Evidence map›Paper›PMID 33507564›Full record

ArticleInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2022

Food insecurity and adverse pregnancy outcomes among rural Malawian women.

Robert B Hood, Alison H Norris, Sarah Huber-Krum, Sarah Garver, Gertrude Chapotera, Abigail N Turner

Open access · greenAbstract read
In one paragraph

Article in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Food Insecurity and Women's Choice of Reversible Contraceptives: Differential Effects by Maternal Age.International journal of environmental research and public health · 2024
    Article
  2. Article
  3. The Changing Climate and Pregnancy Health.Current environmental health reports · 2022
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 2 countries.

Robert B HoodThe Ohio State University College of Public Health, Columbus, OH, USA.
Alison H NorrisThe Ohio State University College of Public Health, Columbus, OH, USA.
Sarah Huber-KrumHarvard T.H. Chan School of Public Health, Boston, MA, USA.
Sarah GarverThe University of Chicago, Chicago, IL, USA.
Gertrude ChapoteraUniversity of Malawi College of Medicine, Blantyre, Malawi.
Abigail N TurnerThe Ohio State University College of Public Health, Columbus, OH, USA.
Ohio Department of Health · USHarvard University · USThe Ohio State University · USUniversity of Chicago · USUniversity of Malawi · MW

Funding

The Ohio State University Center for clinical and Translational ScienceUL1TR001070 · NCATS · OHIO STATE UNIVERSITY · PI JACKSON, REBECCA D · 2013 to 2017
$22.6M
Institute for Population ResearchP2CHD058484 · NICHD · OHIO STATE UNIVERSITY · PI HAYFORD, SARAH R · 2014 to 2023
$5.0M
The Ohio State University Center for Clinical and Translational ScienceKL2TR001068 · NCATS · OHIO STATE UNIVERSITY · PI JACKSON, REBECCA D · 2013 to 2017
$2.7M
The Ohio State University Center for Clinical and Translational ScienceTL1TR001069 · NCATS · OHIO STATE UNIVERSITY · PI JACKSON, REBECCA D · 2013 to 2017
$763k
Bill & Melinda Gates Foundation'sNCATS NIH HHS KL2 TR001068NCATS NIH HHS TL1 TR001069NCATS NIH HHS UL1 TR001070NICHD NIH HHS P2C HD058484Ohio State University NICHD P2C-HD058484OSU Center for Clinical and Translational Science KL2TR001068OSU Center for Clinical and Translational Science NCATS UL1TR001070OSU Center for Clinical and Translational Science TL1TR001069OSU Public Health Preparedness for Infectious Diseases program
6 · The paper itself

Abstract

objectiveTo investigate whether food insecurity is associated with adverse pregnancy outcomes such as miscarriage, stillbirth, and neonatal mortality among women in rural Malawi.

methodsWe analyzed data from the baseline (July 2014 to February 2015) and follow-up (January 2018 to May 2018) waves of a longitudinal study of reproductive-age women in rural Malawi. We sampled women from villages from the catchment area of a community hospital in rural Lilongwe district of Malawi using stratified cluster sampling. We classified women as food secure or insecure at baseline. Using unadjusted and adjusted log-binomial models, we used baseline data to examine the cross-sectional association between food insecurity and ever experiencing an adverse pregnancy outcome. We used baseline and follow-up data to assess the longitudinal association between food insecurity and experiencing a new adverse pregnancy outcome during follow-up. In a subgroup analysis, we repeated the longitudinal analysis after restricting the sample to women who had no adverse pregnancy outcomes at baseline.

resultsWe observed no significant cross-sectional association between baseline food insecurity and ever experiencing an adverse pregnancy outcome (adjusted prevalence ratio: 1.09; 95% confidence interval [CI]: 0.78-1.53). Baseline food insecurity was not associated with experiencing a new adverse pregnancy outcome during follow-up (adjusted risk ratio [aRR]: 1.14, 95% CI: 0.60-2.20) or in the subgroup analysis (aRR: 1.52, 95% CI: 0.78-2.96).

conclusionsWhile food insecurity is a critical issue, in this cohort of rural Malawian women, food insecurity was not associated with adverse pregnancy outcomes.

Indexed as

Pregnancy OutcomeRural PopulationCross-Sectional StudiesFemaleFood InsecurityHumansInfant, NewbornLongitudinal StudiesPregnancyadverse pregnancy outcomescross-sectionalfood insecuritylongitudinalMalawirural

Identifiers

PMID33507564
PMCPMC9808894
OpenAlexW3122469886

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.