Postnatal Depression Symptoms are Associated with Increased Diarrhea among Infants of HIV-Positive Ghanaian Mothers
Identifieur interne : 000710 ( Main/Exploration ); précédent : 000709; suivant : 000711Postnatal Depression Symptoms are Associated with Increased Diarrhea among Infants of HIV-Positive Ghanaian Mothers
Auteurs : Harriet E. T. Okronipa [Canada] ; Grace S. Marquis [Canada, États-Unis] ; Anna Lartey [Ghana] ; Lucy Brakohiapa [Ghana] ; Rafael Perez-Escamilla [États-Unis] ; Robert E. Mazur [États-Unis]Source :
- AIDS and behavior [ 1090-7165 ] ; 2012.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Analyse de régression, Complications de la grossesse et maladies infectieuses (épidémiologie), Diarrhée du nourrisson (épidémiologie), Diarrhée du nourrisson (étiologie), Dépression du postpartum, Enfant de personnes handicapées (), Facteurs de risque, Facteurs socioéconomiques, Femelle, Ghana (épidémiologie), Grossesse, Humains, Incidence, Infections opportunistes liées au SIDA (physiopathologie), Infections à VIH (), Infections à VIH (psychologie), Jeune adulte, Mères (psychologie), Nourrisson, Prévalence, Études de suivi.
- MESH :
- physiopathologie : Infections opportunistes liées au SIDA.
- psychologie : Infections à VIH, Mères.
- épidémiologie : Complications de la grossesse et maladies infectieuses, Diarrhée du nourrisson, Ghana.
- étiologie : Diarrhée du nourrisson.
- Adolescent, Adulte, Adulte d'âge moyen, Analyse de régression, Dépression du postpartum, Enfant de personnes handicapées, Facteurs de risque, Facteurs socioéconomiques, Femelle, Grossesse, Humains, Incidence, Infections à VIH, Jeune adulte, Nourrisson, Prévalence, Études de suivi.
- Wicri :
- geographic : Ghana.
English descriptors
- KwdEn :
- AIDS-Related Opportunistic Infections (physiopathology), Adolescent, Adult, Child of Impaired Parents (statistics & numerical data), Depression, Postpartum, Diarrhea, Infantile (epidemiology), Diarrhea, Infantile (etiology), Female, Follow-Up Studies, Ghana (epidemiology), HIV Infections (complications), HIV Infections (psychology), Humans, Incidence, Infant, Middle Aged, Mothers (psychology), Pregnancy, Pregnancy Complications, Infectious (epidemiology), Prevalence, Regression Analysis, Risk Factors, Socioeconomic Factors, Young Adult.
- MESH :
- geographic , epidemiology : Ghana.
- complications : HIV Infections.
- epidemiology : Diarrhea, Infantile, Pregnancy Complications, Infectious.
- etiology : Diarrhea, Infantile.
- physiopathology : AIDS-Related Opportunistic Infections.
- psychology : HIV Infections, Mothers.
- statistics & numerical data : Child of Impaired Parents.
- Adolescent, Adult, Depression, Postpartum, Female, Follow-Up Studies, Humans, Incidence, Infant, Middle Aged, Pregnancy, Prevalence, Regression Analysis, Risk Factors, Socioeconomic Factors, Young Adult.
Abstract
HIV infection is linked to increased prevalence of depression which may affect maternal caregiving practices and place young infants at increased risk of illness. We examined the incidence and days ill with diarrhea among infants of HIV positive (HIV-P), HIV negative (HIV-N), and unknown HIV status (HIV-U) women, and determined if symptoms of maternal postnatal depression (PND) modulated the risk of diarrhea. Pregnant women (n=492) were recruited from 3 antenatal clinics; mothers and infants were followed for 12 mo postpartum. Diarrheal incidence was 0.6 episodes/100-d at risk. More HIV-P than HIV-N and HIV-U women tended to report PND symptoms (P=0.09). PND symptoms increased the risk of infantile diarrhea only for HIV-P and HIV-U but not HIV-N women (interaction term, P=0.02). Health care providers should be aware of the increased risk of infantile diarrhea when both maternal HIV and PND symptoms are present and take preventive action to reduce morbidity.
Url:
DOI: 10.1007/s10461-012-0153-x
PubMed: 22331392
PubMed Central: 4175408
Affiliations:
- Canada, Ghana, États-Unis
- Connecticut, Iowa, Québec, Région du Grand Accra
- Accra, Legon (Ghana), Montréal
- Université McGill, Université du Ghana
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Le document en format XML
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<front><div type="abstract" xml:lang="en"><p id="P1">HIV infection is linked to increased prevalence of depression which may affect maternal caregiving practices and place young infants at increased risk of illness. We examined the incidence and days ill with diarrhea among infants of HIV positive (HIV-P), HIV negative (HIV-N), and unknown HIV status (HIV-U) women, and determined if symptoms of maternal postnatal depression (PND) modulated the risk of diarrhea. Pregnant women (n=492) were recruited from 3 antenatal clinics; mothers and infants were followed for 12 mo postpartum. Diarrheal incidence was 0.6 episodes/100-d at risk. More HIV-P than HIV-N and HIV-U women tended to report PND symptoms (P=0.09). PND symptoms increased the risk of infantile diarrhea only for HIV-P and HIV-U but not HIV-N women (interaction term, P=0.02). Health care providers should be aware of the increased risk of infantile diarrhea when both maternal HIV and PND symptoms are present and take preventive action to reduce morbidity.</p>
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