Association of maternal depression and infant nutritional status among women living with HIV in T anzania

Bibliographic Data

ID15536619
AuthorsSylvia Kaaya (0000-0001-6732-3590, Muhimbili University of Health and Allied Sciences, corresponding author), Maria E Garcia (0000-0002-6169-6967, University of California, San Francisco), Nan Li (0009-0000-4562-451X, Harvard Global Health Institute), Jeffrey Lienert (Harvard University), William Twayigize (Harvard University), Donna Spiegelman (0000-0003-4006-4650, Harvard University), Mary C Smith Fawzi (0000-0003-4208-3708, Harvard University)
Year2014
Volume12
Issue3
Pages603-613
Publication date2014-11-08
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueMaternal and Child Nutrition (JOURNAL)
Journal identifiersISSN: 1740-8695 • E-ISSN: 1740-8709
PublisherWiley (PUBLISHER • GB)
DOI10.1111/mcn.12154
PMID25382710
OpenAlexW2095734368
LanguageEN
Citations received7
References cited34

Antenatal and post-natal depression has demonstrated a significant burden in sub-Saharan Africa, with rates ranging from 10% to 35%. However, perinatal women living with HIV in Tanzania have reported an even greater prevalence of depression (43-45%). The primary goal of this study was to examine the relationship between maternal depression and infant malnutrition among women living with HIV. The design was a retrospective cohort study within the context of a randomised controlled trial among women living with HIV and their infants. Within this trial, 699 mother-child pairs were analysed for the present study. Although antenatal depression was not associated with infant malnutrition and post-natal depression was negatively associated [relative risk (RR = 0.80, P = 0.04], cumulative depression demonstrated a positive association with infant wasting (RR = 1.08, P < 0.01) and underweight (RR = 1.03, P < 0.01) after controlling for confounding factors. Variation in the association between depression and infant nutritional status was observed for episodic vs. chronic depression. These findings suggest that providing evidence-based services for persistent depression among women living with HIV may have an effect on infant malnutrition. In addition, other positive outcomes may be related to infant cognitive development as well as HIV disease prognosis and survival among women

Body mass index · Cohort · Cohort study · Confidence interval · Confounding · Context (archaeology · Depression (economics · Malnutrition · Postpartum depression · Pregnancy · Relative risk · Underweight · Wasting · Child Nutrition and Feeding Issues · Child Nutrition and Water Access · Maternal Mental Health During Pregnancy and Postpartum · Medicine · Internal Medicine · Pediatrics

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