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AIDS and Behavior
Published in: AIDS and Behavior 6/2020

01-06-2020 | Human Immunodeficiency Virus | Original Paper

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

Authors: 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

Published in: AIDS and Behavior | Issue 6/2020

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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.
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Literature
1.
Lazarus RS, Folkman S. Stress, appraisal, and coping. New York: Springer; 1984.
2.
McEwen BS, Stellar E. Stress and the individual. Mechanisms leading to disease. Arch Intern Med. 1993;153(18):2093–101.PubMed
3.
Mulder EJ, Robles de Medina PG, Huizink AC, Van den Bergh BR, Buitelaar JK, Visser GH. Prenatal maternal stress: effects on pregnancy and the (unborn) child. Early Hum Dev. 2002;70(1–2):3–14.PubMed
4.
Beydoun H, Saftlas AF. Physical and mental health outcomes of prenatal maternal stress in human and animal studies: a review of recent evidence. Paediatr Perinat Epidemiol. 2008;22(5):438–66.PubMed
5.
Mazure C, Swendsen J. Life stress as a risk factor for postpartum depression: current research and methodological issues. Clin Psychol Sci Pract. 2000;7(1):17–31.
6.
Kawano A, Emori Y. The relationship between maternal postpartum psychological state and breast milk secretory immunoglobulin A level. J Am Psychiatr Nurses Assoc. 2015;21(1):23–30.PubMed
7.
Stepanikova I, Baker E, Oates G, et al. Perinatal maternal stress and susceptibility to infectious diseases in later childhood: an early life programming perspective. J Psychol. 2018;2018:1–21.
8.
Weinstein TL, Li X. The relationship between stress and clinical outcomes for persons living with HIV/AIDS: a systematic review of the global literature. AIDS Care. 2016;28(2):160–9.PubMed
9.
Food and Agriculture Organization of the United Nations, International Fund for Agricultural Development, UNICEF, World Food Program, World health Organization. The state of food insecurity and nutrition in the world. Building climate resilience for food security and nutrition. Rome: Food and Agriculture Organization of the United Nations; 2018. p. 2018.
10.
Tuthill EL, Sheira LA, Palar K, et al. Persistent food insecurity is associated with adverse mental health among women living with or at risk of HIV in the United States. J Nutr. 2019;149(2):240–8.PubMedPubMedCentral
11.
Cole SM, Tembo G. The effect of food insecurity on mental health: panel evidence from rural Zambia. Soc Sci Med. 2011;73(7):1071–9.PubMed
12.
Decaro JA, Manyama M, Wilson W. Household-level predictors of maternal mental health and systemic inflammation among infants in Mwanza, Tanzania. Am J Hum Biol. 2016;28(4):461–70.PubMed
13.
Laraia B, Vinikoor-Imler LC, Siega-Riz AM. Food insecurity during pregnancy leads to stress, disordered eating, and greater postpartum weight among overweight women. Obesity (Silver Spring). 2015;23(6):1303–11.PubMedCentral
14.
Hjelm L, Handa S, de Hoop J, Palermo T, Zambia CGP, Teams MCPE. Poverty and perceived stress: evidence from two unconditional cash transfer programs in Zambia. Soc Sci Med. 2017;177:110–7.PubMedPubMedCentral
15.
Carter KN, Kruse K, Blakely T, Collings S. The association of food security with psychological distress in New Zealand and any gender differences. Soc Sci Med. 2011;72(9):1463–71.PubMed
16.
Garcia J, Hromi-Fiedler A, Mazur RE, et al. Persistent household food insecurity, HIV, and maternal stress in peri-urban Ghana. BMC Public Health. 2013;13:215.PubMedPubMedCentral
17.
Laraia BA, Siega-Riz AM, Gundersen C, Dole N. Psychosocial factors and socioeconomic indicators are associated with household food insecurity among pregnant women. J Nutr. 2006;136(1):177–82.PubMed
18.
Miller JD, Young SL, Boateng GO, Oiye S, Owino V. Greater household food insecurity is associated with lower breast milk intake among infants in western Kenya. Matern Child Nutr. 2019;2019:e12862.
19.
Jones AD, Ngure FM, Pelto G, Young SL. What are we assessing when we measure food security? A compendium and review of current metrics. Adv Nutr. 2013;4(5):481–505.PubMedPubMedCentral
20.
Young S, Wheeler AC, McCoy SI, Weiser SD. A review of the role of food insecurity in adherence to care and treatment among adult and pediatric populations living with HIV and AIDS. AIDS Behav. 2014;18(Suppl 5):S505–15.PubMed
21.
McCoy SI, Buzdugan R, Mushavi A, Mahomva A, Cowan FM, Padian NS. Food insecurity is a barrier to prevention of mother-to-child HIV transmission services in Zimbabwe: a cross-sectional study. BMC Public Health. 2015;15:420.PubMedPubMedCentral
22.
Ewing AC, Ellington SR, Wiener JB, et al. Predictors of perinatal HIV transmission among women without prior antiretroviral therapy in a resource-limited setting: the BAN study. Pediatr Infect Dis J. 2018;38(5):508–12.
23.
Nagin DS. Group-Based Modeling of Development. Cambridge: Harvard University Press; 2005.
24.
Stalder T, Steudte-Schmiedgen S, Alexander N, et al. Stress-related and basic determinants of hair cortisol in humans: a meta-analysis. Psychoneuroendocrinology. 2017;77:261–74.PubMed
25.
Widen EM, Tsai I, Collins SM, et al. HIV infection and increased food insecurity are associated with adverse body composition changes among pregnant and lactating Kenyan women. Eur J Clin Nutr. 2018;73:474.PubMedPubMedCentral
26.
Natamba BK, Kilama H, Arbach A, Achan J, Griffiths JK, Young SL. Reliability and validity of an individually focused food insecurity access scale for assessing inadequate access to food among pregnant Ugandan women of mixed HIV status. Public Health Nutr. 2015;18(16):2895–905.PubMed
27.
Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983;24(4):385–96.PubMed
28.
Baik SH, Fox RS, Mills SD, et al. Reliability and validity of the Perceived Stress Scale-10 in Hispanic Americans with English or Spanish language preference. J Health Psychol. 2017;2017:1359105316684938.
29.
Khalili R, Sirati Nir M, Ebadi A, Tavallai A, Habibi M. Validity and reliability of the Cohen 10-item Perceived Stress Scale in patients with chronic headache: persian version. Asian J Psychiatr. 2017;26:136–40.PubMed
30.
31.
Yokokura A, Silva A, Fernandes JKB, et al. Perceived Stress Scale: confirmatory factor analysis of the PSS14 and PSS10 versions in two samples of pregnant women from the BRISA cohort. Cad Saude Publica. 2017;33(12):e00184615.PubMed
32.
Solivan AE, Xiong X, Harville EW, Buekens P. Measurement of perceived stress among pregnant women: a comparison of two different instruments. Matern Child Health J. 2015;19(9):1910–5.PubMedPubMedCentral
33.
Chaaya M, Osman H, Naassan G, Mahfoud Z. Validation of the Arabic version of the Cohen Perceived Stress Scale (PSS-10) among pregnant and postpartum women. BMC Psychiatry. 2010;10:111.PubMedPubMedCentral
34.
Dedovic K, Duchesne A, Andrews J, Engert V, Pruessner JC. The brain and the stress axis: the neural correlates of cortisol regulation in response to stress. Neuroimage. 2009;47(3):864–71.PubMed
35.
Sauve B, Koren G, Walsh G, Tokmakejian S, Van Uum SH. Measurement of cortisol in human hair as a biomarker of systemic exposure. Clin Invest Med. 2007;30(5):E183–91.PubMed
36.
D’Anna-Hernandez KL, Ross RG, Natvig CL, Laudenslager ML. Hair cortisol levels as a retrospective marker of hypothalamic-pituitary axis activity throughout pregnancy: comparison to salivary cortisol. Physiol Behav. 2011;104(2):348–53.PubMedPubMedCentral
37.
Wright KD, Ford JL, Perazzo J, et al. Collecting hair samples for hair cortisol analysis in African Americans. J Vis Exp. 2018;136:e57288.
38.
Hoffman MC, D’Anna-Hernandez K, Benitez P, Ross RG, Laudenslager ML. Cortisol during human fetal life: characterization of a method for processing small quantities of newborn hair from 26 to 42 weeks gestation. Dev Psychobiol. 2017;59(1):123–7.PubMed
39.
Vyas S, Kumaranayake L. Constructing socio-economic status indices: how to use principal components analysis. Health Policy Plan. 2006;21(6):459–68.PubMed
40.
Antelman G, Smith Fawzi MC, Kaaya S, et al. Predictors of HIV-1 serostatus disclosure: a prospective study among HIV-infected pregnant women in Dar es Salaam, Tanzania. AIDS. 2001;15(14):1865–74.PubMedPubMedCentral
41.
Broadhead WE, Gehlbach SH, de Gruy FV, Kaplan BH. The Duke-UNC Functional Social Support Questionnaire. Measurement of social support in family medicine patients. Med Care. 1988;26(7):709–23.PubMed
42.
Radloff LS. The CES-D Scale: a self-report depression scale for research in the general population. Appl Psychol Meas. 1977;1(3):385–401.
43.
Ware JE. How to score and interpret single-item health status measures: a manual for users of the of the SF-8 health survey : (with a supplement on the SF-6 health survey). Lincoln: QualityMetric, Inc.; 2001.
44.
Jones BL, Nagin DS. A note on a Stata plugin for estimating group-based trajectory models. Sociol Methods Res. 2013;42(4):608–13.
45.
Jones BL, Nagin DS. Advances in group-based trajectory modeling and an SAS procedure for estimating them. Sociol Methods Res. 2007;35(4):542–71.
46.
Schwarz G. Estimating the dimension of a model. Ann Stat. 1978;6(2):461–4.
47.
Hernan MA, Hernandez-Diaz S, Werler MM, Mitchell AA. Causal knowledge as a prerequisite for confounding evaluation: an application to birth defects epidemiology. Am J Epidemiol. 2002;155(2):176–84.PubMed
48.
Textor J, van der Zander B, Gilthorpe MS, Liskiewicz M, Ellison GT. Robust causal inference using directed acyclic graphs: the R package ‘dagitty’. Int J Epidemiol. 2016;45(6):1887–94.PubMed
49.
Vittinghoff E, Glidden DV, Shiboski SC, McCulloch CE. Regression methods in biostatistics: linear, logistic, survival, and repeated measures models. 2nd ed. New York: Springer; 2012.
50.
Tukey JW. The future of data analysis. Ann Math Stat. 1962;33(1):1–67.
51.
Sterne JA, White IR, Carlin JB, et al. Multiple imputation for missing data in epidemiological and clinical research: potential and pitfalls. BMJ. 2009;338:b2393.PubMedPubMedCentral
52.
Little RJA, Rubin DB. Statistical Analysis with Missing Data. New York: Wiley; 2002.
53.
Chrousos GP, Zapanti ED. Hypothalamic-pituitary-adrenal axis in HIV infection and disease. Endocrinol Metab Clin North Am. 2014;43(3):791–806.PubMed
54.
George MM, Bhangoo A. Human immune deficiency virus (HIV) infection and the hypothalamic pituitary adrenal axis. Rev Endocr Metab Disord. 2013;14(2):105–12.PubMed
55.
Kalra S, Einarson A, Karaskov T, Van Uum S, Koren G. The relationship between stress and hair cortisol in healthy pregnant women. Clin Invest Med. 2007;30(2):E103–7.PubMed
56.
Ranjit N, Young EA, Kaplan GA. Material hardship alters the diurnal rhythm of salivary cortisol. Int J Epidemiol. 2005;34(5):1138–43.PubMed
57.
Heim C, Ehlert U, Hellhammer DH. The potential role of hypocortisolism in the pathophysiology of stress-related bodily disorders. Psychoneuroendocrinology. 2000;25(1):1–35.PubMed
58.
Hickey MD, Salmen CR, Tessler RA, et al. Antiretroviral concentrations in small hair samples as a feasible marker of adherence in rural Kenya. J Acquir Immune Defic Syndr. 2014;66(3):311–5.PubMedPubMedCentral
Metadata
Title
Perinatal Food Insecurity and Postpartum Psychosocial Stress are Positively Associated Among Kenyan Women of Mixed HIV Status
Authors
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
Publication date
01-06-2020
Publisher
Springer US
Published in
AIDS and Behavior / Issue 6/2020
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-019-02676-5

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