Food insecurity and perceived stress but not HIV infection are independently associated with lower energy intakes among lactating Ghanaian women
Identifieur interne : 000397 ( Ncbi/Merge ); précédent : 000396; suivant : 000398Food insecurity and perceived stress but not HIV infection are independently associated with lower energy intakes among lactating Ghanaian women
Auteurs : Adolphina A. Addo [États-Unis] ; Grace S. Marquis [États-Unis, Canada] ; Anna A. Lartey [Ghana] ; Rafael Pérez-Escamilla [États-Unis] ; Robert E. Mazur [États-Unis] ; Kimberly B. Harding [Canada]Source :
- Maternal & child nutrition [ 1740-8695 ] ; 2011.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Besoins nutritifs, Caractéristiques familiales, Facteurs de risque, Facteurs socioéconomiques, Femelle, Ghana (épidémiologie), Humains, Indice de masse corporelle, Infections à VIH (), Jeune adulte, Lactation (psychologie), Malnutrition (), Malnutrition (psychologie), Malnutrition (épidémiologie), Nourrisson, Ration calorique, Régime alimentaire (psychologie), Stress psychologique (), Troubles nutritionnels du nourrisson (épidémiologie), Zones de pauvreté, Études transversales.
- MESH :
- psychologie : Lactation, Malnutrition, Régime alimentaire.
- épidémiologie : Ghana, Malnutrition, Troubles nutritionnels du nourrisson.
- Adolescent, Adulte, Besoins nutritifs, Caractéristiques familiales, Facteurs de risque, Facteurs socioéconomiques, Femelle, Humains, Indice de masse corporelle, Infections à VIH, Jeune adulte, Malnutrition, Nourrisson, Ration calorique, Stress psychologique, Zones de pauvreté, Études transversales.
- Wicri :
- geographic : Ghana.
English descriptors
- KwdEn :
- Adolescent, Adult, Body Mass Index, Cross-Sectional Studies, Diet (psychology), Energy Intake, Family Characteristics, Female, Ghana (epidemiology), HIV Infections (complications), Humans, Infant, Infant Nutrition Disorders (epidemiology), Lactation (psychology), Malnutrition (complications), Malnutrition (epidemiology), Malnutrition (psychology), Nutritional Requirements, Poverty Areas, Risk Factors, Socioeconomic Factors, Stress, Psychological (complications), Young Adult.
- MESH :
- geographic , epidemiology : Ghana.
- complications : HIV Infections, Malnutrition, Stress, Psychological.
- epidemiology : Infant Nutrition Disorders, Malnutrition.
- psychology : Diet, Lactation, Malnutrition.
- Adolescent, Adult, Body Mass Index, Cross-Sectional Studies, Energy Intake, Family Characteristics, Female, Humans, Infant, Nutritional Requirements, Poverty Areas, Risk Factors, Socioeconomic Factors, Young Adult.
Abstract
HIV seropositive women living in low-income communities may have difficulty meeting the increased energy requirements that are associated with both lactation and HIV infection. Data on household food security and maternal socio-demographic characteristics, perceived stress, anthropometry, reported illness, dietary intakes and preferences, and exposure to nutrition education were collected from 70 lactating women (16 seropositive (HP), 27 seronegative (HN), and 27 who refused to be tested and had unknown HIV status (HU)). Diet was assessed with three 24-hr recalls (one market day, one weekend day, and one non-market weekday). Data were collected at 8.4 (SD=4.7) months postpartum. Most women (74.3%) reported being in good health at the time of study. Three-day mean energy intakes did not differ by HIV status (HP: 12000 kJ (SD=3600), HN: 12600 kJ (SD=5100), and HU: 12300 kJ (SD= 4800); p=0.94). Protein, fat, vitamin A, thiamin, riboflavin, niacin, vitamin C, calcium, iron, and zinc intakes also did not differ by group (p>0.10). There was a higher proportion of women with high stress levels in food insecure households compared to food secure households (55.6% vs. 26.5%; p=0.01). Energy intake was independently negatively associated with food insecurity (high: 11300 kJ (SD=3500) vs. low: 13400 kJ (SD=5400), respectively; p=0.050) and stress (high: 10800 kJ (SD=2800) vs. low: 13400 kJ (SD=5300), p=0.021). These results suggest the need to integrate multi-dimensional interventions that address economic and mental health constraints which may limit some women’s ability to meet their dietary needs.
Url:
DOI: 10.1111/j.1740-8709.2009.00229.x
PubMed: 21143587
PubMed Central: 3053124
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Harding</name><affiliation wicri:level="4"><nlm:aff id="A3"> School of Dietetics and Human Nutrition, Centre for Indigenous Peoples’ Nutrition and Environment, McGill University, QC H9X 3V9 Canada</nlm:aff><orgName type="university">Université McGill</orgName><country>Canada</country><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName></affiliation></author></analytic><series><title level="j">Maternal & child nutrition</title><idno type="ISSN">1740-8695</idno><idno type="eISSN">1740-8709</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Body Mass Index</term><term>Cross-Sectional Studies</term><term>Diet (psychology)</term><term>Energy Intake</term><term>Family Characteristics</term><term>Female</term><term>Ghana (epidemiology)</term><term>HIV Infections (complications)</term><term>Humans</term><term>Infant</term><term>Infant Nutrition Disorders (epidemiology)</term><term>Lactation (psychology)</term><term>Malnutrition (complications)</term><term>Malnutrition (epidemiology)</term><term>Malnutrition (psychology)</term><term>Nutritional Requirements</term><term>Poverty Areas</term><term>Risk Factors</term><term>Socioeconomic Factors</term><term>Stress, Psychological (complications)</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Besoins nutritifs</term><term>Caractéristiques familiales</term><term>Facteurs de risque</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Ghana (épidémiologie)</term><term>Humains</term><term>Indice de masse corporelle</term><term>Infections à VIH ()</term><term>Jeune adulte</term><term>Lactation (psychologie)</term><term>Malnutrition ()</term><term>Malnutrition (psychologie)</term><term>Malnutrition (épidémiologie)</term><term>Nourrisson</term><term>Ration calorique</term><term>Régime alimentaire (psychologie)</term><term>Stress psychologique ()</term><term>Troubles nutritionnels du nourrisson (épidémiologie)</term><term>Zones de pauvreté</term><term>Études transversales</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Ghana</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>HIV Infections</term><term>Malnutrition</term><term>Stress, Psychological</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Infant Nutrition Disorders</term><term>Malnutrition</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Lactation</term><term>Malnutrition</term><term>Régime alimentaire</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Diet</term><term>Lactation</term><term>Malnutrition</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Ghana</term><term>Malnutrition</term><term>Troubles nutritionnels du nourrisson</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Body Mass Index</term><term>Cross-Sectional Studies</term><term>Energy Intake</term><term>Family Characteristics</term><term>Female</term><term>Humans</term><term>Infant</term><term>Nutritional Requirements</term><term>Poverty Areas</term><term>Risk Factors</term><term>Socioeconomic Factors</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Besoins nutritifs</term><term>Caractéristiques familiales</term><term>Facteurs de risque</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Humains</term><term>Indice de masse corporelle</term><term>Infections à VIH</term><term>Jeune adulte</term><term>Malnutrition</term><term>Nourrisson</term><term>Ration calorique</term><term>Stress psychologique</term><term>Zones de pauvreté</term><term>Études transversales</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Ghana</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p id="P1">HIV seropositive women living in low-income communities may have difficulty meeting the increased energy requirements that are associated with both lactation and HIV infection. Data on household food security and maternal socio-demographic characteristics, perceived stress, anthropometry, reported illness, dietary intakes and preferences, and exposure to nutrition education were collected from 70 lactating women (16 seropositive (HP), 27 seronegative (HN), and 27 who refused to be tested and had unknown HIV status (HU)). Diet was assessed with three 24-hr recalls (one market day, one weekend day, and one non-market weekday). Data were collected at 8.4 (SD=4.7) months postpartum. Most women (74.3%) reported being in good health at the time of study. Three-day mean energy intakes did not differ by HIV status (HP: 12000 kJ (SD=3600), HN: 12600 kJ (SD=5100), and HU: 12300 kJ (SD= 4800); p=0.94). Protein, fat, vitamin A, thiamin, riboflavin, niacin, vitamin C, calcium, iron, and zinc intakes also did not differ by group (p>0.10). There was a higher proportion of women with high stress levels in food insecure households compared to food secure households (55.6% vs. 26.5%; p=0.01). Energy intake was independently negatively associated with food insecurity (high: 11300 kJ (SD=3500) vs. low: 13400 kJ (SD=5400), respectively; p=0.050) and stress (high: 10800 kJ (SD=2800) vs. low: 13400 kJ (SD=5300), p=0.021). These results suggest the need to integrate multi-dimensional interventions that address economic and mental health constraints which may limit some women’s ability to meet their dietary needs.</p></div></front></TEI><double pmid="21143587"><pmc><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Food insecurity and perceived stress but not HIV infection are independently associated with lower energy intakes among lactating Ghanaian women</title><author><name sortKey="Addo, Adolphina A" sort="Addo, Adolphina A" uniqKey="Addo A" first="Adolphina A." last="Addo">Adolphina A. Addo</name><affiliation wicri:level="4"><nlm:aff id="A1"> Department of Nutrition, School of Public Health & Health Sciences, University of Massachusetts, Amherst, MA, 01003</nlm:aff><orgName type="university">Université du Massachusetts</orgName><country>États-Unis</country><placeName><settlement type="city">Amherst (Massachusetts)</settlement><region type="state">Massachusetts</region></placeName></affiliation><affiliation wicri:level="2"><nlm:aff id="A2"> Department of Food Science and Human Nutrition, Iowa State University, Ames, IA 50011</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Iowa</region></placeName><wicri:cityArea> Department of Food Science and Human Nutrition, Iowa State University, Ames</wicri:cityArea></affiliation></author><author><name sortKey="Marquis, Grace S" sort="Marquis, Grace S" uniqKey="Marquis G" first="Grace S." last="Marquis">Grace S. Marquis</name><affiliation wicri:level="2"><nlm:aff id="A2"> Department of Food Science and Human Nutrition, Iowa State University, Ames, IA 50011</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Iowa</region></placeName><wicri:cityArea> Department of Food Science and Human Nutrition, Iowa State University, Ames</wicri:cityArea></affiliation><affiliation wicri:level="4"><nlm:aff id="A3"> School of Dietetics and Human Nutrition, Centre for Indigenous Peoples’ Nutrition and Environment, McGill University, QC H9X 3V9 Canada</nlm:aff><orgName type="university">Université McGill</orgName><country>Canada</country><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName></affiliation></author><author><name sortKey="Lartey, Anna A" sort="Lartey, Anna A" uniqKey="Lartey A" first="Anna A." last="Lartey">Anna A. Lartey</name><affiliation wicri:level="4"><nlm:aff id="A4"> Department of Nutrition and Food Science, University of Ghana, P.O. Box LG 134 Legon, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea> Department of Nutrition and Food Science, University of Ghana, P.O. Box LG 134 Legon</wicri:regionArea><orgName type="university">Université du Ghana</orgName><placeName><settlement type="city">Accra</settlement><settlement type="town">Legon (Ghana)</settlement><region type="region">Région du Grand Accra</region></placeName></affiliation></author><author><name sortKey="Perez Escamilla, Rafael" sort="Perez Escamilla, Rafael" uniqKey="Perez Escamilla R" first="Rafael" last="Pérez-Escamilla">Rafael Pérez-Escamilla</name><affiliation wicri:level="2"><nlm:aff id="A5"> Department of Nutritional Sciences, University of Connecticut, Storrs, CT 06269 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Connecticut</region></placeName><wicri:cityArea> Department of Nutritional Sciences, University of Connecticut, Storrs</wicri:cityArea></affiliation></author><author><name sortKey="Mazur, Robert E" sort="Mazur, Robert E" uniqKey="Mazur R" first="Robert E" last="Mazur">Robert E. Mazur</name><affiliation wicri:level="2"><nlm:aff id="A6"> Department of Sociology, Iowa State University, Ames, IA 50011 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Iowa</region></placeName><wicri:cityArea> Department of Sociology, Iowa State University, Ames</wicri:cityArea></affiliation></author><author><name sortKey="Harding, Kimberly B" sort="Harding, Kimberly B" uniqKey="Harding K" first="Kimberly B." last="Harding">Kimberly B. Harding</name><affiliation wicri:level="4"><nlm:aff id="A3"> School of Dietetics and Human Nutrition, Centre for Indigenous Peoples’ Nutrition and Environment, McGill University, QC H9X 3V9 Canada</nlm:aff><orgName type="university">Université McGill</orgName><country>Canada</country><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">21143587</idno><idno type="pmc">3053124</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3053124</idno><idno type="RBID">PMC:3053124</idno><idno type="doi">10.1111/j.1740-8709.2009.00229.x</idno><date when="2011">2011</date><idno type="wicri:Area/Pmc/Corpus">000239</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000239</idno><idno type="wicri:Area/Pmc/Curation">000238</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000238</idno><idno type="wicri:Area/Pmc/Checkpoint">000385</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000385</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Food insecurity and perceived stress but not HIV infection are independently associated with lower energy intakes among lactating Ghanaian women</title><author><name sortKey="Addo, Adolphina A" sort="Addo, Adolphina A" uniqKey="Addo A" first="Adolphina A." last="Addo">Adolphina A. Addo</name><affiliation wicri:level="4"><nlm:aff id="A1"> Department of Nutrition, School of Public Health & Health Sciences, University of Massachusetts, Amherst, MA, 01003</nlm:aff><orgName type="university">Université du Massachusetts</orgName><country>États-Unis</country><placeName><settlement type="city">Amherst (Massachusetts)</settlement><region type="state">Massachusetts</region></placeName></affiliation><affiliation wicri:level="2"><nlm:aff id="A2"> Department of Food Science and Human Nutrition, Iowa State University, Ames, IA 50011</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Iowa</region></placeName><wicri:cityArea> Department of Food Science and Human Nutrition, Iowa State University, Ames</wicri:cityArea></affiliation></author><author><name sortKey="Marquis, Grace S" sort="Marquis, Grace S" uniqKey="Marquis G" first="Grace S." last="Marquis">Grace S. Marquis</name><affiliation wicri:level="2"><nlm:aff id="A2"> Department of Food Science and Human Nutrition, Iowa State University, Ames, IA 50011</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Iowa</region></placeName><wicri:cityArea> Department of Food Science and Human Nutrition, Iowa State University, Ames</wicri:cityArea></affiliation><affiliation wicri:level="4"><nlm:aff id="A3"> School of Dietetics and Human Nutrition, Centre for Indigenous Peoples’ Nutrition and Environment, McGill University, QC H9X 3V9 Canada</nlm:aff><orgName type="university">Université McGill</orgName><country>Canada</country><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName></affiliation></author><author><name sortKey="Lartey, Anna A" sort="Lartey, Anna A" uniqKey="Lartey A" first="Anna A." last="Lartey">Anna A. Lartey</name><affiliation wicri:level="4"><nlm:aff id="A4"> Department of Nutrition and Food Science, University of Ghana, P.O. Box LG 134 Legon, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea> Department of Nutrition and Food Science, University of Ghana, P.O. Box LG 134 Legon</wicri:regionArea><orgName type="university">Université du Ghana</orgName><placeName><settlement type="city">Accra</settlement><settlement type="town">Legon (Ghana)</settlement><region type="region">Région du Grand Accra</region></placeName></affiliation></author><author><name sortKey="Perez Escamilla, Rafael" sort="Perez Escamilla, Rafael" uniqKey="Perez Escamilla R" first="Rafael" last="Pérez-Escamilla">Rafael Pérez-Escamilla</name><affiliation wicri:level="2"><nlm:aff id="A5"> Department of Nutritional Sciences, University of Connecticut, Storrs, CT 06269 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Connecticut</region></placeName><wicri:cityArea> Department of Nutritional Sciences, University of Connecticut, Storrs</wicri:cityArea></affiliation></author><author><name sortKey="Mazur, Robert E" sort="Mazur, Robert E" uniqKey="Mazur R" first="Robert E" last="Mazur">Robert E. Mazur</name><affiliation wicri:level="2"><nlm:aff id="A6"> Department of Sociology, Iowa State University, Ames, IA 50011 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Iowa</region></placeName><wicri:cityArea> Department of Sociology, Iowa State University, Ames</wicri:cityArea></affiliation></author><author><name sortKey="Harding, Kimberly B" sort="Harding, Kimberly B" uniqKey="Harding K" first="Kimberly B." last="Harding">Kimberly B. Harding</name><affiliation wicri:level="4"><nlm:aff id="A3"> School of Dietetics and Human Nutrition, Centre for Indigenous Peoples’ Nutrition and Environment, McGill University, QC H9X 3V9 Canada</nlm:aff><orgName type="university">Université McGill</orgName><country>Canada</country><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName></affiliation></author></analytic><series><title level="j">Maternal & child nutrition</title><idno type="ISSN">1740-8695</idno><idno type="eISSN">1740-8709</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p id="P1">HIV seropositive women living in low-income communities may have difficulty meeting the increased energy requirements that are associated with both lactation and HIV infection. Data on household food security and maternal socio-demographic characteristics, perceived stress, anthropometry, reported illness, dietary intakes and preferences, and exposure to nutrition education were collected from 70 lactating women (16 seropositive (HP), 27 seronegative (HN), and 27 who refused to be tested and had unknown HIV status (HU)). Diet was assessed with three 24-hr recalls (one market day, one weekend day, and one non-market weekday). Data were collected at 8.4 (SD=4.7) months postpartum. Most women (74.3%) reported being in good health at the time of study. Three-day mean energy intakes did not differ by HIV status (HP: 12000 kJ (SD=3600), HN: 12600 kJ (SD=5100), and HU: 12300 kJ (SD= 4800); p=0.94). Protein, fat, vitamin A, thiamin, riboflavin, niacin, vitamin C, calcium, iron, and zinc intakes also did not differ by group (p>0.10). There was a higher proportion of women with high stress levels in food insecure households compared to food secure households (55.6% vs. 26.5%; p=0.01). Energy intake was independently negatively associated with food insecurity (high: 11300 kJ (SD=3500) vs. low: 13400 kJ (SD=5400), respectively; p=0.050) and stress (high: 10800 kJ (SD=2800) vs. low: 13400 kJ (SD=5300), p=0.021). These results suggest the need to integrate multi-dimensional interventions that address economic and mental health constraints which may limit some women’s ability to meet their dietary needs.</p></div></front></TEI></pmc><pubmed><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Food insecurity and perceived stress but not HIV infection are independently associated with lower energy intakes among lactating Ghanaian women.</title><author><name sortKey="Addo, Adolphina A" sort="Addo, Adolphina A" uniqKey="Addo A" first="Adolphina A" last="Addo">Adolphina A. Addo</name><affiliation wicri:level="4"><nlm:affiliation>Department of Nutrition, School of Public Health & Health Sciences, University of Massachusetts, Amherst, Massachusetts 01003, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Nutrition, School of Public Health & Health Sciences, University of Massachusetts, Amherst, Massachusetts 01003</wicri:regionArea><orgName type="university">Université du Massachusetts</orgName><placeName><settlement type="city">Amherst (Massachusetts)</settlement><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Marquis, Grace S" sort="Marquis, Grace S" uniqKey="Marquis G" first="Grace S" last="Marquis">Grace S. Marquis</name></author><author><name sortKey="Lartey, Anna A" sort="Lartey, Anna A" uniqKey="Lartey A" first="Anna A" last="Lartey">Anna A. Lartey</name></author><author><name sortKey="Perez Escamilla, Rafael" sort="Perez Escamilla, Rafael" uniqKey="Perez Escamilla R" first="Rafael" last="Pérez-Escamilla">Rafael Pérez-Escamilla</name></author><author><name sortKey="Mazur, Robert E" sort="Mazur, Robert E" uniqKey="Mazur R" first="Robert E" last="Mazur">Robert E. Mazur</name></author><author><name sortKey="Harding, Kimberly B" sort="Harding, Kimberly B" uniqKey="Harding K" first="Kimberly B" last="Harding">Kimberly B. Harding</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2011">2011</date><idno type="RBID">pubmed:21143587</idno><idno type="pmid">21143587</idno><idno type="doi">10.1111/j.1740-8709.2009.00229.x</idno><idno type="wicri:Area/PubMed/Corpus">000451</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000451</idno><idno type="wicri:Area/PubMed/Curation">000451</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000451</idno><idno type="wicri:Area/PubMed/Checkpoint">000451</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000451</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Food insecurity and perceived stress but not HIV infection are independently associated with lower energy intakes among lactating Ghanaian women.</title><author><name sortKey="Addo, Adolphina A" sort="Addo, Adolphina A" uniqKey="Addo A" first="Adolphina A" last="Addo">Adolphina A. Addo</name><affiliation wicri:level="4"><nlm:affiliation>Department of Nutrition, School of Public Health & Health Sciences, University of Massachusetts, Amherst, Massachusetts 01003, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Nutrition, School of Public Health & Health Sciences, University of Massachusetts, Amherst, Massachusetts 01003</wicri:regionArea><orgName type="university">Université du Massachusetts</orgName><placeName><settlement type="city">Amherst (Massachusetts)</settlement><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Marquis, Grace S" sort="Marquis, Grace S" uniqKey="Marquis G" first="Grace S" last="Marquis">Grace S. Marquis</name></author><author><name sortKey="Lartey, Anna A" sort="Lartey, Anna A" uniqKey="Lartey A" first="Anna A" last="Lartey">Anna A. Lartey</name></author><author><name sortKey="Perez Escamilla, Rafael" sort="Perez Escamilla, Rafael" uniqKey="Perez Escamilla R" first="Rafael" last="Pérez-Escamilla">Rafael Pérez-Escamilla</name></author><author><name sortKey="Mazur, Robert E" sort="Mazur, Robert E" uniqKey="Mazur R" first="Robert E" last="Mazur">Robert E. Mazur</name></author><author><name sortKey="Harding, Kimberly B" sort="Harding, Kimberly B" uniqKey="Harding K" first="Kimberly B" last="Harding">Kimberly B. Harding</name></author></analytic><series><title level="j">Maternal & child nutrition</title><idno type="eISSN">1740-8709</idno><imprint><date when="2011" type="published">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Body Mass Index</term><term>Cross-Sectional Studies</term><term>Diet (psychology)</term><term>Energy Intake</term><term>Family Characteristics</term><term>Female</term><term>Ghana (epidemiology)</term><term>HIV Infections (complications)</term><term>Humans</term><term>Infant</term><term>Infant Nutrition Disorders (epidemiology)</term><term>Lactation (psychology)</term><term>Malnutrition (complications)</term><term>Malnutrition (epidemiology)</term><term>Malnutrition (psychology)</term><term>Nutritional Requirements</term><term>Poverty Areas</term><term>Risk Factors</term><term>Socioeconomic Factors</term><term>Stress, Psychological (complications)</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Besoins nutritifs</term><term>Caractéristiques familiales</term><term>Facteurs de risque</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Ghana (épidémiologie)</term><term>Humains</term><term>Indice de masse corporelle</term><term>Infections à VIH ()</term><term>Jeune adulte</term><term>Lactation (psychologie)</term><term>Malnutrition ()</term><term>Malnutrition (psychologie)</term><term>Malnutrition (épidémiologie)</term><term>Nourrisson</term><term>Ration calorique</term><term>Régime alimentaire (psychologie)</term><term>Stress psychologique ()</term><term>Troubles nutritionnels du nourrisson (épidémiologie)</term><term>Zones de pauvreté</term><term>Études transversales</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Ghana</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>HIV Infections</term><term>Malnutrition</term><term>Stress, Psychological</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Infant Nutrition Disorders</term><term>Malnutrition</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Lactation</term><term>Malnutrition</term><term>Régime alimentaire</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Diet</term><term>Lactation</term><term>Malnutrition</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Ghana</term><term>Malnutrition</term><term>Troubles nutritionnels du nourrisson</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Body Mass Index</term><term>Cross-Sectional Studies</term><term>Energy Intake</term><term>Family Characteristics</term><term>Female</term><term>Humans</term><term>Infant</term><term>Nutritional Requirements</term><term>Poverty Areas</term><term>Risk Factors</term><term>Socioeconomic Factors</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Besoins nutritifs</term><term>Caractéristiques familiales</term><term>Facteurs de risque</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Humains</term><term>Indice de masse corporelle</term><term>Infections à VIH</term><term>Jeune adulte</term><term>Malnutrition</term><term>Nourrisson</term><term>Ration calorique</term><term>Stress psychologique</term><term>Zones de pauvreté</term><term>Études transversales</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Ghana</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Human immunodeficiency virus (HIV) seropositive women living in low-income communities may have difficulty meeting the increased energy requirements that are associated with both lactation and HIV infection. Data on household food security and maternal socio-demographic characteristics, perceived stress, anthropometry, reported illness, dietary intakes and preferences, and exposure to nutrition education were collected from 70 lactating women [16 seropositive (HP), 27 seronegative (HN), and 27 who refused to be tested and had unknown HIV status (HU)]. Diet was assessed with three 24-h recalls (one market day, one weekend day, and one non-market weekday). Data were collected at 8.4 (SD = 4.7) months postpartum. Most women (74.3%) reported being in good health at the time of study. Three-day mean energy intakes did not differ by HIV status [HP: 12,000 kJ (SD = 3600), HN: 12,600 kJ (SD = 5100), and HU: 12,300 kJ (SD = 4800); P = 0.94]. Protein, fat, vitamin A, thiamin, riboflavin, niacin, vitamin C, calcium, iron, and zinc intakes also did not differ by group (P > 0.10). There was a higher proportion of women with high stress levels in food insecure households compared with food secure households (55.6% vs. 26.5%; P = 0.01). Energy intake was independently negatively associated with food insecurity [high: 11,300 kJ (SD = 3500) vs. low: 13,400 kJ (SD = 5400), respectively; P = 0.050] and stress [high: 10,800 kJ (SD = 2800) vs. low: 13,400 kJ (SD = 5300), P = 0.021]. These results suggest the need to integrate multi-dimensional interventions that address economic and mental health constraints which may limit some women's ability to meet their dietary needs.</div></front></TEI></pubmed></double></record>Pour manipuler ce document sous Unix (Dilib)
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