Household Food Insecurity, Maternal Nutritional Status, and Infant Feeding Practices Among HIV-infected Ugandan Women Receiving Combination Antiretroviral Therapy

Abstract Background Maternal depression and other psychosocial factors have been shown to have adverse consequences on infant feeding practices. This study explored the longitudinal relationship of maternal depressive symptoms and other selected psychosocial factors with infant feeding practices (IFPs) in rural Ethiopia using summary IFP index. Methods This study uses existing data from the ENGINE birth cohort study, conducted from March 2014 to March 2016 in three districts in the southwest of Ethiopia. A total of 4680 pregnant women were recruited and data were collected once during pregnancy (twice for those in the first trimester), at birth, and then every 3 months until the child was 12 months old. A standardized questionnaire was used to collect data on IFPs, maternal depressive symptoms, household food insecurity, intimate partner violence (IPV), maternal social support, active social participation, and other sociodemographic variables. A composite measure of IFP index was computed using 14 WHO recommended infant and young child feeding (IYCF) practice indicators. High IFP index indicated best practice. Prenatal and postnatal maternal depressive symptoms were assessed using the patient health questionnaire (PHQ-9). Linear multilevel mixed effects model was fitted to assess longitudinal relationship of IFPs with maternal depression and other psychosocial factors. Results Reports of higher postnatal depressive symptoms (ß = − 1.03, P = 0.001) and IPV (ß = − 0.21, P = 0.001) were associated with lower scores on the IFP index. Whereas, reports of better maternal social support (ß = 0.11, P = 0.002) and active social participation (ß = 0.55, P < 0.001) were associated with higher scores on the IFP index. Contrary to expectations, moderate household food insecurity (ß = 0.84, P = 0.003), severe household food insecurity (ß = 1.03, P = 0.01) and infant morbidity episodes (ß = 0.63, P = 0.013) were associated with higher scores on the IFP index. Conclusions Overall, a multitude of factors are related to IFPs and hence coordinated, multi-sectoral and multi-stakeholder interventions including maternal depressive symptoms screening and management are needed to improve infant feeding practices.

Download Full-text

Food Insecurity, Nutritional Status, and Factors Associated with Malnutrition among People Living with HIV/AIDS Attending Antiretroviral Therapy at Public Health Facilities in West Shewa Zone, Central Ethiopia

BioMed Research International ◽

10.1155/2018/1913534 ◽

2018 ◽

Vol 2018 ◽

pp. 1-9 ◽

Cited By ~ 14

Author(s):

Delelegn Yilma Gebremichael ◽

Kokeb Tesfamariam Hadush ◽

Ermiyas Mulu Kebede ◽

Robel Tezera Zegeye

Keyword(s):

Public Health ◽

Antiretroviral Therapy ◽

Nutritional Status ◽

Food Insecurity ◽

Household Food Insecurity ◽

Aids Patients ◽

Public Health Facilities ◽

Factors Associated ◽

Household Food ◽

Hiv Aids

Background. In resource limited settings, HIV/AIDS patients lack access to sufficient nutritious foods, which poses challenges to the success of antiretroviral therapy. HIV/AIDS and malnutrition are still major public health problems in Ethiopia. Though measuring nutritional status is an essential part of ART program, little evidence exists on food insecurity and nutritional status of HIV/AIDS patients in Ethiopia. Hence, the study aimed to determine food insecurity and nutritional status and contextual determinants of malnutrition among HIV/AIDS patients in West Shewa Zone, Ethiopia. Methods. Institution-based cross-sectional study was conducted among HIV/ADIS patients who have been attending antiretroviral therapy at public health facilities in West Shewa Zone from April to May 2016, Ethiopia. The sample size was 512 and study participants were selected from each facilities using systematic random sampling method. Data were collected using pretested questionnaire by trained data collectors. Data were entered to Epi-Info 3.5.1 for Windows and analyzed using SPSS version 22. Logistic regression analyses were conducted to determine independent factors associated with malnutrition. Results. Prevalence of malnutrition was 23.6% (95% CI: 19.7%–27.4%) and prevalence of household food insecurity was 35.2% (95% CI: 31.1%–39.0%). Factors significantly associated with malnutrition among HIV/AIDS patients were unemployment (AOR = 3.4; 95% CI: 1.8–5.3), WHO clinical stages III/IV (AOR = 3.3; 95% CI: 1.8–6.5), CD4 count less than 350 cells/μl (AOR = 2.0; 95% CI: 1.8–4.2), tuberculosis (AOR = 2.3; 95% CI: 1.3–4.9), duration on antiretroviral therapy (AOR = 1.8; 95% CI: 1.2–2.9), and household food insecurity (AOR = 5.3; 95% CI: 2.5–8.3). Conclusions. The findings revealed high prevalence of malnutrition and household food insecurity among HIV/AIDS patients attended ART. The negative interactive effects of undernutrition, inadequate food consumption, and HIV infection demand effective cross-sectorial integrated programs and effective management of opportunistic infections like tuberculosis.

Download Full-text

How is household food insecurity and maternal nutritional status associated in a resource-poor setting in Ghana?

Agriculture & Food Security ◽

10.1186/s40066-016-0059-3 ◽

2016 ◽

Vol 5 (1) ◽

Cited By ~ 2

Author(s):

Mahama Saaka

Keyword(s):

Nutritional Status ◽

Food Insecurity ◽

Resource Poor Setting ◽

Household Food Insecurity ◽

Maternal Nutritional Status ◽

Household Food ◽

Resource Poor

Download Full-text

Maternal nutritional status mediates the linkage between household food insecurity and mid-infancy size in rural Bangladesh

British Journal Of Nutrition ◽

10.1017/s0007114520000707 ◽

2020 ◽

Vol 123 (12) ◽

pp. 1415-1425

Author(s):

Muzi Na ◽

Abu Ahmed Shamim ◽

Sucheta Mehra ◽

Alain Labrique ◽

Hasmot Ali ◽

...

Keyword(s):

Nutritional Status ◽

Food Insecurity ◽

Complementary Feeding ◽

Dietary Diversity ◽

Child Growth ◽

Household Food Insecurity ◽

Rural Bangladesh ◽

Maternal Nutritional Status ◽

Prenatal Factors ◽

Household Food

AbstractHousehold food insecurity (HFI) is a major concern in South Asia. The pathways by which HFI may reduce child growth remain inadequately understood. In a cohort study of 12 693 maternal–infant dyads in rural Bangladesh, we examined association and likely explanatory pathways linking HFI, assessed using a validated nine-item perception-based index, to infant size at 6 months. Mothers were assessed early in pregnancy for anthropometric status, dietary diversity and socio-economic status. Infants were assessed for weight, length, and arm, chest and head circumferences and breast and complementary feeding status at birth and 6 months of age. Extent of HFI shared a negative, dose–response association with all measures of infant size at 6 months and odds of wasting and stunting; 57–89 % of variances in the unadjusted models were explained by prenatal factors (maternal nutritional status and dietary diversity), and birth size adjusted for gestational age. Postnatal infant breast and complementary feeding and morbidity exposures explained the remaining fraction of the significant association between HFI and differences in infant arm and chest circumferences and odds of underweight. Contextual (i.e. socio-economic) factors finally brought remaining non-significant fractions of the food insecurity-related mid-infancy growth deficit to practically zero. Improving food security prior to pregnancy and during gestation would likely improve infant growth the most in rural Bangladesh.

Download Full-text

Association between household food security and infant feeding practices in urban informal settlements in Nairobi, Kenya

Journal of Developmental Origins of Health and Disease ◽

10.1017/s2040174417001064 ◽

2018 ◽

Vol 9 (1) ◽

pp. 20-29 ◽

Cited By ~ 12

Author(s):

T. N. Macharia ◽

S. Ochola ◽

M. K. Mutua ◽

E. W. Kimani-Murage

Keyword(s):

Food Security ◽

Food Insecurity ◽

Infant Feeding ◽

Informal Settlements ◽

Feeding Practices ◽

Household Food Security ◽

Meal Frequency ◽

Infant Feeding Practices ◽

Household Food ◽

Urban Informal Settlements

Studies in urban informal settlements show widespread inappropriate infant and young child feeding (IYCF) practices and high rates of food insecurity. This study assessed the association between household food security and IYCF practices in two urban informal settlements in Nairobi, Kenya. The study adopted a longitudinal design that involved a census sample of 1110 children less than 12 months of age and their mothers aged between 12 and 49 years. A questionnaire was used to collect information on: IYCF practices and household food security. Logistic regression was used to determine the association between food insecurity and IYFC practices. The findings showed high household food insecurity; only 19.5% of the households were food secure based on Household Insecurity Access Score. Infant feeding practices were inappropriate: 76% attained minimum meal frequency; 41% of the children attained a minimum dietary diversity; and 27% attained minimum acceptable diet. With the exception of the minimum meal frequency, infants living in food secure households were significantly more likely to achieve appropriate infant feeding practices than those in food insecure households: minimum meal frequency (adjusted odds ratio (AOR)=1.26,P=0.530); minimum dietary diversity (AOR=1.84,P=0.046) and minimum acceptable diet (AOR=2.35,P=0.008). The study adds to the existing body of knowledge by demonstrating an association between household food security and infant feeding practices in low-income settings. The findings imply that interventions aimed at improving infant feeding practices and ultimately nutritional status need to also focus on improving household food security.

Download Full-text

Infant Feeding Practices and Nutritional Status among Selected Garo and Non Garo Plain land Population

Bangladesh Journal of Nutrition ◽

10.3329/bjnut.v22i0.12830 ◽

2012 ◽

pp. 41-51

Author(s):

SM Belalur Rahman ◽

M Burhan Uddin ◽

AAM Kurshed ◽

Sabina Khan ◽

Amm Mokarram Hossain ◽

...

Keyword(s):

Nutritional Status ◽

Infant Feeding ◽

Feeding Practices ◽

Infant Feeding Practices

No abstract available DOI: http://dx.doi.org/10.3329/bjnut.v22i0.12830 Bangladesh Journal of Nutrition Vol.22-23 2009-2010 pp.31-51

Download Full-text

Household Food Insecurity Associated With Antiretroviral Therapy Adherence Among HIV-Infected Patients in Windhoek, Namibia

JAIDS Journal of Acquired Immune Deficiency Syndromes ◽

10.1097/qai.0000000000000308 ◽

2014 ◽

Vol 67 (4) ◽

pp. e115-e122 ◽

Cited By ~ 22

Author(s):

Steven Y. Hong ◽

Theresa J. Fanelli ◽

Anna Jonas ◽

Justice Gweshe ◽

Francina Tjituka ◽

...

Keyword(s):

Antiretroviral Therapy ◽

Food Insecurity ◽

Household Food Insecurity ◽

Therapy Adherence ◽

Household Food ◽

Antiretroviral Therapy Adherence

Download Full-text

Influence of infant-feeding practices on nutritional status of under-five children

The Indian Journal of Pediatrics ◽

10.1007/bf02758565 ◽

2006 ◽

Vol 73 (5) ◽

pp. 417-421 ◽

Cited By ~ 67

Author(s):

Dinesh Kumar ◽

N. K. Goel ◽

Poonam C. Mittal ◽

Purnima Misra

Keyword(s):

Nutritional Status ◽

Infant Feeding ◽

Feeding Practices ◽

Infant Feeding Practices ◽

Under Five ◽

Under Five Children

Download Full-text

Association of Household Food Insecurity with Nutritional Status and Mental Health of Pregnant Women in Rural Bangladesh

Nutrients ◽

10.3390/nu13124303 ◽

2021 ◽

Vol 13 (12) ◽

pp. 4303

Author(s):

S. M. Tafsir Hasan ◽

Daluwar Hossain ◽

Faysal Ahmed ◽

Md Alfazal Khan ◽

Ferdousi Begum ◽

...

Keyword(s):

Mental Health ◽

Nutritional Status ◽

Food Insecurity ◽

Pregnant Women ◽

Women’S Health ◽

Women's Health ◽

Household Food Insecurity ◽

Household Food ◽

Independent Association ◽

Environmental Shocks

Food insecurity may affect women’s health; however, pertinent research is scant among pregnant women. This study investigated the association of household food insecurity (HFI) with the nutritional status and mental health of 672 early-gestation (5–16 weeks) pregnant women with a singleton fetus, who participated in the screening activity of a community-based trial (NCT04868669) in Matlab, Bangladesh. Height (cm), weight (kg), body mass index (kg/m2), mid-upper arm circumference (MUAC) (cm), depression, anxiety, and stress were the outcomes studied. HFI was assessed using the Household Food Insecurity Access Scale. Women’s depression, anxiety, and stress were assessed using the Depression, Anxiety, and Stress Scales-21. Propensity score matching based weighted multivariable linear and logistic regression were used to evaluate the independent association of HFI with the outcomes. In adjusted models, pregnant women from food-insecure households in rural Matlab were on average 2.0 cm shorter (β = −2.0, 95% CI: −3.3, −0.7), 2.0 kg lighter (β = −2.0, 95% CI: −3.4, −0.7), and had 0.6 cm lower MUAC (β = −0.6, 95% CI: −1.1, −0.1) than their food-secure counterparts. HFI was associated with higher odds of depression (OR = 3.3, 95% CI: 1.8, 5.9), anxiety (OR = 6.1, 95% CI: 3.7, 10.0), and stress (OR = 4.8, 95% CI: 1.6, 14.2) among the women. Public health measures should focus on ensuring proper nutrition during the critical growth periods of life, pregnancy, and external environmental shocks, to mitigate the adverse effects of HFI on women’s health.

Download Full-text