Food insecurity and perceived stress but not HIV infection are independently associated with lower energy intakes among lactating Ghanaian women

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dc.contributor.authorAddo, A.A.
dc.contributor.authorMarquis, G.S.
dc.contributor.authorLartey, A.A.
dc.contributor.authorPérez-Escamilla, R.
dc.contributor.authorMazur, R.E.
dc.contributor.authorHarding, K.B.
dc.date.accessioned2019-05-02T11:36:35Z
dc.date.available2019-05-02T11:36:35Z
dc.date.issued2011-01
dc.description.abstractHuman immunodeficiency virus (HIV) seropositive women living in low-income communities may have difficulty meeting the increased energy requirements that are associated with both lactation and HIV infection. Data on household food security and maternal socio-demographic characteristics, perceived stress, anthropometry, reported illness, dietary intakes and preferences, and exposure to nutrition education were collected from 70 lactating women [16 seropositive (HP), 27 seronegative (HN), and 27 who refused to be tested and had unknown HIV status (HU)]. Diet was assessed with three 24-h recalls (one market day, one weekend day, and one non-market weekday). Data were collected at 8.4 (SD = 4.7) months postpartum. Most women (74.3%) reported being in good health at the time of study. Three-day mean energy intakes did not differ by HIV status [HP: 12 000 kJ (SD = 3600), HN: 12 600 kJ (SD = 5100), and HU: 12 300 kJ (SD = 4800); P = 0.94]. Protein, fat, vitamin A, thiamin, riboflavin, niacin, vitamin C, calcium, iron, and zinc intakes also did not differ by group (P > 0.10). There was a higher proportion of women with high stress levels in food insecure households compared with food secure households (55.6% vs. 26.5%; P = 0.01). Energy intake was independently negatively associated with food insecurity [high: 11 300 kJ (SD = 3500) vs. low: 13 400 kJ (SD = 5400), respectively; P = 0.050] and stress [high: 10 800 kJ (SD = 2800) vs. low: 13 400 kJ (SD = 5300), P = 0.021]. These results suggest the need to integrate multi-dimensional interventions that address economic and mental health constraints which may limit some women's ability to meet their dietary needs. © 2010 Blackwell Publishing Ltd.en_US
dc.identifier.otherhttps://doi.org/10.1111/j.1740-8709.2009.00229.x
dc.identifier.otherVolume 7, Issue 1, Pages 80-91
dc.identifier.urihttp://ugspace.ug.edu.gh/handle/123456789/29717
dc.language.isoenen_US
dc.publisherMaternal and Child Nutritionen_US
dc.subjectDieten_US
dc.subjectFood securityen_US
dc.subjectHIVen_US
dc.subjectHuman lactationen_US
dc.subjectLow income countriesen_US
dc.subjectMaternal mental healthen_US
dc.titleFood insecurity and perceived stress but not HIV infection are independently associated with lower energy intakes among lactating Ghanaian womenen_US
dc.typeArticleen_US

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