2023
Navigating and manipulating childbirth services in Afar, Ethiopia: A qualitative study of cultural safety in the birthing room
Hagaman A, Rodriguez H, Egger E, Bitewulign B, Case H, Alemayehu A, Rhodes E, Estifanos A, Singh K, Keraga D, Zahid M, Magge H, Barrington C. Navigating and manipulating childbirth services in Afar, Ethiopia: A qualitative study of cultural safety in the birthing room. Social Science & Medicine 2023, 331: 116073. PMID: 37481879, PMCID: PMC10410251, DOI: 10.1016/j.socscimed.2023.116073.Peer-Reviewed Original ResearchConceptsCultural safetyPower dynamicsSafety frameworkSemi-structured interviewsDistinct cultural traditionsHealth systemRich cultural diversityGovernment health facilitiesCultural diversityCultural traditionsThematic analysisQualitative studyMaternal health servicesChildbirth servicesHealth facilitiesHealth servicesAfar regionPast decadeEthiopiaFrameworkGovernmentWieldWomenServicesAfar
2022
“Now, I have my baby so I don’t go anywhere”: A mixed method approach to the ‘everyday’ and young motherhood integrating qualitative interviews and passive digital data from mobile devices
Hagaman A, Mercado D, Poudyal A, Bemme D, Boone C, van Heerden A, Byanjankar P, Maharjan S, Thapa A, Kohrt BA. “Now, I have my baby so I don’t go anywhere”: A mixed method approach to the ‘everyday’ and young motherhood integrating qualitative interviews and passive digital data from mobile devices. PLOS ONE 2022, 17: e0269443. PMID: 35802694, PMCID: PMC9269952, DOI: 10.1371/journal.pone.0269443.Peer-Reviewed Original ResearchAdverse childhood experiences and implications of perceived stress, anxiety and cortisol among women in Pakistan: a cross-sectional study
Ikram N, Frost A, LeMasters K, Hagaman A, Baranov V, Gallis J, Sikander S, Scherer E, Maselko J. Adverse childhood experiences and implications of perceived stress, anxiety and cortisol among women in Pakistan: a cross-sectional study. BMJ Open 2022, 12: e052280. PMID: 35428618, PMCID: PMC9014037, DOI: 10.1136/bmjopen-2021-052280.Peer-Reviewed Original ResearchMother-in-law childcare and perinatal depression in rural Pakistan
Chung E, Hagaman A, Bibi A, Frost A, Haight S, Sikander S, Maselko J. Mother-in-law childcare and perinatal depression in rural Pakistan. Women's Health 2022, 18: 17455057221141288. PMID: 36468464, PMCID: PMC9726850, DOI: 10.1177/17455057221141288.Peer-Reviewed Original ResearchConceptsPerinatal depressionMaternal mental healthMonths postpartumMental healthImmediate postpartum periodFirst year postpartumStructured Clinical InterviewCross-sectional associationsHigh motherMental Disorders-IVYear postpartumLife Events ChecklistPostpartum periodMajor depressionPerinatal periodMaternal depressionLow prevalenceBirth cohortClinical InterviewLow motherPostpartumRural PakistanStatistical ManualDepressionMothers
2021
Longitudinal effects of perinatal social support on maternal depression: a marginal structural modelling approach
Hagaman A, LeMasters K, Zivich PN, Sikander S, Bates LM, Bhalotra S, Chung EO, Zaidi A, Maselko J. Longitudinal effects of perinatal social support on maternal depression: a marginal structural modelling approach. Journal Of Epidemiology & Community Health 2021, 75: 936-943. PMID: 33712512, PMCID: PMC8434957, DOI: 10.1136/jech-2020-215836.Peer-Reviewed Original ResearchConceptsMaternal Social Support IndexMonths postpartumPerinatal periodMaternal depressionProtective effectSocial supportCohort of womenMajor depressive disorderStructured Clinical InterviewYear of childbirthSubsequent maternal depressionComplex bidirectional relationshipSustained social supportFuture depressive episodesSocial Support IndexMarginal structural modelsPerinatal depressionThird trimesterDecreased riskImportant protective factorDepressive episodeDepressive disorderPostpartum depressionHigh burdenClinical InterviewAdverse childhood experiences and depression among women in rural Pakistan
LeMasters K, Bates LM, Chung EO, Gallis JA, Hagaman A, Scherer E, Sikander S, Staley BS, Zalla LC, Zivich PN, Maselko J. Adverse childhood experiences and depression among women in rural Pakistan. BMC Public Health 2021, 21: 400. PMID: 33632175, PMCID: PMC7905421, DOI: 10.1186/s12889-021-10409-4.Peer-Reviewed Original ResearchConceptsMajor depressive episodeSymptom severityPerinatal mental health interventionsWomen's depressionBackgroundAdverse childhood experiencesDepressive symptom severityMajority of womenACE-International QuestionnaireCurrent mental healthMental health interventionsAdverse childhood experiencesChildhood experiencesCohort studyDepressive episodeMonths postpartumPerinatal periodElevated riskPronounced elevationHealth interventionsMore ACEsRural PakistanMental healthFamily distressCommon pathwayDepression
2020
Association of maternal depression and home adversities with infant hypothalamic-pituitary-adrenal (HPA) axis biomarkers in rural Pakistan
Hagaman AK, Baranov V, Chung E, LeMasters K, Andrabi N, Bates LM, Rahman A, Sikander S, Turner E, Maselko J. Association of maternal depression and home adversities with infant hypothalamic-pituitary-adrenal (HPA) axis biomarkers in rural Pakistan. Journal Of Affective Disorders 2020, 276: 592-599. PMID: 32871690, PMCID: PMC7792907, DOI: 10.1016/j.jad.2020.07.053.Peer-Reviewed Original ResearchConceptsHPA axis activityMaternal depressionSocio-economic statusYear postpartumDHEAS levelsAxis activityIntimate partner violenceInfant stress response systemsSignificant associationLow DHEAS levelsHPA axis dysregulationHPA axis hormonesOne-year-old infantsYears of ageConsistent significant associationsChildren's HPA-axis activityHigher socio-economic statusSignificant positive associationAxis dysregulationAxis hormonesAdrenal axisStress-related diseasesDHEA activityInfant cortisolDepression severityThe impacts of quality improvement on maternal and newborn health: preliminary findings from a health system integrated intervention in four Ethiopian regions
Hagaman AK, Singh K, Abate M, Alemu H, Kefale AB, Bitewulign B, Estifanos AS, Kiflie A, Mulissa Z, Tiyo H, Seman Y, Tadesse MZ, Magge H. The impacts of quality improvement on maternal and newborn health: preliminary findings from a health system integrated intervention in four Ethiopian regions. BMC Health Services Research 2020, 20: 522. PMID: 32513236, PMCID: PMC7282234, DOI: 10.1186/s12913-020-05391-3.Peer-Reviewed Original ResearchConceptsHealth system interventionsSyphilis testingLow birth weight infantsHealth worker adherenceBirth weight infantsAntenatal care visitsEarly postnatal careMaternal health servicesNeonatal health outcomesProportion of mothersSystem interventionsWeight infantsCare visitsPostnatal careSkilled deliveryWorkers' adherenceNewborn healthInterrupted time series approachChildbirth servicesQI approachSimilar settingsHealth outcomesHealth system workersImprovement interventionsHealth servicesMaternal depression in rural Pakistan: the protective associations with cultural postpartum practices
LeMasters K, Andrabi N, Zalla L, Hagaman A, Chung EO, Gallis JA, Turner EL, Bhalotra S, Sikander S, Maselko J. Maternal depression in rural Pakistan: the protective associations with cultural postpartum practices. BMC Public Health 2020, 20: 68. PMID: 31941468, PMCID: PMC6964000, DOI: 10.1186/s12889-020-8176-0.Peer-Reviewed Original ResearchConceptsMajor depressive episodePostpartum depressionTraditional postpartum practicesMonths postpartumSymptom severityLower symptom severityPostpartum practicesMaternal mental healthPatient Health QuestionnaireSocial supportStructured Clinical InterviewDepression symptom severityResultsEighty-nine percentCohort studyThird trimesterDepressive episodePrenatal depressionDepression statusHealth QuestionnaireProtective associationMaternal depressionLower oddsAdjusted modelClinical InterviewDays postpartum
2019
Psychosocial determinants of sustained maternal functional impairment: Longitudinal findings from a pregnancy-birth cohort study in rural Pakistan
Hagaman A, Gallis JA, Bhalotra S, Baranov V, Turner EL, Sikander S, Maselko J. Psychosocial determinants of sustained maternal functional impairment: Longitudinal findings from a pregnancy-birth cohort study in rural Pakistan. PLOS ONE 2019, 14: e0225163. PMID: 31743374, PMCID: PMC6863521, DOI: 10.1371/journal.pone.0225163.Peer-Reviewed Original ResearchConceptsPoor functioningFunctional impairmentPsychosocial characteristicsPerinatal mental healthFunctional trajectoriesPublic health implicationsImportant protective roleHigh functioning groupGroup-based trajectory modeling approachCohort studyThird trimesterFunction recoveryPerinatal periodAssess predictorsChild CohortProtective rolePsychosocial determinantsOne-yearMental healthImportant markerHealth implicationsTrajectory groupsFunctioning groupPregnancyLongitudinal findingsCohort Profile: Perinatal depression and child socioemotional development ; the Bachpan cohort study from rural Pakistan
Sikander S, Ahmad I, Bates LM, Gallis J, Hagaman A, O’Donnell K, Turner EL, Zaidi A, Rahman A, Maselko J. Cohort Profile: Perinatal depression and child socioemotional development ; the Bachpan cohort study from rural Pakistan. BMJ Open 2019, 9: e025644. PMID: 31061029, PMCID: PMC6502044, DOI: 10.1136/bmjopen-2018-025644.Peer-Reviewed Original ResearchConceptsSocioemotional developmentDetrimental developmental outcomesChildren's socioemotional developmentMother-child dyadsPerinatal depressionEffect of depressionSocioemotional measuresChild developmentDevelopmental outcomesPsychosocial measuresPoor child developmentPregnancy birth cohortChild's ageSchool environmentCohort studyInflammatory biomarkersChronic courseEligible dyadsPregnant womenRisk factorsBaseline assessmentRepeated measuresDyadsDepressionChildren
2015
The physiological cost of reproduction for rich and poor across 65 countries
Hruschka DJ, Hagaman A. The physiological cost of reproduction for rich and poor across 65 countries. American Journal Of Human Biology 2015, 27: 654-659. PMID: 25809493, DOI: 10.1002/ajhb.22707.Peer-Reviewed Original Research