Citation
Lane, Charlotte E.; Adair, Linda S.; Bobrow, Emily A.; Ndayisaba, Gilles F.; Asiimwe, Anita; & Mugwaneza, Placidie (2021). Longitudinal Interrelationship between HIV Viral Suppression, Maternal Weight Change, Breastfeeding, and Length in HIV-Exposed and -Uninfected Infants Participating in the Kabeho Study in Kigali, Rwanda. Annals of Epidemiology, 53, 1-6.e1. PMCID: PMC7747133Abstract
PURPOSE: The health of infants which are HIV-exposed and -uninfected (HEU) is a major public health concern as HIV becomes a chronic condition. We investigate the interrelationship between maternal viral suppression, maternal weight status, breastfeeding, and infants which are HEU.METHODS: The Kabeho study followed 502 HEU infants in Kigali, Rwanda for 24 months from 2013-2014. We use a structural equation modeling approach to investigate the dynamic relationships between viral suppression, maternal weight change, breastfeeding, and infant length-for-age z-score (LAZ) as defined by the WHO.
RESULTS: Older mothers are more likely to be virally suppressed and to breastfeed. Viral suppression and the mother being on antiretroviral treatment for longer were related to lower infant LAZ at three months. A more positive maternal weight change was related to higher infant LAZ at the end of each period. At 12 months, a higher infant LAZ was related to increased probability of continued breastfeeding. At 18 months, continued breastfeeding was related to lower LAZ, and food shortages were related to higher LAZ.
CONCLUSION: There is a complex interrelationship between viral suppression, maternal weight change, breastfeeding, and infant LAZ. These relationships demonstrate the link between maternal and infant health in the context of HIV.
URL
http://dx.doi.org/10.1016/j.annepidem.2020.08.008Reference Type
Journal ArticleYear Published
2021Journal Title
Annals of EpidemiologyAuthor(s)
Lane, Charlotte E.Adair, Linda S.
Bobrow, Emily A.
Ndayisaba, Gilles F.
Asiimwe, Anita
Mugwaneza, Placidie
PMCID
PMC7747133Data Set/Study
Kabeho StudyContinent/Country
RwandaRace/Ethnicity
WomenORCiD
Adair - 0000-0002-3670-8073Lane, C. - 000-0002-7730-6687