389/frph.2026.1900562","pdf_url":"https://www.frontiersin.org/journals/reproductive-health/articles/10.3389/frph.2026.1900562/pdf","source":{"id":"https://openalex.org/S4210207188","display_name":"Frontiers in Reproductive Health","issn_l":"2673-3153","issn":["2673-3153"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Reproductive Health","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13550161","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13550161/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13550161/pdf/frph-08-1900562.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Front Reprod Health","raw_type":"Text"},{"id":"pmid:42712660","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42712660","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in reproductive health","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:812916b891714449ab91fe442cc5b4e5","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/812916b891714449ab91fe442cc5b4e5","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Frontiers in Reproductive Health, Vol 8 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.3389/frph.2026.1900562","doi":"https://doi.org/10.3389/frph.2026.1900562","is_oa":true,"landing_page_url":"https://doi.org/10.3389/frph.2026.1900562","pdf_url":"https://www.frontiersin.org/journals/reproductive-health/articles/10.3389/frph.2026.1900562/pdf","source":{"id":"https://openalex.org/S4210207188","display_name":"Frontiers in Reproductive Health","issn_l":"2673-3153","issn":["2673-3153"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Reproductive Health","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"},{"score":0.7578999996185303,"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities"}],"study_designs":[],"awards":[{"id":"https://openalex.org/G1172183961","display_name":"Pediatric HIV/AIDS Cohort Study (PHACS) 2020","funder_award_id":"P01HD103133","funder_id":"https://openalex.org/F4320337611","funder_display_name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development"},{"id":"https://openalex.org/G1636177350","display_name":null,"funder_award_id":"COVID-19","funder_id":"https://openalex.org/F4320337355","funder_display_name":"National Institute of Allergy and Infectious Diseases"},{"id":"https://openalex.org/G5514976981","display_name":null,"funder_award_id":"COVID-19","funder_id":"https://openalex.org/F4320332161","funder_display_name":"National Institutes of Health"},{"id":"https://openalex.org/G8073633191","display_name":null,"funder_award_id":"P01HD103133","funder_id":"https://openalex.org/F4320310609","funder_display_name":"Harvard T.H. Chan School of Public Health"}],"funders":[{"id":"https://openalex.org/F4320310609","display_name":"Harvard T.H. Chan School of Public Health","ror":"https://ror.org/03vek6s52"},{"id":"https://openalex.org/F4320332161","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88"},{"id":"https://openalex.org/F4320337330","display_name":"National Institute on Alcohol Abuse and Alcoholism","ror":"https://ror.org/02jzrsm59"},{"id":"https://openalex.org/F4320337338","display_name":"National Heart, Lung, and Blood Institute","ror":"https://ror.org/012pb6c26"},{"id":"https://openalex.org/F4320337346","display_name":"National Institute of Mental Health","ror":"https://ror.org/04xeg9z08"},{"id":"https://openalex.org/F4320337347","display_name":"National Institute on Drug Abuse","ror":"https://ror.org/00fq5cm18"},{"id":"https://openalex.org/F4320337351","display_name":"National Cancer Institute","ror":"https://ror.org/040gcmg81"},{"id":"https://openalex.org/F4320337352","display_name":"National Institute on Deafness and Other Communication Disorders","ror":"https://ror.org/04mhx6838"},{"id":"https://openalex.org/F4320337355","display_name":"National Institute of Allergy and Infectious Diseases","ror":"https://ror.org/043z4tv69"},{"id":"https://openalex.org/F4320337359","display_name":"National Institute of Neurological Disorders and Stroke","ror":"https://ror.org/01s5ya894"},{"id":"https://openalex.org/F4320337364","display_name":"National Institute of Child Health and Human Development","ror":"https://ror.org/04byxyr05"},{"id":"https://openalex.org/F4320337365","display_name":"National Institute of Dental and Craniofacial Research","ror":"https://ror.org/004a2wv92"},{"id":"https://openalex.org/F4320337611","display_name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","ror":"https://ror.org/04byxyr05"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7204171328.pdf","grobid_xml":"https://content.openalex.org/works/W7204171328.grobid-xml"},"referenced_works_count":58,"referenced_works":["https://openalex.org/W1639164366","https://openalex.org/W2010314119","https://openalex.org/W2038340067","https://openalex.org/W2039669268","https://openalex.org/W2043705607","https://openalex.org/W2083292152","https://openalex.org/W2083327844","https://openalex.org/W2084022545","https://openalex.org/W2090146867","https://openalex.org/W2093276584","https://openalex.org/W2102794158","https://openalex.org/W2118044378","https://openalex.org/W2132322340","https://openalex.org/W2132406025","https://openalex.org/W2175755644","https://openalex.org/W2255476758","https://openalex.org/W2404514146","https://openalex.org/W2443605059","https://openalex.org/W2468434056","https://openalex.org/W2737965883","https://openalex.org/W2752246092","https://openalex.org/W2789109496","https://openalex.org/W2883611817","https://openalex.org/W2888003265","https://openalex.org/W2943494044","https://openalex.org/W3000712264","https://openalex.org/W3004217498","https://openalex.org/W3017185871","https://openalex.org/W3020907884","https://openalex.org/W3033492682","https://openalex.org/W3047137501","https://openalex.org/W3083211334","https://openalex.org/W3087457854","https://openalex.org/W3091875809","https://openalex.org/W3119005674","https://openalex.org/W3119345487","https://openalex.org/W3122609186","https://openalex.org/W3133025360","https://openalex.org/W3133533244","https://openalex.org/W3137543908","https://openalex.org/W3188317706","https://openalex.org/W3211837750","https://openalex.org/W4224307397","https://openalex.org/W4225674659","https://openalex.org/W4225984023","https://openalex.org/W4281258710","https://openalex.org/W4320719556","https://openalex.org/W4362716505","https://openalex.org/W4366241712","https://openalex.org/W4384627288","https://openalex.org/W4385306367","https://openalex.org/W4386438834","https://openalex.org/W4402830593","https://openalex.org/W4406327525","https://openalex.org/W4407872974","https://openalex.org/W4415720149","https://openalex.org/W4416815443","https://openalex.org/W7116721327"],"related_works":["https://openalex.org/W4313281052","https://openalex.org/W4407371868","https://openalex.org/W4224082593","https://openalex.org/W6987487477","https://openalex.org/W3138197312","https://openalex.org/W4282046352","https://openalex.org/W2365709367","https://openalex.org/W3162000772","https://openalex.org/W4398771334","https://openalex.org/W4200126182"],"abstract_inverted_index":{"Background:":[0],"Stress,":[1],"depression,":[2],"and":[3,21,42,61,63,69,92,94,112,141,173,198,216,218,233,238,242],"racial":[4],"discrimination":[5,145],"occurring":[6],"in":[7,40,46,65,161,188],"pregnant":[8,41,232],"women":[9,27],"have":[10],"demonstrated":[11],"associations":[12,104,119],"with":[13,29,108,123,179,212],"adverse":[14,124,199],"birth":[15,125,200],"outcomes,":[16],"but":[17],"their":[18,55,82],"role":[19],"during":[20,87,134,209,246],"after":[22],"the":[23,47,74,155,223],"COVID-19":[24,75,224],"pandemic":[25,156],"among":[26],"living":[28],"HIV":[30],"(WLHIV)":[31],"has":[32],"not":[33],"been":[34],"evaluated.":[35],"Methods:":[36],"We":[37],"conducted":[38],"surveys":[39],"postpartum":[43,234],"WLHIV":[44,235],"participating":[45],"US-based":[48],"SMARTT":[49],"study,":[50],"asking":[51],"them":[52],"to":[53,102,117,181,222,230],"report":[54],"experiences":[56,89],"of":[57,84,90,105,120,154,185],"social":[58,150,213],"distancing,":[59,214],"trauma":[60,215],"violence,":[62,166,217],"changes":[64,220],"housing,":[66],"income,":[67],"sleep":[68,168],"energy":[70,171],"levels":[71,83],"resulting":[72],"from":[73],"pandemic.":[76,225],"Women":[77],"were":[78,100,115,177],"also":[79],"asked":[80],"about":[81],"perceived":[85,109,121,186,196],"stress":[86,122,133,187,197,208,237],"pregnancy,":[88,135,210],"discrimination,":[91],"depression":[93,139,175],"anxiety":[95],"symptoms.":[96],"Log-binomial":[97],"regression":[98],"models":[99,114],"used":[101,116],"evaluate":[103,118],"pandemic-related":[106],"factors":[107],"stress;":[110],"linear":[111],"log-binomial":[113],"outcomes.":[126,201],"Results:":[127],"Among":[128,203],"125":[129],"WLHIV,":[130,204],"36.0%":[131],"reported":[132,143],"12.2%":[136],"had":[137],"moderate/severe":[138,174],"symptoms,":[140],"17.5%":[142],"high":[144],"levels.":[146],"In":[147],"adjusted":[148],"models,":[149],"distancing":[151],"behavior,":[152],"impact":[153],"on":[157],"daily":[158],"life,":[159],"change":[160],"housing":[162],"status,":[163],"intimate":[164],"partner":[165],"poor":[167],"quality,":[169],"lower":[170],"levels,":[172],"symptoms":[176],"associated":[178,211],"two-":[180],"five-fold":[182],"higher":[183],"risk":[184],"pregnancy.":[189],"However,":[190],"no":[191],"association":[192],"was":[193],"observed":[194],"between":[195],"Conclusions:":[202],"over":[205],"one-third":[206],"experienced":[207],"other":[219],"related":[221],"Optimal":[226],"strategies":[227],"are":[228],"needed":[229],"screen":[231],"for":[236],"mental":[239],"health":[240,248],"conditions":[241],"provide":[243],"appropriate":[244],"support":[245],"public":[247],"emergencies.":[249]},"counts_by_year":[],"updated_date":"2026-10-29T09:56:32.521200","created_date":"2026-08-26T00:00:00"}