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Maternal food insecurity, anemia, and social support are independently associated with prenatal depression among HIV‐positive and ‐negative women attending antenatal services in northern Uganda (268.2)
Author(s) -
Natamba Barnabas,
Achan Jane,
Oyok Thomas,
Mou Sophie,
Gosh Shibani,
Stoltzfus Rebecca,
Griffiths Jeffrey,
Young Sera
Publication year - 2014
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.28.1_supplement.268.2
Subject(s) - medicine , psychological intervention , bivariate analysis , depression (economics) , anemia , social support , population , prenatal care , demography , environmental health , psychiatry , psychology , statistics , mathematics , sociology , economics , psychotherapist , macroeconomics
Limited data exist on prenatal depression in in high HIV burden resource‐poor settings. Population: 403 pregnant clinic attendees at Gulu Hospital, Uganda. HIV (+) women were oversampled in a ratio of 1 HIV (+): 2 HIV (‐). Methods. Depression was assessed using the Center for Epidemiological Studies‐Depression (CESD) scale. Maternal food insecurity (FI) was evaluated using an individually focused Food Insecurity Access Scale, anemia using a Hemocue® hemoglobinometer, and social support using the 10 item version of the Duke‐UNC functional social support instrument. We performed bivariate and multivariate analyses to identify variables associated with CESD scores keeping those with p <0.05 as well as theoretically or contextually important variables in the final model. Results: CESD scores ranged from 0‐57 (mean 20 + 13.2SD). 62.3% of study women had a major depressive episode (CESD score 蠅15). While being HIV (+) was linked to higher CESD scores in bivariate analyses, in multivariate linear regression maternal food insecurity (β=+0.663) and age (β=+0.227) were the only factors associated with higher CESD scores. Maternal social support (β=‐1.209) and higher hemoglobin (β=‐0.927) were linked to lower CESD scores. Conclusion: Interventions targeting depressed pregnant Ugandan women should better understand how age, food insecurity, anemia, and social support influence prenatal depression. Grant Funding Source : Supported by USAID Feed the Future grant to Tufts University