Pith Moromo 2: Cohort to Study Health Consequences of Food and Nutrition Insecurity During Pregnancy and Lactation

Conditions

Food Insecurity, HIV, Maternal and Child Health, Nutrition

Brief summary

In this study, the investigators conducted research among HIV-infected and -uninfected pregnant and lactating women to understand the potential role and importance of food insecurity on participant physical and psychosocial health and nutrition.

Detailed description

The central hypothesis of this study was that food and nutrition insecurity are detrimental to the health of HIV+ pregnant women and their infants via nutritional, disease, and psychosocial pathways. In the first phase, the investigators collected descriptive data to describe and assess food and nutrition insecurity and the associated modifiable determinants among HIV+ pregnant and lactating women in Kenya. In the second phase, the investigators collected longitudinal cohort data from women who were recruited during pregnancy and have been followed throughout the infant's first year of life.

Gloria Guevara Alvarez, Joshua D. Miller, Marianne V. Santoso, Pauline Wekesa, Patrick Mbullo Owuor et al. (7 authors)

UNC Libraries2025-04-09

10.17615/q4fb-9074

Prevalence and Covariates of Food Insecurity Across the First 1000 Days Among Women of Mixed HIV Status in Western Kenya: A Longitudinal Perspective

Gloria Guevara Alvarez, Joshua D. Miller, Marianne V. Santoso, Pauline Wekesa, Patrick Mbullo Owuor et al. (7 authors)

Food and Nutrition Bulletin2021-05-205 citations

10.1177/0379572121999024

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

Emily L. Tuthill, Ann E. Maltby, Jalang Conteh, Lila A. Sheira, Joshua D. Miller et al. (8 authors)

AIDS and Behavior2020-09-2516 citations

10.1007/s10461-020-03047-1

Social Support Mitigates Negative Impact of Food Insecurity on Antiretroviral Adherence Among Postpartum Women in Western Kenya

Mira Wang, Joshua D. Miller, Shalean M. Collins, Marianne V. Santoso, Pauline Wekesa et al. (10 authors)

AIDS and Behavior2020-03-2413 citations

10.1007/s10461-020-02839-9

Development of a cumulative metric of vaccination adherence behavior and its application among a cohort of 12-month-olds in western Kenya.

Benzaken CL, Miller JD, Onono M, Young SL.

2020-03-144 citations

10.1016/j.vaccine.2020.03.011

HIV infection, hunger, breastfeeding self-efficacy, and depressive symptoms are associated with exclusive breastfeeding to six months among women in western Kenya: a longitudinal observational study

Emily L. Tuthill, Joshua D. Miller, Shalean M. Collins, Elizabeth M. Widen, Maricianah Onono et al. (6 authors)

International Breastfeeding Journal2020-01-1623 citations

10.1186/s13006-019-0251-8

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

FEMALE

Age

1 Days to 45 Years

Healthy volunteers

Yes

Inclusion criteria

* Women \>18 years of age with infants * Infants born to pregnant women enrolled in the cohort study * HIV-infected pregnant women \>18 years of age and ≤30 weeks gestation * HIV-uninfected pregnant women \>18 years of age and ≤30 weeks gestation

Exclusion criteria

* Individuals \<18 years of age that are not infants born to women enrolled in the cohort study

Design outcomes

Primary

Measure	Time frame	Description
Describing and Assessing the Modifiable Determinants of Food Insecurity (using the Individual Food Insecurity Access Scale) Using A Demography, Health, Nutrition, and Psychosocial Questionnaire at 7 Time Points from Pregnancy to 9 Months Postpartum.	2 years	In the first phase the investigators completed descriptive data analysis to describe and assess food and nutrition insecurity and the associated modifiable determinants among HIV+ pregnant and lactating women in Kenya.

Secondary

Measure	Time frame	Description
Impacts of Food Insecurity (using the Individual Food Insecurity Access Scale) on Maternal and Infant Biomarkers of Health (including anthropometry, hemoglobin, and bioelectrical impedance analysis)	2 years	The investigators collected longitudinal cohort data from women who were recruited during pregnancy and have been followed throughout the infant's first year of life. Participants were interviewed at regular intervals and anthropometry and other biomarkers were periodically assessed.
Assessing the Impact of Livestock Ownership on Maternal and Child Health Using Photovoice Qualitative Data Collection Methodology	1 year	The investigators collected qualitative data using Photovoice, a participatory photo-elicitation data collection methodology to explore the livestock ownership and perceptions of livestock on household food security (using the Household Food Insecurity Access Scale).

Countries

United States

Outcome results