Perinatal Food Insecurity and Postpartum Psychosocial Stress are Positively Associated Among Kenyan Women of Mixed HIV Status

Pamela M. Murnane; Joshua D. Miller; Emily L. Tuthill; Shalean M. Collins; Torsten B. Neilands; Maricianah Onono; Craig R. Cohen; Sheri D. Weiser; Mark L. Laudenslager; Sera L. Young

doi:10.1007/s10461-019-02676-5

Perinatal Food Insecurity and Postpartum Psychosocial Stress are Positively Associated Among Kenyan Women of Mixed HIV Status

Pamela M. Murnane, Joshua D. Miller, Emily L. Tuthill, Shalean M. Collins, Torsten B. Neilands, Maricianah Onono, Craig R. Cohen, Sheri D. Weiser, Mark L. Laudenslager, Sera L. Young^*

^*Corresponding author for this work

Anthropology

Research output: Contribution to journal › Article › peer-review

6 Scopus citations

Abstract

Stress and food insecurity (FI) are associated with poor perinatal and HIV outcomes. We hypothesized that FI would increase postpartum stress among women in Kenya, and that the impact would be greater in women with HIV. Among 371 pregnant women, we identified latent FI trajectories across the perinatal period, and estimated their association with postpartum stress. Stress metrics included the Perceived Stress Scale (PSS) and hair cortisol concentrations (HCC). We identified two FI trajectories: persistent moderate FI and persistent mild FI. Moderate FI (vs. mild) was associated with higher PSS; this association was stronger among HIV-negative women. We observed a trend towards higher HCC associated with moderate FI, which did not differ by HIV status. HCC and PSS were not correlated. In summary, moderate FI (vs. mild) was associated with increased stress. The lack of PSS–HCC correlation could reflect different physiological pathways. Interventions to mitigate FI could alleviate postpartum stress.

Original language	English (US)
Pages (from-to)	1632-1642
Number of pages	11
Journal	AIDS and behavior
Volume	24
Issue number	6
DOIs	https://doi.org/10.1007/s10461-019-02676-5
State	Published - Jun 1 2020

Keywords

Cortisol
First 1000 days
Food insecurity
HIV
Postpartum period
Pregnancy
Stress

ASJC Scopus subject areas

Public Health, Environmental and Occupational Health
Infectious Diseases
Social Psychology

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1007/s10461-019-02676-5

Cite this

Murnane, P. M., Miller, J. D., Tuthill, E. L., Collins, S. M., Neilands, T. B., Onono, M., Cohen, C. R., Weiser, S. D., Laudenslager, M. L., & Young, S. L. (2020). Perinatal Food Insecurity and Postpartum Psychosocial Stress are Positively Associated Among Kenyan Women of Mixed HIV Status. AIDS and behavior, 24(6), 1632-1642. https://doi.org/10.1007/s10461-019-02676-5

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title = "Perinatal Food Insecurity and Postpartum Psychosocial Stress are Positively Associated Among Kenyan Women of Mixed HIV Status",

abstract = "Stress and food insecurity (FI) are associated with poor perinatal and HIV outcomes. We hypothesized that FI would increase postpartum stress among women in Kenya, and that the impact would be greater in women with HIV. Among 371 pregnant women, we identified latent FI trajectories across the perinatal period, and estimated their association with postpartum stress. Stress metrics included the Perceived Stress Scale (PSS) and hair cortisol concentrations (HCC). We identified two FI trajectories: persistent moderate FI and persistent mild FI. Moderate FI (vs. mild) was associated with higher PSS; this association was stronger among HIV-negative women. We observed a trend towards higher HCC associated with moderate FI, which did not differ by HIV status. HCC and PSS were not correlated. In summary, moderate FI (vs. mild) was associated with increased stress. The lack of PSS–HCC correlation could reflect different physiological pathways. Interventions to mitigate FI could alleviate postpartum stress.",

keywords = "Cortisol, First 1000 days, Food insecurity, HIV, Postpartum period, Pregnancy, Stress",

author = "Murnane, {Pamela M.} and Miller, {Joshua D.} and Tuthill, {Emily L.} and Collins, {Shalean M.} and Neilands, {Torsten B.} and Maricianah Onono and Cohen, {Craig R.} and Weiser, {Sheri D.} and Laudenslager, {Mark L.} and Young, {Sera L.}",

note = "Funding Information: This work was supported by the National Institute of Mental health at the National Institutes of Health [K01 MH098902 and R21 MH108444 to SLY; K01 MH119910 and T32 MH19105-30 supporting PMM; K23 MH116807 to ELT]. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute of Mental Health or the National Institutes of Health. Publisher Copyright: {\textcopyright} 2019, Springer Science+Business Media, LLC, part of Springer Nature.",

year = "2020",

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doi = "10.1007/s10461-019-02676-5",

language = "English (US)",

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T1 - Perinatal Food Insecurity and Postpartum Psychosocial Stress are Positively Associated Among Kenyan Women of Mixed HIV Status

AU - Murnane, Pamela M.

AU - Miller, Joshua D.

AU - Tuthill, Emily L.

AU - Collins, Shalean M.

AU - Neilands, Torsten B.

AU - Onono, Maricianah

AU - Cohen, Craig R.

AU - Weiser, Sheri D.

AU - Laudenslager, Mark L.

AU - Young, Sera L.

N1 - Funding Information: This work was supported by the National Institute of Mental health at the National Institutes of Health [K01 MH098902 and R21 MH108444 to SLY; K01 MH119910 and T32 MH19105-30 supporting PMM; K23 MH116807 to ELT]. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute of Mental Health or the National Institutes of Health. Publisher Copyright: © 2019, Springer Science+Business Media, LLC, part of Springer Nature.

PY - 2020/6/1

Y1 - 2020/6/1

N2 - Stress and food insecurity (FI) are associated with poor perinatal and HIV outcomes. We hypothesized that FI would increase postpartum stress among women in Kenya, and that the impact would be greater in women with HIV. Among 371 pregnant women, we identified latent FI trajectories across the perinatal period, and estimated their association with postpartum stress. Stress metrics included the Perceived Stress Scale (PSS) and hair cortisol concentrations (HCC). We identified two FI trajectories: persistent moderate FI and persistent mild FI. Moderate FI (vs. mild) was associated with higher PSS; this association was stronger among HIV-negative women. We observed a trend towards higher HCC associated with moderate FI, which did not differ by HIV status. HCC and PSS were not correlated. In summary, moderate FI (vs. mild) was associated with increased stress. The lack of PSS–HCC correlation could reflect different physiological pathways. Interventions to mitigate FI could alleviate postpartum stress.

AB - Stress and food insecurity (FI) are associated with poor perinatal and HIV outcomes. We hypothesized that FI would increase postpartum stress among women in Kenya, and that the impact would be greater in women with HIV. Among 371 pregnant women, we identified latent FI trajectories across the perinatal period, and estimated their association with postpartum stress. Stress metrics included the Perceived Stress Scale (PSS) and hair cortisol concentrations (HCC). We identified two FI trajectories: persistent moderate FI and persistent mild FI. Moderate FI (vs. mild) was associated with higher PSS; this association was stronger among HIV-negative women. We observed a trend towards higher HCC associated with moderate FI, which did not differ by HIV status. HCC and PSS were not correlated. In summary, moderate FI (vs. mild) was associated with increased stress. The lack of PSS–HCC correlation could reflect different physiological pathways. Interventions to mitigate FI could alleviate postpartum stress.

KW - Cortisol

KW - First 1000 days

KW - Food insecurity

KW - HIV

KW - Postpartum period

KW - Pregnancy

KW - Stress

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ER -

Perinatal Food Insecurity and Postpartum Psychosocial Stress are Positively Associated Among Kenyan Women of Mixed HIV Status

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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