Persistent Food Insecurity, but not HIV, is Associated with Depressive Symptoms Among Perinatal Women in Kenya: A Longitudinal Perspective

Emily L. Tuthill; Ann Maltby; Jalang Conteh; Lila A. Sheira; Joshua D. Miller; Maricianah Onono; Sheri D. Weiser; Sera L. Young

doi:10.1007/s10461-020-03047-1

Persistent Food Insecurity, but not HIV, is Associated with Depressive Symptoms Among Perinatal Women in Kenya: A Longitudinal Perspective

Emily L. Tuthill, Ann Maltby, Jalang Conteh, Lila A. Sheira, Joshua D. Miller, Maricianah Onono, Sheri D. Weiser, Sera L. Young^*

^*Corresponding author for this work

Anthropology

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

14 Scopus citations

Abstract

Food insecurity (FI) is an understudied risk factor for depression among perinatal women in sub-Saharan Africa. We therefore explored the longitudinal relationship between FI and depressive symptoms among a cohort of perinatal women of mixed HIV status (n = 371) in Kenya (NCT02974972, NCT02979418). Using longitudinal linear and logistic regressions with random effects, we assessed bivariate and adjusted associations between maternal FI and depressive symptoms. HIV status was also assessed as a potential effect modifier. At baseline, 58% of pregnant women had probable depression (CES-D score > 16) and 84% were severely food insecure. In adjusted analyses, severely food-insecure women had 5.90 greater odds (95% CI 2.32, 15.02, p < 0.001) of having probable depression and scored 4.58 points higher on the CES-D scale (SE: 1.04, p < 0.001) relative to food-secure women. HIV status did not modify the association between FI and depressive symptoms. Interventions to reduce FI may reduce perinatal depression, benefiting mothers and their infants.

Original language	English (US)
Pages (from-to)	847-855
Number of pages	9
Journal	AIDS and behavior
Volume	25
Issue number	3
DOIs	https://doi.org/10.1007/s10461-020-03047-1
State	Published - Mar 2021

Funding

This work was supported by the National Institute of Mental health at the National Institutes of Health [Grant Numbers K23 MH116807 to ELT; K01 MH098902 and R21 MH108444 to SLY]. Acknowledgements We would like to thank the Kenya Medical Research Institute (KEMRI) for providing space within the FACES clinics for the work to be conducted, ethical and logistic support to conduct this research, and oversight in Kenya. We would also like to warmly thank study nurses and study trackers, as well as the mothers and their infants who participated in this study.

Keywords

Depressive symptoms
Food security
HIV
Kenya
Postnatal depression
Prenatal depression

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/s10461-020-03047-1

Cite this

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title = "Persistent Food Insecurity, but not HIV, is Associated with Depressive Symptoms Among Perinatal Women in Kenya: A Longitudinal Perspective",

abstract = "Food insecurity (FI) is an understudied risk factor for depression among perinatal women in sub-Saharan Africa. We therefore explored the longitudinal relationship between FI and depressive symptoms among a cohort of perinatal women of mixed HIV status (n = 371) in Kenya (NCT02974972, NCT02979418). Using longitudinal linear and logistic regressions with random effects, we assessed bivariate and adjusted associations between maternal FI and depressive symptoms. HIV status was also assessed as a potential effect modifier. At baseline, 58% of pregnant women had probable depression (CES-D score > 16) and 84% were severely food insecure. In adjusted analyses, severely food-insecure women had 5.90 greater odds (95% CI 2.32, 15.02, p < 0.001) of having probable depression and scored 4.58 points higher on the CES-D scale (SE: 1.04, p < 0.001) relative to food-secure women. HIV status did not modify the association between FI and depressive symptoms. Interventions to reduce FI may reduce perinatal depression, benefiting mothers and their infants.",

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author = "Tuthill, {Emily L.} and Ann Maltby and Jalang Conteh and Sheira, {Lila A.} and Miller, {Joshua D.} and Maricianah Onono and Weiser, {Sheri D.} and Young, {Sera L.}",

note = "Funding Information: This work was supported by the National Institute of Mental health at the National Institutes of Health [Grant Numbers K23 MH116807 to ELT; K01 MH098902 and R21 MH108444 to SLY]. Acknowledgements Funding Information: We would like to thank the Kenya Medical Research Institute (KEMRI) for providing space within the FACES clinics for the work to be conducted, ethical and logistic support to conduct this research, and oversight in Kenya. We would also like to warmly thank study nurses and study trackers, as well as the mothers and their infants who participated in this study. Publisher Copyright: {\textcopyright} 2020, Springer Science+Business Media, LLC, part of Springer Nature.",

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AU - Maltby, Ann

AU - Conteh, Jalang

AU - Sheira, Lila A.

AU - Miller, Joshua D.

AU - Onono, Maricianah

AU - Weiser, Sheri D.

AU - Young, Sera L.

N1 - Funding Information: This work was supported by the National Institute of Mental health at the National Institutes of Health [Grant Numbers K23 MH116807 to ELT; K01 MH098902 and R21 MH108444 to SLY]. Acknowledgements Funding Information: We would like to thank the Kenya Medical Research Institute (KEMRI) for providing space within the FACES clinics for the work to be conducted, ethical and logistic support to conduct this research, and oversight in Kenya. We would also like to warmly thank study nurses and study trackers, as well as the mothers and their infants who participated in this study. Publisher Copyright: © 2020, Springer Science+Business Media, LLC, part of Springer Nature.

PY - 2021/3

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N2 - Food insecurity (FI) is an understudied risk factor for depression among perinatal women in sub-Saharan Africa. We therefore explored the longitudinal relationship between FI and depressive symptoms among a cohort of perinatal women of mixed HIV status (n = 371) in Kenya (NCT02974972, NCT02979418). Using longitudinal linear and logistic regressions with random effects, we assessed bivariate and adjusted associations between maternal FI and depressive symptoms. HIV status was also assessed as a potential effect modifier. At baseline, 58% of pregnant women had probable depression (CES-D score > 16) and 84% were severely food insecure. In adjusted analyses, severely food-insecure women had 5.90 greater odds (95% CI 2.32, 15.02, p < 0.001) of having probable depression and scored 4.58 points higher on the CES-D scale (SE: 1.04, p < 0.001) relative to food-secure women. HIV status did not modify the association between FI and depressive symptoms. Interventions to reduce FI may reduce perinatal depression, benefiting mothers and their infants.

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Persistent Food Insecurity, but not HIV, is Associated with Depressive Symptoms Among Perinatal Women in Kenya: A Longitudinal Perspective

Abstract

Funding

Keywords

ASJC Scopus subject areas

UN SDGs

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