This study takes place in rural Mam-Mayan communities of Guatemala characterized by high rates of childhood stunting. It aims to characterize women's exposure to nutrition, infection and psychosocial stressors vs. resilience factors, to evaluate the cumulative impact of maternal-level factors (nutritional, infectious, psychosocial), social factors (autonomy, social support, domestic violence), and household factors (socioeconomic status, food security) on early infant growth, and to evaluate whether maternal cortisol may be a mediator in the vertical transmission of stress.
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Infant stunting (Infant height-for-age score)
Timeframe: 0-6 wk
Infant stunting (Infant height-for-age score)
Timeframe: 4-6 mo postpartum
Change in infant HAZ per month
Timeframe: Change over time (between 0-6wk and 4-6mo)