The effect of maternal depressive symptoms on infant feeding practices in rural Ethiopia: community based birth cohort study

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.

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The effect of maternal depressive symptoms on infant feeding practices in rural Ethiopia: Community based birth cohort study

10.21203/rs.2.18526/v3 ◽

2021 ◽

Author(s):

Yitbarek Kidane Woldetensay ◽

Tefera Belachew ◽

Shibani Ghosh ◽

Eva Johanna Kantelhardt ◽

Hans Konrad Biesalski ◽

...

Keyword(s):

Social Support ◽

Depressive Symptoms ◽

Food Insecurity ◽

Psychosocial Factors ◽

Infant Feeding ◽

Social Participation ◽

Household Food Insecurity ◽

Maternal Depressive Symptoms ◽

Household Food ◽

Maternal Social Support

Abstract Background: Infant feeding is a multidimensional and multi-risk factor practice with a vital role in ensuring optimal child health, growth and development. Maternal depression and other psychosocial factors have been shown to have adverse consequences on feeding practices. However, most of these findings were based on single infant feeding practice (IFP) dimension; for instance, early initiation of breastfeeding, exclusive breastfeeding or introduction of complementary foods. This study aims to explore the longitudinal relationship of maternal depressive symptoms and other selected psychosocial factors with IFPs in rural Ethiopia using summary IFP index.Methods: This study uses existing data from the ENGINE birth cohort study. The study had an open cohort design, with “rolling recruitment” procedure and follow up of pregnant women for a period of two years. It was conducted from March 2014 to March 2016 in three districts in the southwest of Ethiopia. A total of 4680 pregnant women were recruited between 12 and 32 weeks of gestation. Data were collected once during pregnancy for all women (twice for those in the first trimester), at birth, and then every three months until the child was 12 months old. Standardized questionnaire were used to collect data on IFPs, maternal depressive symptoms, household food insecurity, intimate partner violence (IPV), maternal social support, active social participation, and other socio-demographic 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 expected, 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.Conclusion: Early postnatal depressive symptoms and intimate partner violence were negative predictors of IFPs. On the other hand, maternal social support, social participation, maternal education and gestational age at birth were positive predictors of IFPs. Overall, we can conclude that 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 IFPs.

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The Effect of Maternal Depressive Symptoms on Infant Feeding Practices in Rural Ethiopia: Community Based Birth Cohort Study

10.21203/rs.2.18526/v1 ◽

2019 ◽

Author(s):

Yitbarek Kidane Woldetensay ◽

Tefera Belachew ◽

Shibani Ghosh ◽

Eva Johanna Kantelhardt ◽

Hans Konrad Biesalski ◽

...

Keyword(s):

Social Support ◽

Intimate Partner Violence ◽

Depressive Symptoms ◽

Food Insecurity ◽

Infant Feeding ◽

Partner Violence ◽

Intimate Partner ◽

Household Food Insecurity ◽

Maternal Depressive Symptoms ◽

Household Food

Abstract Background: Infant feeding is a multidimensional and multi-risk factor practice with a vital role in ensuring optimal child health, growth and development. Maternal depressive symptoms have been shown to have adverse consequences on feeding practices. However, most of these findings were based on single infant feeding practice (IFP) dimension; e.g. early initiation of breastfeeding, exclusive breastfeeding or introduction of complementary foods. This study aims to explore the longitudinal relationship between maternal depressive symptoms and IFPs in rural Ethiopia using summary IFP index. Methods: This study uses existing data from the ENGINE birth cohort study. The study had an open cohort design, with rolling recruitment and follow up of pregnant women for a period of two years. It was conducted from March 2014 to March 2016 in three districts (Woliso, Tiro-Afeta and Gomma) in the southwest of Ethiopia. The sample size was 4680 with pregnant women recruited between 12 and 32 weeks of gestation. Data were collected once during pregnancy for all women (twice for those in the first trimester), at birth, and then every three months until the child was 12 months old. Data collection was conducted by trained nurses electronically using Open Data Kit (ODK) software. A composite measure of IFP index was computed using 14 WHO recommended infant and young child feeding (IYCF) practice indicators. Maternal depressive symptoms (prenatal and postnatal) were assessed using the patient health questionnaire (PHQ-9). Linear multilevel mixed effects model was fitted to assess longitudinal relationship of IFPs and maternal depression. Results: Early postnatal depressive symptoms were inversely and significantly associated with IFPs (ß= -1.031, P=0.001). However, prenatal maternal depression was not significantly associated with IFPs (ß= -0.024, P=0.953). Similarly, intimate partner violence (ß= -0.208, P=0.001) was negatively associated with IFPs. On the other hand, maternal social support (ß= 0.107, P=0.002) and maternal social participation (ß= 0.552, P<0.001) were positively associated with IFPs. Maternal education and gestational age at birth were other important factors positively associated with IFPs. Moreover, contrary to expected, moderate household food insecurity (ß= 0.836, P=0.003), severe household food insecurity (ß= 1.034, P=0.01) and infant morbidity episodes (ß= 0.625, P=0.013) were positively associated with IFPs. Conclusion: Early postnatal depressive symptoms and intimate partner violence were negative predictors of IFPs. On the other hand, maternal education, gestational age at birth, maternal social support and social participation are positive predictors of IFPs. Overall, we conclude that 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 IFPs.Key words: Infant feeding practices, prenatal depression, postnatal depression, household food insecurity, intimate partner violence, social support, Ethiopia

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

Maternal and Child Health Journal ◽

10.1007/s10995-014-1450-y ◽

2014 ◽

Vol 18 (9) ◽

pp. 2044-2053 ◽

Cited By ~ 15

Author(s):

Sera L. Young ◽

Albert H. J. Plenty ◽

Flavia A. Luwedde ◽

Barnabas K. Natamba ◽

Paul Natureeba ◽

...

Keyword(s):

Antiretroviral Therapy ◽

Nutritional Status ◽

Food Insecurity ◽

Infant Feeding ◽

Feeding Practices ◽

Household Food Insecurity ◽

Infant Feeding Practices ◽

Combination Antiretroviral Therapy ◽

Maternal Nutritional Status ◽

Household Food

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Family socioeconomic status and maternal depressive symptoms: Mediation through household food insecurity across five years

Social Science & Medicine ◽

10.1016/j.socscimed.2018.08.043 ◽

2018 ◽

Vol 215 ◽

pp. 1-6 ◽

Cited By ~ 4

Author(s):

Qiong Wu ◽

Robin L. Harwood ◽

Xin Feng

Keyword(s):

Socioeconomic Status ◽

Depressive Symptoms ◽

Food Insecurity ◽

Household Food Insecurity ◽

Maternal Depressive Symptoms ◽

Family Socioeconomic Status ◽

Household Food

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Maternal Depressive Symptoms and Infant Feeding Practices at Hospital Discharge: Findings from the Born in Queensland Study

Maternal and Child Health Journal ◽

10.1007/s10995-020-03061-8 ◽

2020 ◽

Author(s):

HuiJun Chih ◽

Kim Betts ◽

Jane Scott ◽

Rosa Alati

Keyword(s):

Depressive Symptoms ◽

Hospital Discharge ◽

Infant Feeding ◽

Feeding Practices ◽

Maternal Depressive Symptoms ◽

Infant Feeding Practices

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The Effect of Maternal Depressive Symptoms on Infant Feeding Practices in Rural Ethiopia: Community Based Birth Cohort Study

10.21203/rs.2.18526/v2 ◽

2020 ◽

Author(s):

Yitbarek Kidane Woldetensay ◽

Tefera Belachew ◽

Shibani Ghosh ◽

Eva Johanna Kantelhardt ◽

Hans Konrad Biesalski ◽

...

Keyword(s):

Social Support ◽

Intimate Partner Violence ◽

Depressive Symptoms ◽

Infant Feeding ◽

Partner Violence ◽

Intimate Partner ◽

Household Food Insecurity ◽

Maternal Depressive Symptoms ◽

Household Food ◽

Maternal Social Support

Abstract Background: Infant feeding is a multidimensional and multi-risk factor practice with a vital role in ensuring optimal child health, growth and development. Maternal depression and other psychosocial factors have been shown to have adverse consequences on feeding practices. However, most of these findings were based on single infant feeding practice (IFP) dimension; for instance, early initiation of breastfeeding, exclusive breastfeeding or introduction of complementary foods. This study aims to explore the longitudinal relationship of maternal depressive symptoms and other selected psychosocial factors with IFPs in rural Ethiopia using summary IFP index. Methods: This study uses existing data from the ENGINE birth cohort study. The study had an open cohort design, with “rolling recruitment” procedure and follow up of pregnant women for a period of two years. It was conducted from March 2014 to March 2016 in three districts in the southwest of Ethiopia. A total of 4680 pregnant women were recruited between 12 and 32 weeks of gestation. Data were collected once during pregnancy for all women (twice for those in the first trimester), at birth, and then every three months until the child was 12 months old. Standardized questionnaire were used to collect data on IFPs, maternal depressive symptoms, household food insecurity, intimate partner violence, maternal social support, active social participation, and other socio-demographic variables. A composite measure of IFP index was computed using 14 WHO recommended infant and young child feeding (IYCF) practice indicators. 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: Postnatal depressive symptoms (ß= -1.031, P=0.001) and intimate partner violence (ß= -0.208, P=0.001) were inversely and significantly associated with IFPs. However, prenatal maternal depressive symptoms was not significantly associated with IFPs (ß= -0.024, P=0.953). On the other hand, maternal social support (ß= 0.107, P=0.002) and maternal social participation (ß= 0.552, P<0.001) were positively associated with IFPs. Maternal education and gestational age at birth were other important factors positively associated with IFPs. Moreover, contrary to expected, moderate household food insecurity (ß= 0.836, P=0.003), severe household food insecurity (ß= 1.034, P=0.01) and infant morbidity episodes (ß= 0.625, P=0.013) were positively associated with IFPs. Conclusion: Early postnatal depressive symptoms and intimate partner violence were negative predictors of IFPs. On the other hand, maternal social support, social participation, maternal education and gestational age at birth were positive predictors of IFPs. Overall, we can conclude that 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 IFPs.

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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.

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