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Cited by 29HIV/AIDS Research and InterventionsMaternal Mental Health During Pregnancy and PostpartumChild Nutrition and Water Access

Postnatal Depression Symptoms are Associated with Increased Diarrhea Among Infants of HIV-Positive Ghanaian Mothers

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Okronipa, Harriet E. T., Marquis, Grace S., Lartey, Anna, Brakohiapa, Lucy, Perez-Escamilla, Rafael, Mazur, Robert E.·2012·AIDS and Behavior
DOI 10.1007/s10461-012-0153-xPMC PMC4175408
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Abstract

HIV infection is linked to increased prevalence of depression which may affect maternal caregiving practices and place infants at increased risk of illness. We examined the incidence and days ill with diarrhea among infants of HIV positive (HIV-P), HIV negative (HIV-N), and unknown HIV status (HIV-U) women, and determined if symptoms of maternal postnatal depression (PND) modulated the risk of diarrhea. Pregnant women (n = 492) were recruited from three antenatal clinics; mothers and infants were followed for 12 months postpartum. Diarrheal incidence was 0.6 episodes/100 days at risk. More HIV-P than HIV-N and HIV-U women tended to report PND symptoms (χ(2) = 4.76; P = 0.09). Reporting symptoms was associated with an increased risk of infantile diarrhea only among HIV-P and HIV-U but not HIV-N women (interaction term, χ(2) = 7.84; P = 0.02). Health care providers should be aware of the increased risk of infantile diarrhea when both maternal HIV and PND symptoms are present and take preventive action.

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  • Infants of depressed mothers had significantly more diarrheal episodes per year than infants of nondepressed mothers.

    “Three studies showed that infants of depressed mothers had significantly more diarrheal episodes per year than those of nondepressed mothers,119,122,138 and one study reported that infants of depressed mothers had more days of illness with diarrhea.138”

    From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [138]

    The Results section ('Maternal postnatal depression'; page unavailable) reports significantly more diarrheal episodes among infants of mothers with postnatal depression symptoms, but specifies that this comparison is for the first three months of life (P=0.002). The paper reports an overall rate of 2.3 episodes per year, not a significant year-long difference between infants of depressed and nondepressed mothers. It also reports significantly more days ill with diarrhea in the first three months (P<0.001). (LLM, conf=0.86)

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  • The association between maternal depression and diarrheal episodes in infants was accurate only within the first 3 months.

    “Harriet et al. specified that these associations with diarrheal episodes were accurate only within the first 3 months.”

    From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [138]

    The Results (Maternal postnatal depression; page unavailable) report more diarrheal episodes among infants of mothers with postnatal depression symptoms in the first three months. The Results (Maternal HIV status–PND interaction; page unavailable) say the interaction analysis focused on that period because the association was strong, but the paper does not establish that the association occurred only then. (LLM, conf=0.83)

    Experimental — accuracy not yet measured

  • Infants of depressed mothers had more days of illness with diarrhea.

    “Three studies showed that infants of depressed mothers had significantly more diarrheal episodes per year than those of nondepressed mothers,119,122,138 and one study reported that infants of depressed mothers had more days of illness with diarrhea.138”

    From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [138]

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Authors
Okronipa, H. E. T., Marquis, G. S., Lartey, A., Brakohiapa, L., Perez-Escamilla, R., & Mazur, R. E.
Affiliations
  • Collège MacDonald (CA)
  • Iowa State University (US)
  • University of Ghana (GH)
  • Noguchi Memorial Institute for Medical Research (GH)
Corresponding author
Marquis, Grace S.
ORCID
Venue
AIDS and Behavior
Publisher
Springer Science and Business Media LLC
Published
2012-02-14
Volume
16
Issue
8
Pages
2216-2225
ISSN
  • 1090-7165 (ISSN-L)
  • 1573-3254
DOI
10.1007/s10461-012-0153-x
PMC
PMC4175408
OpenAlex
W2011746622
Cited by
29
References
30
Citations by year
2025: 2 · 2024: 4 · 2022: 1 · 2021: 2 · 2020: 1 · 2019: 4 · 2018: 2 · 2017: 3 · 2016: 3 · 2015: 2 · 2014: 2 · 2013: 1 · 2012: 2
FWCI
1.55
Type
journal article
Language
en
Open access
Licence
Locations
  • AIDS and Behavior (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • McGill University
  • National Institutes of Health
  • Eunice Kennedy Shriver National Institute of Child Health and Human Development (HD 43260, R24HD043620)
Topics
  • Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Health Sciences › Nursing › Nutrition and Dietetics › Child Nutrition and Water Access
Keywords
postpartum depression, infant diarrhea, maternal HIV, maternal depression, maternal care, infant health, Ghana, maternal mental health
MeSH terms
Adolescent, Adult, Diarrhea, Infantile, Female, Follow-Up Studies, Ghana, Humans, Infant, Middle Aged, Mothers, Pregnancy, Pregnancy Complications, Infectious, Regression Analysis, Risk Factors, Socioeconomic Factors, HIV Infections, Incidence, Prevalence, Child of Impaired Parents, AIDS-Related Opportunistic Infections, Depression, Postpartum, Young Adult

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