Persistent household food insecurity, HIV, and maternal stress in peri-urban Ghana.
Identifieur interne : 000152 ( PubMed/Corpus ); précédent : 000151; suivant : 000153Persistent household food insecurity, HIV, and maternal stress in peri-urban Ghana.
Auteurs : Jonathan Garcia ; Amber Hromi-Fiedler ; Robert E. Mazur ; Grace Marquis ; Daniel Sellen ; Anna Lartey ; Rafael Pérez-EscamillaSource :
- BMC public health [ 1471-2458 ] ; 2013.
English descriptors
- KwdEn :
- Adult, Family Characteristics, Female, Follow-Up Studies, Food Supply (statistics & numerical data), Ghana (epidemiology), HIV Infections (epidemiology), HIV Infections (psychology), Humans, Mothers (psychology), Mothers (statistics & numerical data), Pregnancy, Psychiatric Status Rating Scales, Stress, Psychological (epidemiology), Urban Health (statistics & numerical data), Young Adult.
- MESH :
- geographic , epidemiology : Ghana.
- epidemiology : HIV Infections, Stress, Psychological.
- psychology : HIV Infections, Mothers.
- statistics & numerical data : Food Supply, Mothers, Urban Health.
- Adult, Family Characteristics, Female, Follow-Up Studies, Humans, Pregnancy, Psychiatric Status Rating Scales, Young Adult.
Abstract
The mental health of caregivers has been shown to be important for improving HIV prevention and treatment. Household food insecurity affects hundreds of millions of individuals in Sub-Saharan Africa, a region that experiences a disproportionate burden of the HIV pandemic. Both maternal HIV diagnosis and household food insecurity may be linked with maternal stress. This in turn may lead to unhealthy coping behaviors. We examined the independent associations of HIV, persistent household food insecurity and the synergistic effect of both on maternal stress.
DOI: 10.1186/1471-2458-13-215
PubMed: 23497026
Links to Exploration step
pubmed:23497026Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Persistent household food insecurity, HIV, and maternal stress in peri-urban Ghana.</title><author><name sortKey="Garcia, Jonathan" sort="Garcia, Jonathan" uniqKey="Garcia J" first="Jonathan" last="Garcia">Jonathan Garcia</name><affiliation><nlm:affiliation>Center for Interdisciplinary Research on AIDS, Yale School of Public Health, New Haven, CT, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Hromi Fiedler, Amber" sort="Hromi Fiedler, Amber" uniqKey="Hromi Fiedler A" first="Amber" last="Hromi-Fiedler">Amber Hromi-Fiedler</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="Marquis, Grace" sort="Marquis, Grace" uniqKey="Marquis G" first="Grace" last="Marquis">Grace Marquis</name></author><author><name sortKey="Sellen, Daniel" sort="Sellen, Daniel" uniqKey="Sellen D" first="Daniel" last="Sellen">Daniel Sellen</name></author><author><name sortKey="Lartey, Anna" sort="Lartey, Anna" uniqKey="Lartey A" first="Anna" last="Lartey">Anna 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></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2013">2013</date><idno type="RBID">pubmed:23497026</idno><idno type="pmid">23497026</idno><idno type="doi">10.1186/1471-2458-13-215</idno><idno type="wicri:Area/PubMed/Corpus">000152</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000152</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Persistent household food insecurity, HIV, and maternal stress in peri-urban Ghana.</title><author><name sortKey="Garcia, Jonathan" sort="Garcia, Jonathan" uniqKey="Garcia J" first="Jonathan" last="Garcia">Jonathan Garcia</name><affiliation><nlm:affiliation>Center for Interdisciplinary Research on AIDS, Yale School of Public Health, New Haven, CT, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Hromi Fiedler, Amber" sort="Hromi Fiedler, Amber" uniqKey="Hromi Fiedler A" first="Amber" last="Hromi-Fiedler">Amber Hromi-Fiedler</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="Marquis, Grace" sort="Marquis, Grace" uniqKey="Marquis G" first="Grace" last="Marquis">Grace Marquis</name></author><author><name sortKey="Sellen, Daniel" sort="Sellen, Daniel" uniqKey="Sellen D" first="Daniel" last="Sellen">Daniel Sellen</name></author><author><name sortKey="Lartey, Anna" sort="Lartey, Anna" uniqKey="Lartey A" first="Anna" last="Lartey">Anna 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></analytic><series><title level="j">BMC public health</title><idno type="eISSN">1471-2458</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Family Characteristics</term><term>Female</term><term>Follow-Up Studies</term><term>Food Supply (statistics & numerical data)</term><term>Ghana (epidemiology)</term><term>HIV Infections (epidemiology)</term><term>HIV Infections (psychology)</term><term>Humans</term><term>Mothers (psychology)</term><term>Mothers (statistics & numerical data)</term><term>Pregnancy</term><term>Psychiatric Status Rating Scales</term><term>Stress, Psychological (epidemiology)</term><term>Urban Health (statistics & numerical data)</term><term>Young Adult</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Ghana</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>HIV Infections</term><term>Stress, Psychological</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>HIV Infections</term><term>Mothers</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Food Supply</term><term>Mothers</term><term>Urban Health</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Family Characteristics</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Pregnancy</term><term>Psychiatric Status Rating Scales</term><term>Young Adult</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The mental health of caregivers has been shown to be important for improving HIV prevention and treatment. Household food insecurity affects hundreds of millions of individuals in Sub-Saharan Africa, a region that experiences a disproportionate burden of the HIV pandemic. Both maternal HIV diagnosis and household food insecurity may be linked with maternal stress. This in turn may lead to unhealthy coping behaviors. We examined the independent associations of HIV, persistent household food insecurity and the synergistic effect of both on maternal stress.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">23497026</PMID><DateCreated><Year>2013</Year><Month>04</Month><Day>03</Day></DateCreated><DateCompleted><Year>2013</Year><Month>06</Month><Day>24</Day></DateCompleted><DateRevised><Year>2017</Year><Month>02</Month><Day>20</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1471-2458</ISSN><JournalIssue CitedMedium="Internet"><Volume>13</Volume><PubDate><Year>2013</Year><Month>Mar</Month><Day>11</Day></PubDate></JournalIssue><Title>BMC public health</Title><ISOAbbreviation>BMC Public Health</ISOAbbreviation></Journal><ArticleTitle>Persistent household food insecurity, HIV, and maternal stress in peri-urban Ghana.</ArticleTitle><Pagination><MedlinePgn>215</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/1471-2458-13-215</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The mental health of caregivers has been shown to be important for improving HIV prevention and treatment. Household food insecurity affects hundreds of millions of individuals in Sub-Saharan Africa, a region that experiences a disproportionate burden of the HIV pandemic. Both maternal HIV diagnosis and household food insecurity may be linked with maternal stress. This in turn may lead to unhealthy coping behaviors. We examined the independent associations of HIV, persistent household food insecurity and the synergistic effect of both on maternal stress.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Ghanaian women recruited prenatally from hospitals offering voluntary counseling and testing (VCT) were followed for 12 months after childbirth (N = 232). A locally adapted 7-item version of the US Household Food Security Survey Module was applied at four time points postpartum. We dichotomized participant households as being persistently food insecure (i.e., food insecure at each time point) or not (i.e., food secure at any time point). We dichotomized participant women as not perceiving vs. perceiving stress at 12 months postpartum in reference to the median sample score on the 4-item Cohen's stress scale. Binary multivariate logistic regression models were used to assess the independent and interactive effects of maternal HIV and persistent household food insecurity on maternal stress.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The proportion of HIV-positive women that lived in severe food insecure households increased over time. By contrast, the HIV-negative group living in severely food insecure households experienced a steady decline across time. HIV-infection (AOR = 2.31, 95% CI 1.29-4.12) and persistent household food insecurity (AOR = 3.55, 95% CI 1.13-11.13) were independently associated with maternal stress in a multivariate model. Being both HIV-positive and persistently food insecure strongly and synergistically increased the risk for maternal perceived stress (AOR = 15.35, 95% CI 1.90-124.14).</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">In agreement with syndemic theory there is a powerful synergism between maternal HIV diagnosis and household food insecurity on maternal stress. Comprehensive multi-dimensional intervention studies are needed to better understand how to reduce stress among HIV-positive women living in persistently food insecure households and how to reduce the likelihood of food insecurity in HIV-affected households in Sub-Saharan Africa.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Garcia</LastName><ForeName>Jonathan</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Center for Interdisciplinary Research on AIDS, Yale School of Public Health, New Haven, CT, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hromi-Fiedler</LastName><ForeName>Amber</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Mazur</LastName><ForeName>Robert E</ForeName><Initials>RE</Initials></Author><Author ValidYN="Y"><LastName>Marquis</LastName><ForeName>Grace</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Sellen</LastName><ForeName>Daniel</ForeName><Initials>D</Initials></Author><Author ValidYN="Y"><LastName>Lartey</LastName><ForeName>Anna</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Pérez-Escamilla</LastName><ForeName>Rafael</ForeName><Initials>R</Initials></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>R24 HD043620</GrantID><Acronym>HD</Acronym><Agency>NICHD NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>HD43620</GrantID><Acronym>HD</Acronym><Agency>NICHD NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>T32 MH020031</GrantID><Acronym>MH</Acronym><Agency>NIMH NIH HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D052061">Research Support, N.I.H., Extramural</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2013</Year><Month>03</Month><Day>11</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>BMC Public Health</MedlineTA><NlmUniqueID>100968562</NlmUniqueID><ISSNLinking>1471-2458</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Soc Work. 1999 Jan;44(1):36-45</RefSource><PMID Version="1">9922728</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Ghana Med J. 2009 Dec;43(4):142-3</RefSource><PMID Version="1">21326992</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Health Soc Behav. 1983 Dec;24(4):385-96</RefSource><PMID Version="1">6668417</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Child Psychol Psychiatry. 2008 Mar;49(3):295-312</RefSource><PMID Version="1">18221344</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>AIDS 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MajorTopicYN="N">Food Supply</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005869" MajorTopicYN="N" Type="Geographic">Ghana</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015658" MajorTopicYN="N">HIV Infections</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009035" MajorTopicYN="N">Mothers</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011247" 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