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Maternal and Child Health Journal
Erschienen in: Maternal and Child Health Journal 9/2014

01.11.2014

Household Food Insecurity, Maternal Nutritional Status, and Infant Feeding Practices Among HIV-infected Ugandan Women Receiving Combination Antiretroviral Therapy

verfasst von: Sera L. Young, Albert H. J. Plenty, Flavia A. Luwedde, Barnabas K. Natamba, Paul Natureeba, Jane Achan, Julia Mwesigwa, Theodore D. Ruel, Veronica Ades, Beth Osterbauer, Tamara D. Clark, Grant Dorsey, Edwin D. Charlebois, Moses Kamya, Diane V. Havlir, Deborah L. Cohan

Erschienen in: Maternal and Child Health Journal | Ausgabe 9/2014

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Abstract

Household food insecurity (HHFI) 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 described the prevalence of HHFI and explored if it was associated with poorer maternal nutritional status, shorter duration of exclusive breastfeeding (EBF) and fewer animal-source complementary foods. We assessed these outcomes using bivariate and multivariate analyses among 178 HIV-infected pregnant and breastfeeding (BF) women receiving combination antiretroviral therapy in the PROMOTE trial (NCT00993031), a prospective, longitudinal cohort study in Tororo, Uganda. HHFI was common; the prevalence of severe, moderate, and little to no household hunger was 7.3, 39.9, and 52.8 %, respectively. Poor maternal nutritional status was common and women in households experiencing moderate to severe household hunger (MSHH) had statistically significantly lower body mass index (BMIs) at enrollment (21.3 vs. 22.5, p < 0.01) and prior to delivery (22.6 vs. 23.8, p < 0.01). BMI across time during pregnancy, but not gestational weight gain, was significantly lower for MSHH [adjusted beta (95 % CI) −0.79 (−1.56, −0.02), p = 0.04; −2.06 (−4.31, 0.19), p = 0.07], respectively. The prevalence (95 % CI) of EBF at 6 months was 67.2 % (59.7–73.5 %), and the proportion of women BF at 12 months was 80.4 % (73.3–85.7 %). MSHH was not associated with prevalence of EBF at 6 months or BF at 12 months. However, among those women still EBF at 4 months (81.4 % of population), those experiencing MSHH were significantly more likely to cease EBF between 4 and 6 months (aHR 2.38, 95 % CI 1.02–5.58). The prevalence of HHFI, maternal malnutrition, and suboptimal infant feeding practices are high and the causal relationships among these phenomena must be further explored.
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Metadaten
Titel
Household Food Insecurity, Maternal Nutritional Status, and Infant Feeding Practices Among HIV-infected Ugandan Women Receiving Combination Antiretroviral Therapy
verfasst von
Sera L. Young
Albert H. J. Plenty
Flavia A. Luwedde
Barnabas K. Natamba
Paul Natureeba
Jane Achan
Julia Mwesigwa
Theodore D. Ruel
Veronica Ades
Beth Osterbauer
Tamara D. Clark
Grant Dorsey
Edwin D. Charlebois
Moses Kamya
Diane V. Havlir
Deborah L. Cohan
Publikationsdatum
01.11.2014
Verlag
Springer US
Erschienen in
Maternal and Child Health Journal / Ausgabe 9/2014
Print ISSN: 1092-7875
Elektronische ISSN: 1573-6628
DOI
https://doi.org/10.1007/s10995-014-1450-y

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