Joanna Maselko
Biographic Data
| ID | 1165615 |
|---|---|
| NAME | Joanna Maselko |
| GIVEN NAMES | Joanna |
| FAMILY NAME | Maselko |
| SIGNATURE | MASELKO J |
| AFFILIATIONS | University of North Carolina at Chapel Hill |
| ORCID | 0000-0002-6270-8237 |
| VERIFIED | Yes |
| TOTAL WORKS | 45 |
| TOTAL CITATIONS | 138 |
| AUTHOR COUNT | 45 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2006 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 6 |
Birth cohort trends in activity limitation among U.S. adults in established adulthood
The role of medical mistrust in racial and ethnic inequities in postpartum mental health care
Among a sample of people with postpartum depressive symptoms, we examine the relationship between medical mistrust and receipt of a perinatal mood and anxiety disorder (PMAD) diagnosis and postpartum mental health care by race and ethnicity. Data are from the 2020 Postpartum Assessment of Health Survey administered at 12-14 mo. postpartum across 7 US jurisdictions. The analytical sample included 454 respondents with a positive screen on the Patie…
Postpartum Intrauterine Device Removal and Access to Removal in the 18 Months Following an Intervention in Tanzania, Sri Lanka, and Nepal
Family planning programs in the Global South promote long‐acting reversible contraception (LARC), but research suggests that women face barriers to LARC discontinuation, inhibiting their reproductive autonomy. Scholars have called for improved data visibility around LARC removal access. We use data from the Postpartum Intrauterine Device (PPIUD) Study, a randomized trial of a PPIUD intervention conducted in Nepal, Sri Lanka, and Tanzania from 201…
Longitudinal pathways between maternal depression, parenting behaviors, and early childhood development
Maternal depression is a global public health concern with far-reaching impacts on child development, yet our understanding of mechanisms remains incomplete. This study examined whether parenting mediates the association between maternal depression and child outcomes. Participants included 841 rural Pakistani mother–child dyads (50% female). Maternal depression was measured at 12 months postpartum, parenting behaviors (warmth, stimulation, and ha…
Early life grandmother caregiving trajectories and child development
Grandmothers are influential caregivers for young children, yet their contributions to child development remains understudied. This study characterized trajectories of grandmother caregiving from infancy to 2 years and examined their associations with child development. Data came from a longitudinal birth cohort study in rural Pakistan ( n = 959). Grandmother caregiving behaviors were maternally reported at 3 months, 1 year, and 2 years postpartu…
Beyond the individual
Activity of daily living (ADL) limitations, such as difficulty walking or dressing, are increasing as populations age and experience more chronic conditions. To understand the scope of ADLs and make interventions more effective, it is important to examine ADLs beyond the individual to other levels and contexts, such as the household. Thus, using household and individual level survey data in India, we assess how household ADLs relate to the mental…
An examination of multiple illness and social related stressors during the Covid-19 pandemic on maternal and child mental health; findings from a birth cohort in rural Pakistan
These findings provide evidence of additional pathways through which prolonged global events, like the pandemic, can have multigenerational mental health impacts
Maternal self‐efficacy during infancy
Maternal self‐efficacy during infancy is shaped by many factors, including maternal mental health and social support. This study examines how depression, emotional support, and childcare support relate to maternal self‐efficacy among mothers of infants in rural Pakistan. Participants included 885 mothers assessed at 3 and 6 months postpartum. At 3 months postpartum, mothers completed interview measures of depression, emotional social support, sup…
Female agency and probable depression in the perinatal period and beyond
Impacts of chronic suicidal ideation on parenting and child development
Trauma exposure among young children in rural Pakistan
Findings show that childhood trauma exposure is common in this setting and associated with worse mental health problems among young boys and girls. Results suggest that trauma-informed interventions are important for supporting child mental health in South Asia
Maternal Investments in Children
We investigate the importance of subjective expectations of returns to and effort costs of the two principal investments that mothers make in newborns: breastfeeding and stimulation. We find heterogeneity across mothers in rural Pakistan in expected effort costs and expected returns for outcomes in the cognitive, socio-emotional and health domains, and that this contributes to explaining heterogeneity in investments. We find no significant differ…
Does biological age mediate the relationship between childhood adversity and depression? Insights from the Detroit Neighborhood Health Study
The Day‐in‐the‐Life method for assessing infant caregiving in rural Pakistan
Generativity and Engagement in Grandparenting Activities Among Older Adults in Northern Sri Lanka
Generativity refers to the desire to pass on one's skills, knowledge, and wisdom to future generations; this may be a clear indicator of the likelihood of older adults investing time and effort in engagement with their grandchildren. This cross-sectional study examines the relationship between generative beliefs and an index of multiple potential grandparenting activities. The data come from a convenience sample of 79 grandparents (aged 55+) livi…
Maternal adverse childhood experiences on child growth and development in rural Pakistan
Maternal adverse childhood experiences (ACEs) have significant impacts on the next generation with links to negative birth outcomes, impaired cognitive development, and increased socioemotional problems in children. However, not all types or levels of adversity are similarly deleterious and research from diverse contexts is needed to better understand why and how intergenerational transmission of adversity occurs. We examined the role of maternal…
Understanding the effects of universal test and treat on longitudinal HIV care outcomes among South African youth
Implementation of UTT yielded modest improvements in time spent on ART and virally suppressed among South African YLHIV- however, meeting UNAIDS' 95-95-95 targets remains a challenge. Retention in care and re-engagement interventions that can be implemented between diagnosis and linkage to care and between ART initiation and viral suppression (e.g., longitudinal counseling) may be particularly important to improving care outcomes among South Afri…
Grandparenting Activities and Mental Health in Northern Sri Lanka
Grandparenting activities are of increasing interest to researchers seeking to understand reduced social engagement and depression among aging adults. Heterogeneity in the population and caretaking roles complicate its measurement. We piloted a measure of grandparenting activities among 79 grandparents (aged 55+) in Sri Lanka and correlated those activity levels with psychological distress. Second, we explored whether the aforementioned correlati…
Effects of a maternal psychosocial intervention on hair derived biomarkers of HPA axis function in mothers and children in rural Pakistan
Disruptions in the hypothalamic-pituitary-adrenal (HPA) axis are thought to be key neuroendocrine mechanisms involved in psychopathology and may have intergenerational impacts. Hair-derived HPA hormones offer a measure of long-term HPA axis activity that may be useful in assessing maternal and infant health. Building on a community-based randomized control trial of a perinatal depression intervention in Pakistan, we examine intervention effects o…
Social support and intimate partner violence in rural Pakistan
A large body of cross-sectional evidence finds strong and consistent associations between social support and intimate partner violence (IPV). However, the directionality of this relationship has not been firmly established due to a dearth of longitudinal evidence. Using cohort study data collected over a 3 year period from 945 women in rural Pakistan, we investigated the longitudinal relationship between IPV and social support. Friend and family …
Adverse childhood experiences and depression among women in rural Pakistan
NCT02111915 . Registered 11 April 2014. NCT02658994 . Registered 22 January 2016. Both trials were prospectively registered
The Impact of Maternal Depression and Parent–Child Interactions on Risk of Parasitic Infections in Early Childhood
Maternal depressive symptoms are associated with poor parent-child interactions, particularly acceptance of behavior, involvement with children, and variety of interactions, but these exposures do not independently impact risk of parasitic infection in children
Differences in Access to HIV Services and Risky Sexual Behaviors Among Malawian Women at Social Venues Who Do and Do Not Engage in Sex Work
Socio-economic and racial/ethnic disparities in the nutritional quality of packaged food purchases in the USA, 2008–2018
Objective: To determine whether disparities exist in the nutritional quality of packaged foods and beverage purchases by household income, education and race/ethnicity and if they changed over time. Design: We used Nielsen Homescan, a nationally representative household panel, from 2008 to 2018 ( n = 672 821 household-year observations). Multivariate, multilevel regressions were used to model the association between sociodemographic groups and a …
Longitudinal effects of perinatal social support on maternal depression
BACKGROUND: Depression in the perinatal period, during pregnancy or within 1 year of childbirth, imposes a high burden on women with rippling effects through her and her child's life course. Social support may be an important protective factor, but the complex bidirectional relationship with depression, alongside a paucity of longitudinal explorations, leaves much unknown about critical windows of social support exposure across the perinatal peri…
Gender differences in religious practices, spiritual experiences and health
Religious social capital
Women's Education and the Timing of Marriage and Childbearing in the Next Generation
In traditional settings where early marriage and early childbearing persist, decisions about age at marriage are often made by parents, and mothers‐in‐law tend to have considerable influence in hastening the initiation of childbearing. This study analyzes data from a 2002 survey in six villages in rural Bangladesh to test the hypothesis that daughters of women with more education marry later and that daughters‐in‐law of more educated women initia…
Father involvement in the first year of life
Recollections of Childhood Religious Identity and Behavior as a Function of Adult Religiousness
People have a strong motivation to maintain a self-concept that is coherent and consistent over time. Religion is an central source of social identity for many people, but its importance is prone to dramatic change across the life course. To maintain a consistent perception of self, recollections of one's own past religiousness may shift to better fit with the present. This study examined changes between early and middle adulthood in retrospectiv…
Why women attempt suicide
CONTEXT: The relative importance of illness (physical and mental) and social disadvantage as risk factors for suicide is controversial. OBJECTIVES: To describe the risk for attempted suicide in women when it is associated with social disadvantage and physical and mental illness. METHODS: Data were analysed from a population-based cohort study of women aged 18-50, in Goa, India (n = 2494). Baseline information was collected on socioeconomic factor…
Care-giving expectations and challenges among elders and their adult children in Southern Sri Lanka
The elderly population in Sri Lanka is growing rapidly. Elders are traditionally cared for in the homes of their adult children, but the shifting socio-economic environment in Sri Lanka challenges this arrangement. This paper describes the dynamics of elder–care-giver relationships in Southern Sri Lanka. Data included four focus group discussions and five in-depth interviews with elderly, and ten in-depth interviews with adult children of the eld…
Mother's affection at 8 months predicts emotional distress in adulthood
BACKGROUND: Long-standing theory suggests that quality of the mother's (or primary caregiver's) interaction with a child is a key determinant of the child's subsequent resilience or vulnerability and has implications for health in adulthood. However, there is a dearth of longitudinal data with both objective assessments of nurturing behaviour during infancy and sustained follow-up ascertaining the quality of adult functioning. METHODS: We used da…
Does biological age mediate the relationship between childhood adversity and depression? Insights from the Detroit Neighborhood Health Study
Longitudinal effects of perinatal social support on maternal depression
BACKGROUND: Depression in the perinatal period, during pregnancy or within 1 year of childbirth, imposes a high burden on women with rippling effects through her and her child's life course. Social support may be an important protective factor, but the complex bidirectional relationship with depression, alongside a paucity of longitudinal explorations, leaves much unknown about critical windows of social support exposure across the perinatal peri…
Predictors of and health services utilization related to depressive symptoms among elderly Koreans
Gender differences in religious practices, spiritual experiences and health
No health without mental health
Religious Service Attendance and Allostatic Load Among High-Functioning Elderly
OBJECTIVE: To examine the association between frequency of religious service attendance and an index of cumulative physiological dysregulation as measured by allostatic load (AL) (systolic and diastolic blood pressure, waist/hip ratio, high-density lipoprotein and total cholesterol, glycosylated hemoglobin, cortisol, serum dihydroepiandrosterone sulfate, norepinephrine, and epinephrine). There is growing empirical evidence of a positive relations…
Women's Education and the Timing of Marriage and Childbearing in the Next Generation
In traditional settings where early marriage and early childbearing persist, decisions about age at marriage are often made by parents, and mothers‐in‐law tend to have considerable influence in hastening the initiation of childbearing. This study analyzes data from a 2002 survey in six villages in rural Bangladesh to test the hypothesis that daughters of women with more education marry later and that daughters‐in‐law of more educated women initia…
Why women attempt suicide
CONTEXT: The relative importance of illness (physical and mental) and social disadvantage as risk factors for suicide is controversial. OBJECTIVES: To describe the risk for attempted suicide in women when it is associated with social disadvantage and physical and mental illness. METHODS: Data were analysed from a population-based cohort study of women aged 18-50, in Goa, India (n = 2494). Baseline information was collected on socioeconomic factor…
Quality of Parental Emotional Care and Calculated Risk for Coronary Heart Disease
OBJECTIVE: To evaluate associations between perceived quality of parental emotional care and calculated 10-year risk for coronary heart disease (CHD). Little is understood about the role of parental emotional care in contributing to the risk for CHD. METHODS: The study sample was composed of 267 participants from the New England Family Study. Quality of parental emotional care was measured, using a validated short version of the Parental Bonding …
Mother's affection at 8 months predicts emotional distress in adulthood
BACKGROUND: Long-standing theory suggests that quality of the mother's (or primary caregiver's) interaction with a child is a key determinant of the child's subsequent resilience or vulnerability and has implications for health in adulthood. However, there is a dearth of longitudinal data with both objective assessments of nurturing behaviour during infancy and sustained follow-up ascertaining the quality of adult functioning. METHODS: We used da…
Religious social capital
Recollections of Childhood Religious Identity and Behavior as a Function of Adult Religiousness
People have a strong motivation to maintain a self-concept that is coherent and consistent over time. Religion is an central source of social identity for many people, but its importance is prone to dramatic change across the life course. To maintain a consistent perception of self, recollections of one's own past religiousness may shift to better fit with the present. This study examined changes between early and middle adulthood in retrospectiv…
Predictors of and health services utilization related to depressive symptoms among elderly Koreans
Care-giving expectations and challenges among elders and their adult children in Southern Sri Lanka
The elderly population in Sri Lanka is growing rapidly. Elders are traditionally cared for in the homes of their adult children, but the shifting socio-economic environment in Sri Lanka challenges this arrangement. This paper describes the dynamics of elder–care-giver relationships in Southern Sri Lanka. Data included four focus group discussions and five in-depth interviews with elderly, and ten in-depth interviews with adult children of the eld…
Socioeconomic status indicators and common mental disorders
There is growing interest in the relationship between socioeconomic status (SES), poverty, and mental health in low and middle-income countries (LMIC). However, it is not clear whether a gradient approach focused on a wider SES distribution or a binary poverty approach is more salient for mental health in LMIC. Yet this distinction has implications for interventions aimed at improving population health. We contribute to the literature by examinin…
Using technology to scale-up training and supervision of community health workers in the psychosocial management of perinatal depression
TACTS can provide a promising tool for training and supervision of front-line workers in areas where there is a shortage of specialist trainers and supervisors
A Novel Adaptation of the Home Inventory for Elders
The context in which dependents, regardless of age, receive care affects their health. This study adapted the Home Observation for Measurement of the Environment (HOME) Inventory, originally designed for child development research, to assess the quality of stimulation and support available to elders in their habitual households in Sri Lanka. Whether the adapted domains correlated with indicators of health and well-being in ways consistent with th…
The relationship between responsive caregiving and child outcomes
NCT02111915 (09/18/2015); NCT02658994 (01/22/2016). Trials were prospectively registered
Father involvement in the first year of life
Maternal Depression, Women’s Empowerment, and Parental Investment
We evaluate the medium-term impacts of treating maternal depression on women’s mental health, financial empowerment, and parenting decisions. We leverage variation induced by a cluster-randomized controlled trial that provided psychotherapy to 903 prenatally depressed mothers in rural Pakistan. It was one of the world’s largest psych otherapy interventions, and it dramatically reduced postpartum depression. Seven years after psychotherapy conclud…
The contribution of grandmother involvement to child growth and development
INTRODUCTION: Early childhood interventions primarily focus on the mother-child relationship, but grandmothers are often critical in childcare in low-resource settings. Prior research is mixed on how grandmother involvement influences child outcomes and there is a paucity of research on grandmother caregiving in low-income and middle-income countries. We examined the role of grandmother involvement on child growth and development in the first 2 y…
Maternal depression in rural Pakistan
NCT02111915. Registered 18 September 2015. NCT02658994. Registered 22 January 2016. Both trials were prospectively registered
Association Between Depression and HIV Care Engagement Outcomes Among Patients Newly Initiating ART in Lilongwe, Malawi
As in other sub-Saharan countries, the burden of depression is high among people living with HIV in Malawi. However, the association between depression at ART initiation and two critical outcomes-retention in HIV care and viral suppression-is not well understood. Prior to the launch of an integrated depression treatment program, adult patients were screened for depression at ART initiation at two clinics in Lilongwe, Malawi. We compared retention…
Adverse childhood experiences and depression among women in rural Pakistan
NCT02111915 . Registered 11 April 2014. NCT02658994 . Registered 22 January 2016. Both trials were prospectively registered
The Impact of Maternal Depression and Parent–Child Interactions on Risk of Parasitic Infections in Early Childhood
Maternal depressive symptoms are associated with poor parent-child interactions, particularly acceptance of behavior, involvement with children, and variety of interactions, but these exposures do not independently impact risk of parasitic infection in children
Differences in Access to HIV Services and Risky Sexual Behaviors Among Malawian Women at Social Venues Who Do and Do Not Engage in Sex Work
Socio-economic and racial/ethnic disparities in the nutritional quality of packaged food purchases in the USA, 2008–2018
Objective: To determine whether disparities exist in the nutritional quality of packaged foods and beverage purchases by household income, education and race/ethnicity and if they changed over time. Design: We used Nielsen Homescan, a nationally representative household panel, from 2008 to 2018 ( n = 672 821 household-year observations). Multivariate, multilevel regressions were used to model the association between sociodemographic groups and a …
Longitudinal effects of perinatal social support on maternal depression
BACKGROUND: Depression in the perinatal period, during pregnancy or within 1 year of childbirth, imposes a high burden on women with rippling effects through her and her child's life course. Social support may be an important protective factor, but the complex bidirectional relationship with depression, alongside a paucity of longitudinal explorations, leaves much unknown about critical windows of social support exposure across the perinatal peri…
Medicine (35 works) · Psychology (29 works) · Psychiatry (26 works) · Maternal Mental Health During Pregnancy and Postpartum (19 works) · Developmental psychology (16 works) · Demography (14 works) · Mental health (14 works) · Clinical Psychology (13 works) · Environmental health (13 works) · Public health (13 works)