SidaSubSaharaV1, Main, Exploration, bibRecord, 001D20

Household food insecurity, maternal nutritional status, and infant feeding practices among HIV-infected Ugandan women receiving combination antiretroviral therapy

Identifieur interne : 001D20 ( Main/Exploration ); précédent : 001D19; suivant : 001D21

Household food insecurity, maternal nutritional status, and infant feeding practices among HIV-infected Ugandan women receiving combination antiretroviral therapy

Auteurs : Sera L. Young [États-Unis] ; Albert H. J. Plenty [États-Unis] ; Flavia A. Luwedde [Ouganda] ; Barnabas K. Natamba [États-Unis] ; Paul Natureeba [Ouganda] ; Jane Achan [Ouganda] ; Julia Mwesigwa [Ouganda] ; Theodore D. Ruel [États-Unis] ; Veronica Ades [États-Unis] ; Beth Osterbauer [États-Unis] ; Tamara D. Clark [États-Unis] ; Grant Dorsey [États-Unis] ; Edwin D. Charlebois [États-Unis] ; Moses Kamya [Ouganda] ; Diane V. Havlir [États-Unis] ; Deborah L. Cohan [États-Unis]

Source :

Maternal and child health journal [ 1092-7875 ] ; 2014.

RBID : PMC:4419705

Abstract

Objectives

Household food insecurity may be a barrier to both optimal maternal nutritional status and infant feeding practices, but few studies have tested this relationship quantitatively, and never among HIV-infected individuals. We therefore explored if greater household food insecurity was associated with poorer maternal nutritional status, shorter duration of exclusive breastfeeding (EBF) and fewer animal-source complementary foods.

Methods

We assessed these outcomes among 180 HIV-infected pregnant and breastfeeding (BF) women receiving combination antiretroviral therapy in the PROMOTE trial (NCT00993031), a prospective, longitudinal cohort study in Tororo, Uganda.

Results

Household food insecurity was common; the prevalence of severe, moderate, and little to no household hunger was 7.3%, 40.5%, and 52.2%, respectively. Poor maternal nutritional status was common and women in households experiencing moderate to severe household hunger (MSHH) had statistically significantly lower BMIs at enrollment (21.3 vs 22.5, p<0.01) and prior to delivery (22.6 vs. 23.8, p<0.01). However, MSHH was not associated with maternal BMI or gestational weight gain in multivariate models. The prevalence (95% CI) of EBF at 6 months was 66.4% (59.0%-72.8%), and the proportion of women breastfeeding at 12 months was 80.0% (73.0%-85.3%).MSHH was not associated with EBF at 6 months or breastfeeding at 12 months. However, among those women still EBF at 4 months (81.0% of population), those experiencing MSHH were significantly more likely to cease EBF between 4 and 6 months (aHR: 2.52, 95% CI 1.03-6.19).

Conclusions

Interventions addressing household food insecurity, maternal malnutrition and suboptimal breastfeeding practices are urgently needed.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4419705

DOI: 10.1007/s10995-014-1450-y
PubMed: 24585398
PubMed Central: 4419705

Affiliations:

Le document en format XML

<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Household food insecurity, maternal nutritional status, and infant feeding practices among HIV-infected Ugandan women receiving combination antiretroviral therapy</title>
<author><name sortKey="Young, Sera L" sort="Young, Sera L" uniqKey="Young S" first="Sera L." last="Young">Sera L. Young</name>
<affiliation wicri:level="4"><nlm:aff id="A1">Cornell University, Division of Nutritional Sciences, Ithaca, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Cornell University, Division of Nutritional Sciences, Ithaca</wicri:regionArea>
<orgName type="university">Université Cornell</orgName>
<placeName><settlement type="city">Ithaca (New York)</settlement>
<region type="state">État de New York</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Plenty, Albert H J" sort="Plenty, Albert H J" uniqKey="Plenty A" first="Albert H. J." last="Plenty">Albert H. J. Plenty</name>
<affiliation wicri:level="3"><nlm:aff id="A2">University of California, San Francisco, Center for AIDS Prevention Studies, San Francisco, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>University of California, San Francisco, Center for AIDS Prevention Studies, San Francisco</wicri:regionArea>
<placeName><settlement type="city">San Francisco</settlement>
<region type="state">Californie</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Luwedde, Flavia A" sort="Luwedde, Flavia A" uniqKey="Luwedde F" first="Flavia A." last="Luwedde">Flavia A. Luwedde</name>
<affiliation wicri:level="1"><nlm:aff id="A3">Makerere University-University of California, San Francisco (MU-UCSF) Research Collaboration, Tororo, Uganda</nlm:aff>
<country xml:lang="fr">Ouganda</country>
<wicri:regionArea>Makerere University-University of California, San Francisco (MU-UCSF) Research Collaboration, Tororo</wicri:regionArea>
<wicri:noRegion>Tororo</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Natamba, Barnabas K" sort="Natamba, Barnabas K" uniqKey="Natamba B" first="Barnabas K." last="Natamba">Barnabas K. Natamba</name>
<affiliation wicri:level="4"><nlm:aff id="A1">Cornell University, Division of Nutritional Sciences, Ithaca, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Cornell University, Division of Nutritional Sciences, Ithaca</wicri:regionArea>
<orgName type="university">Université Cornell</orgName>
<placeName><settlement type="city">Ithaca (New York)</settlement>
<region type="state">État de New York</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Natureeba, Paul" sort="Natureeba, Paul" uniqKey="Natureeba P" first="Paul" last="Natureeba">Paul Natureeba</name>
<affiliation wicri:level="1"><nlm:aff id="A3">Makerere University-University of California, San Francisco (MU-UCSF) Research Collaboration, Tororo, Uganda</nlm:aff>
<country xml:lang="fr">Ouganda</country>
<wicri:regionArea>Makerere University-University of California, San Francisco (MU-UCSF) Research Collaboration, Tororo</wicri:regionArea>
<wicri:noRegion>Tororo</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Achan, Jane" sort="Achan, Jane" uniqKey="Achan J" first="Jane" last="Achan">Jane Achan</name>
<affiliation wicri:level="1"><nlm:aff id="A4">Makerere University Medical School, Department of Medicine, Kampala, Uganda</nlm:aff>
<country xml:lang="fr">Ouganda</country>
<wicri:regionArea>Makerere University Medical School, Department of Medicine, Kampala</wicri:regionArea>
<wicri:noRegion>Kampala</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Mwesigwa, Julia" sort="Mwesigwa, Julia" uniqKey="Mwesigwa J" first="Julia" last="Mwesigwa">Julia Mwesigwa</name>
<affiliation wicri:level="1"><nlm:aff id="A3">Makerere University-University of California, San Francisco (MU-UCSF) Research Collaboration, Tororo, Uganda</nlm:aff>
<country xml:lang="fr">Ouganda</country>
<wicri:regionArea>Makerere University-University of California, San Francisco (MU-UCSF) Research Collaboration, Tororo</wicri:regionArea>
<wicri:noRegion>Tororo</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ruel, Theodore D" sort="Ruel, Theodore D" uniqKey="Ruel T" first="Theodore D." last="Ruel">Theodore D. Ruel</name>
<affiliation wicri:level="3"><nlm:aff id="A5">University of California, San Francisco, Department of Pediatrics, San Francisco, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>University of California, San Francisco, Department of Pediatrics, San Francisco</wicri:regionArea>
<placeName><settlement type="city">San Francisco</settlement>
<region type="state">Californie</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Ades, Veronica" sort="Ades, Veronica" uniqKey="Ades V" first="Veronica" last="Ades">Veronica Ades</name>
<affiliation wicri:level="3"><nlm:aff id="A6">University of California, San Francisco, Department of Obstetrics, Gynecology, and Reproductive Sciences, San Francisco, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>University of California, San Francisco, Department of Obstetrics, Gynecology, and Reproductive Sciences, San Francisco</wicri:regionArea>
<placeName><settlement type="city">San Francisco</settlement>
<region type="state">Californie</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Osterbauer, Beth" sort="Osterbauer, Beth" uniqKey="Osterbauer B" first="Beth" last="Osterbauer">Beth Osterbauer</name>
<affiliation wicri:level="3"><nlm:aff id="A7">University of California, San Francisco, Department of Medicine, San Francisco, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>University of California, San Francisco, Department of Medicine, San Francisco</wicri:regionArea>
<placeName><settlement type="city">San Francisco</settlement>
<region type="state">Californie</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Clark, Tamara D" sort="Clark, Tamara D" uniqKey="Clark T" first="Tamara D." last="Clark">Tamara D. Clark</name>
<affiliation wicri:level="3"><nlm:aff id="A7">University of California, San Francisco, Department of Medicine, San Francisco, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>University of California, San Francisco, Department of Medicine, San Francisco</wicri:regionArea>
<placeName><settlement type="city">San Francisco</settlement>
<region type="state">Californie</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Dorsey, Grant" sort="Dorsey, Grant" uniqKey="Dorsey G" first="Grant" last="Dorsey">Grant Dorsey</name>
<affiliation wicri:level="3"><nlm:aff id="A7">University of California, San Francisco, Department of Medicine, San Francisco, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>University of California, San Francisco, Department of Medicine, San Francisco</wicri:regionArea>
<placeName><settlement type="city">San Francisco</settlement>
<region type="state">Californie</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Charlebois, Edwin D" sort="Charlebois, Edwin D" uniqKey="Charlebois E" first="Edwin D." last="Charlebois">Edwin D. Charlebois</name>
<affiliation wicri:level="3"><nlm:aff id="A2">University of California, San Francisco, Center for AIDS Prevention Studies, San Francisco, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>University of California, San Francisco, Center for AIDS Prevention Studies, San Francisco</wicri:regionArea>
<placeName><settlement type="city">San Francisco</settlement>
<region type="state">Californie</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Kamya, Moses" sort="Kamya, Moses" uniqKey="Kamya M" first="Moses" last="Kamya">Moses Kamya</name>
<affiliation wicri:level="1"><nlm:aff id="A8">Makerere University Medical School, Department of Medicine, Kampala, Uganda</nlm:aff>
<country xml:lang="fr">Ouganda</country>
<wicri:regionArea>Makerere University Medical School, Department of Medicine, Kampala</wicri:regionArea>
<wicri:noRegion>Kampala</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Havlir, Diane V" sort="Havlir, Diane V" uniqKey="Havlir D" first="Diane V." last="Havlir">Diane V. Havlir</name>
<affiliation wicri:level="3"><nlm:aff id="A7">University of California, San Francisco, Department of Medicine, San Francisco, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>University of California, San Francisco, Department of Medicine, San Francisco</wicri:regionArea>
<placeName><settlement type="city">San Francisco</settlement>
<region type="state">Californie</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Cohan, Deborah L" sort="Cohan, Deborah L" uniqKey="Cohan D" first="Deborah L." last="Cohan">Deborah L. Cohan</name>
<affiliation wicri:level="3"><nlm:aff id="A6">University of California, San Francisco, Department of Obstetrics, Gynecology, and Reproductive Sciences, San Francisco, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>University of California, San Francisco, Department of Obstetrics, Gynecology, and Reproductive Sciences, San Francisco</wicri:regionArea>
<placeName><settlement type="city">San Francisco</settlement>
<region type="state">Californie</region>
</placeName>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">24585398</idno>
<idno type="pmc">4419705</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4419705</idno>
<idno type="RBID">PMC:4419705</idno>
<idno type="doi">10.1007/s10995-014-1450-y</idno>
<date when="2014">2014</date>
<idno type="wicri:Area/Pmc/Corpus">002034</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002034</idno>
<idno type="wicri:Area/Pmc/Curation">002033</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002033</idno>
<idno type="wicri:Area/Pmc/Checkpoint">001309</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001309</idno>
<idno type="wicri:Area/Ncbi/Merge">002771</idno>
<idno type="wicri:Area/Ncbi/Curation">002771</idno>
<idno type="wicri:Area/Ncbi/Checkpoint">002771</idno>
<idno type="wicri:doubleKey">1092-7875:2014:Young S:household:food:insecurity</idno>
<idno type="wicri:Area/Main/Merge">001D23</idno>
<idno type="wicri:Area/Main/Curation">001D20</idno>
<idno type="wicri:Area/Main/Exploration">001D20</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Household food insecurity, maternal nutritional status, and infant feeding practices among HIV-infected Ugandan women receiving combination antiretroviral therapy</title>
<author><name sortKey="Young, Sera L" sort="Young, Sera L" uniqKey="Young S" first="Sera L." last="Young">Sera L. Young</name>
<affiliation wicri:level="4"><nlm:aff id="A1">Cornell University, Division of Nutritional Sciences, Ithaca, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Cornell University, Division of Nutritional Sciences, Ithaca</wicri:regionArea>
<orgName type="university">Université Cornell</orgName>
<placeName><settlement type="city">Ithaca (New York)</settlement>
<region type="state">État de New York</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Plenty, Albert H J" sort="Plenty, Albert H J" uniqKey="Plenty A" first="Albert H. J." last="Plenty">Albert H. J. Plenty</name>
<affiliation wicri:level="3"><nlm:aff id="A2">University of California, San Francisco, Center for AIDS Prevention Studies, San Francisco, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>University of California, San Francisco, Center for AIDS Prevention Studies, San Francisco</wicri:regionArea>
<placeName><settlement type="city">San Francisco</settlement>
<region type="state">Californie</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Luwedde, Flavia A" sort="Luwedde, Flavia A" uniqKey="Luwedde F" first="Flavia A." last="Luwedde">Flavia A. Luwedde</name>
<affiliation wicri:level="1"><nlm:aff id="A3">Makerere University-University of California, San Francisco (MU-UCSF) Research Collaboration, Tororo, Uganda</nlm:aff>
<country xml:lang="fr">Ouganda</country>
<wicri:regionArea>Makerere University-University of California, San Francisco (MU-UCSF) Research Collaboration, Tororo</wicri:regionArea>
<wicri:noRegion>Tororo</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Natamba, Barnabas K" sort="Natamba, Barnabas K" uniqKey="Natamba B" first="Barnabas K." last="Natamba">Barnabas K. Natamba</name>
<affiliation wicri:level="4"><nlm:aff id="A1">Cornell University, Division of Nutritional Sciences, Ithaca, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Cornell University, Division of Nutritional Sciences, Ithaca</wicri:regionArea>
<orgName type="university">Université Cornell</orgName>
<placeName><settlement type="city">Ithaca (New York)</settlement>
<region type="state">État de New York</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Natureeba, Paul" sort="Natureeba, Paul" uniqKey="Natureeba P" first="Paul" last="Natureeba">Paul Natureeba</name>
<affiliation wicri:level="1"><nlm:aff id="A3">Makerere University-University of California, San Francisco (MU-UCSF) Research Collaboration, Tororo, Uganda</nlm:aff>
<country xml:lang="fr">Ouganda</country>
<wicri:regionArea>Makerere University-University of California, San Francisco (MU-UCSF) Research Collaboration, Tororo</wicri:regionArea>
<wicri:noRegion>Tororo</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Achan, Jane" sort="Achan, Jane" uniqKey="Achan J" first="Jane" last="Achan">Jane Achan</name>
<affiliation wicri:level="1"><nlm:aff id="A4">Makerere University Medical School, Department of Medicine, Kampala, Uganda</nlm:aff>
<country xml:lang="fr">Ouganda</country>
<wicri:regionArea>Makerere University Medical School, Department of Medicine, Kampala</wicri:regionArea>
<wicri:noRegion>Kampala</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Mwesigwa, Julia" sort="Mwesigwa, Julia" uniqKey="Mwesigwa J" first="Julia" last="Mwesigwa">Julia Mwesigwa</name>
<affiliation wicri:level="1"><nlm:aff id="A3">Makerere University-University of California, San Francisco (MU-UCSF) Research Collaboration, Tororo, Uganda</nlm:aff>
<country xml:lang="fr">Ouganda</country>
<wicri:regionArea>Makerere University-University of California, San Francisco (MU-UCSF) Research Collaboration, Tororo</wicri:regionArea>
<wicri:noRegion>Tororo</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ruel, Theodore D" sort="Ruel, Theodore D" uniqKey="Ruel T" first="Theodore D." last="Ruel">Theodore D. Ruel</name>
<affiliation wicri:level="3"><nlm:aff id="A5">University of California, San Francisco, Department of Pediatrics, San Francisco, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>University of California, San Francisco, Department of Pediatrics, San Francisco</wicri:regionArea>
<placeName><settlement type="city">San Francisco</settlement>
<region type="state">Californie</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Ades, Veronica" sort="Ades, Veronica" uniqKey="Ades V" first="Veronica" last="Ades">Veronica Ades</name>
<affiliation wicri:level="3"><nlm:aff id="A6">University of California, San Francisco, Department of Obstetrics, Gynecology, and Reproductive Sciences, San Francisco, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>University of California, San Francisco, Department of Obstetrics, Gynecology, and Reproductive Sciences, San Francisco</wicri:regionArea>
<placeName><settlement type="city">San Francisco</settlement>
<region type="state">Californie</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Osterbauer, Beth" sort="Osterbauer, Beth" uniqKey="Osterbauer B" first="Beth" last="Osterbauer">Beth Osterbauer</name>
<affiliation wicri:level="3"><nlm:aff id="A7">University of California, San Francisco, Department of Medicine, San Francisco, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>University of California, San Francisco, Department of Medicine, San Francisco</wicri:regionArea>
<placeName><settlement type="city">San Francisco</settlement>
<region type="state">Californie</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Clark, Tamara D" sort="Clark, Tamara D" uniqKey="Clark T" first="Tamara D." last="Clark">Tamara D. Clark</name>
<affiliation wicri:level="3"><nlm:aff id="A7">University of California, San Francisco, Department of Medicine, San Francisco, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>University of California, San Francisco, Department of Medicine, San Francisco</wicri:regionArea>
<placeName><settlement type="city">San Francisco</settlement>
<region type="state">Californie</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Dorsey, Grant" sort="Dorsey, Grant" uniqKey="Dorsey G" first="Grant" last="Dorsey">Grant Dorsey</name>
<affiliation wicri:level="3"><nlm:aff id="A7">University of California, San Francisco, Department of Medicine, San Francisco, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>University of California, San Francisco, Department of Medicine, San Francisco</wicri:regionArea>
<placeName><settlement type="city">San Francisco</settlement>
<region type="state">Californie</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Charlebois, Edwin D" sort="Charlebois, Edwin D" uniqKey="Charlebois E" first="Edwin D." last="Charlebois">Edwin D. Charlebois</name>
<affiliation wicri:level="3"><nlm:aff id="A2">University of California, San Francisco, Center for AIDS Prevention Studies, San Francisco, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>University of California, San Francisco, Center for AIDS Prevention Studies, San Francisco</wicri:regionArea>
<placeName><settlement type="city">San Francisco</settlement>
<region type="state">Californie</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Kamya, Moses" sort="Kamya, Moses" uniqKey="Kamya M" first="Moses" last="Kamya">Moses Kamya</name>
<affiliation wicri:level="1"><nlm:aff id="A8">Makerere University Medical School, Department of Medicine, Kampala, Uganda</nlm:aff>
<country xml:lang="fr">Ouganda</country>
<wicri:regionArea>Makerere University Medical School, Department of Medicine, Kampala</wicri:regionArea>
<wicri:noRegion>Kampala</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Havlir, Diane V" sort="Havlir, Diane V" uniqKey="Havlir D" first="Diane V." last="Havlir">Diane V. Havlir</name>
<affiliation wicri:level="3"><nlm:aff id="A7">University of California, San Francisco, Department of Medicine, San Francisco, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>University of California, San Francisco, Department of Medicine, San Francisco</wicri:regionArea>
<placeName><settlement type="city">San Francisco</settlement>
<region type="state">Californie</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Cohan, Deborah L" sort="Cohan, Deborah L" uniqKey="Cohan D" first="Deborah L." last="Cohan">Deborah L. Cohan</name>
<affiliation wicri:level="3"><nlm:aff id="A6">University of California, San Francisco, Department of Obstetrics, Gynecology, and Reproductive Sciences, San Francisco, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>University of California, San Francisco, Department of Obstetrics, Gynecology, and Reproductive Sciences, San Francisco</wicri:regionArea>
<placeName><settlement type="city">San Francisco</settlement>
<region type="state">Californie</region>
</placeName>
</affiliation>
</author>
</analytic>
<series><title level="j">Maternal and child health journal</title>
<idno type="ISSN">1092-7875</idno>
<idno type="eISSN">1573-6628</idno>
<imprint><date when="2014">2014</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objectives</title>
<p id="P1">Household food insecurity may be a barrier to both optimal maternal nutritional status and infant feeding practices, but few studies have tested this relationship quantitatively, and never among HIV-infected individuals. We therefore explored if greater household food insecurity was associated with poorer maternal nutritional status, shorter duration of exclusive breastfeeding (EBF) and fewer animal-source complementary foods.</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P2">We assessed these outcomes among 180 HIV-infected pregnant and breastfeeding (BF) women receiving combination antiretroviral therapy in the PROMOTE trial (NCT00993031), a prospective, longitudinal cohort study in Tororo, Uganda.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">Household food insecurity was common; the prevalence of severe, moderate, and little to no household hunger was 7.3%, 40.5%, and 52.2%, respectively. Poor maternal nutritional status was common and women in households experiencing moderate to severe household hunger (MSHH) had statistically significantly lower BMIs at enrollment (21.3 vs 22.5, p<0.01) and prior to delivery (22.6 vs. 23.8, p<0.01). However, MSHH was not associated with maternal BMI or gestational weight gain in multivariate models. The prevalence (95% CI) of EBF at 6 months was 66.4% (59.0%-72.8%), and the proportion of women breastfeeding at 12 months was 80.0% (73.0%-85.3%).MSHH was not associated with EBF at 6 months or breastfeeding at 12 months. However, among those women still EBF at 4 months (81.0% of population), those experiencing MSHH were significantly more likely to cease EBF between 4 and 6 months (aHR: 2.52, 95% CI 1.03-6.19).</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">Interventions addressing household food insecurity, maternal malnutrition and suboptimal breastfeeding practices are urgently needed.</p>
</sec>
</div>
</front>
</TEI>
<affiliations><list><country><li>Ouganda</li>
<li>États-Unis</li>
</country>
<region><li>Californie</li>
<li>État de New York</li>
</region>
<settlement><li>Ithaca (New York)</li>
<li>San Francisco</li>
</settlement>
<orgName><li>Université Cornell</li>
</orgName>
</list>
<tree><country name="États-Unis"><region name="État de New York"><name sortKey="Young, Sera L" sort="Young, Sera L" uniqKey="Young S" first="Sera L." last="Young">Sera L. Young</name>
</region>
<name sortKey="Ades, Veronica" sort="Ades, Veronica" uniqKey="Ades V" first="Veronica" last="Ades">Veronica Ades</name>
<name sortKey="Charlebois, Edwin D" sort="Charlebois, Edwin D" uniqKey="Charlebois E" first="Edwin D." last="Charlebois">Edwin D. Charlebois</name>
<name sortKey="Clark, Tamara D" sort="Clark, Tamara D" uniqKey="Clark T" first="Tamara D." last="Clark">Tamara D. Clark</name>
<name sortKey="Cohan, Deborah L" sort="Cohan, Deborah L" uniqKey="Cohan D" first="Deborah L." last="Cohan">Deborah L. Cohan</name>
<name sortKey="Dorsey, Grant" sort="Dorsey, Grant" uniqKey="Dorsey G" first="Grant" last="Dorsey">Grant Dorsey</name>
<name sortKey="Havlir, Diane V" sort="Havlir, Diane V" uniqKey="Havlir D" first="Diane V." last="Havlir">Diane V. Havlir</name>
<name sortKey="Natamba, Barnabas K" sort="Natamba, Barnabas K" uniqKey="Natamba B" first="Barnabas K." last="Natamba">Barnabas K. Natamba</name>
<name sortKey="Osterbauer, Beth" sort="Osterbauer, Beth" uniqKey="Osterbauer B" first="Beth" last="Osterbauer">Beth Osterbauer</name>
<name sortKey="Plenty, Albert H J" sort="Plenty, Albert H J" uniqKey="Plenty A" first="Albert H. J." last="Plenty">Albert H. J. Plenty</name>
<name sortKey="Ruel, Theodore D" sort="Ruel, Theodore D" uniqKey="Ruel T" first="Theodore D." last="Ruel">Theodore D. Ruel</name>
</country>
<country name="Ouganda"><noRegion><name sortKey="Luwedde, Flavia A" sort="Luwedde, Flavia A" uniqKey="Luwedde F" first="Flavia A." last="Luwedde">Flavia A. Luwedde</name>
</noRegion>
<name sortKey="Achan, Jane" sort="Achan, Jane" uniqKey="Achan J" first="Jane" last="Achan">Jane Achan</name>
<name sortKey="Kamya, Moses" sort="Kamya, Moses" uniqKey="Kamya M" first="Moses" last="Kamya">Moses Kamya</name>
<name sortKey="Mwesigwa, Julia" sort="Mwesigwa, Julia" uniqKey="Mwesigwa J" first="Julia" last="Mwesigwa">Julia Mwesigwa</name>
<name sortKey="Natureeba, Paul" sort="Natureeba, Paul" uniqKey="Natureeba P" first="Paul" last="Natureeba">Paul Natureeba</name>
</country>
</tree>
</affiliations>
</record>

Pour manipuler ce document sous Unix (Dilib)

EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/SidaSubSaharaV1/Data/Main/Exploration

HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 001D20 | SxmlIndent | more

HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 001D20 | SxmlIndent | more

Pour mettre un lien sur cette page dans le réseau Wicri

{{Explor lien
   |wiki=    Wicri/Sante
   |area=    SidaSubSaharaV1
   |flux=    Main
   |étape=   Exploration
   |type=    RBID
   |clé=     PMC:4419705
   |texte=   Household food insecurity, maternal nutritional status, and infant feeding practices among HIV-infected Ugandan women receiving combination antiretroviral therapy
}}

Pour générer des pages wiki

HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i   -Sk "pubmed:24585398" \
       | HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd   \
       | NlmPubMed2Wicri -a SidaSubSaharaV1

This area was generated with Dilib version V0.6.32.
Data generation: Mon Nov 13 19:31:10 2017. Site generation: Wed Mar 6 19:14:32 2024

Le SIDA en Afrique subsaharienne (serveur d'exploration)

Household food insecurity, maternal nutritional status, and infant feeding practices among HIV-infected Ugandan women receiving combination antiretroviral therapy

Household food insecurity, maternal nutritional status, and infant feeding practices among HIV-infected Ugandan women receiving combination antiretroviral therapy

Source :

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki

	Le SIDA en Afrique subsaharienne (serveur d'exploration)
	Attention, ce site est en cours de développement ! Attention, site généré par des moyens informatiques à partir de corpus bruts. Les informations ne sont donc pas validées.