Maternal mental health and nutritional status of six-month-old infants

Hassan, Bruna Kulik; Werneck, Guilherme Loureiro; Hasselmann, Maria Helena

doi:10.1590/s1518-8787.2016050006237

Cited by 17 publications

(19 citation statements)

References 25 publications

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“…Potential mechanisms suggested for the association with postnatal maternal psychological distress or IPV exposure and child wheeze have included impaired maternal‐child relationship and a mother's inability to provide care for her child . A mother that is either exposed to IPV or suffering from mental illness is also more likely to engage in harmful behaviors such as drinking or smoking.…”

Section: Discussionmentioning

confidence: 99%

“…13,32 As this is the case, there could be an have included impaired maternal-child relationship and a mother's inability to provide care for her child. 34 A mother that is either exposed to IPV or suffering from mental illness is also more likely to engage in harmful behaviors such as drinking or smoking. This was found to be true in the context of this study, as maternal smoking and drinking habits were found to be associated with postnatal psychosocial risk factors.…”

Section: Postnatal Psychosocial Risk Factors and Recurrent Child Whmentioning

confidence: 99%

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Associations between maternal mental health and early child wheezing in a South African birth cohort

MacGinty

Lesosky

Barnett

et al. 2018

Pediatric Pulmonology

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BackgroundWheezing in early childhood is common and has been identified in high‐income countries (HIC) as associated with maternal antenatal or postnatal psychosocial risk factors. However, the association between maternal mental health and childhood wheezing has not been well studied in low and middle‐income countries (LMIC), such as South Africa.MethodsA total of 1137 pregnant women over 18 year old, between 20 and 28 weeks’ gestation, and attending either of two catchment area clinics were enrolled in a South African parent study, the Drakenstein Child Health Study (DCHS). Psychosocial risk factors including maternal depression, psychological distress, early adversity, and intimate partner violence (IPV), were measured antenatally and postnatally by validated questionnaires. Two outcomes were evaluated: Presence of wheeze (at least one episode of child wheeze during the first 2 years of life); and recurrent wheeze (two or more episodes of wheezing in a 12‐month period). Logistic regression was used to investigate the association between antenatal or postnatal psychosocial risk factors and child wheeze, adjusting for clinical and socio‐demographic covariates.ResultsPostnatal psychological distress and IPV were associated with both presence of wheeze (adjusted OR = 2.09, 95%CI: 1.16‐3.77 and 1.63, 95%CI: 1.13‐2.34, respectively), and recurrent child wheeze (adjusted OR = 2.26, 95%CI: 1.06‐4.81 and 2.20, 95%CI: 1.35‐3.61, respectively).ConclusionMaternal postnatal psychological distress and IPV were associated with wheezing in early childhood. Thus, screening and treatment programs to address maternal psychosocial risk factors may be potential strategies to reduce the burden of childhood wheeze in LMICs.

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Section: Discussionmentioning

confidence: 99%

Section: Postnatal Psychosocial Risk Factors and Recurrent Child Whmentioning

confidence: 99%

Associations between maternal mental health and early child wheezing in a South African birth cohort

MacGinty

Lesosky

Barnett

et al. 2018

Pediatric Pulmonology

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“…National polices have increased the number of drugs available on the essential medicines list from 327 in 2002 to 869 in 2017, improved access to medicines and encouraged the use of generics. 28 The Popular Pharmacy Program (Farmacia Popular), initiated in 2004, expanded access to medicines with subsidised prices and low level of copayments.…”

Section: Resource Allocationmentioning

confidence: 99%

The Brazilian health system at crossroads: progress, crisis and resilience

et al. 2018

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The Unified Health System (Sistema Único de Saúde (SUS)) has enabled substantial progress towards Universal Health Coverage (UHC) in Brazil. However, structural weakness, economic and political crises and austerity policies that have capped public expenditure growth are threatening its sustainability and outcomes. This paper analyses the Brazilian health system progress since 2000 and the current and potential effects of the coalescing economic and political crises and the subsequent austerity policies. We use literature review, policy analysis and secondary data from governmental sources in 2000–2017 to examine changes in political and economic context, health financing, health resources and healthcare service coverage in SUS. We find that, despite a favourable context, which enabled expansion of UHC from 2003 to 2014, structural problems persist in SUS, including gaps in organisation and governance, low public funding and suboptimal resource allocation. Consequently, large regional disparities exist in access to healthcare services and health outcomes, with poorer regions and lower socioeconomic population groups disadvantaged the most. These structural problems and disparities will likely worsen with the austerity measures introduced by the current government, and risk reversing the achievements of SUS in improving population health outcomes. The speed at which adverse effects of the current and political crises are manifested in the Brazilian health system underscores the importance of enhancing health system resilience to counteract external shocks (such as economic and political crises) and internal shocks (such as sector-specific austerity policies and rapid ageing leading to rise in disease burden) to protect hard-achieved progress towards UHC.

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“…In Rio de Janeiro Hassan et al (2016) found that maternal mental health was associated with the nutritional status of infants at six months [23]. Infants of depressed mothers were reportedly two standard deviations below average height on WHO norms [12, 24].…”

Section: Introductionmentioning

confidence: 99%

Maternal depression and child severe acute malnutrition: a case-control study from Kenya

et al. 2018

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BackgroundDepression is the leading cause of disease-related disability in women and adversely affects the health and well-being of mothers and their children. Studies have shown maternal depression as a risk factor for poor infant growth. Little is known about the situation in Sub-Saharan Africa. The aim of our study was to examine the association between maternal depression and severe acute malnutrition in Kenyan children aged 6–60 months.MethodsA matched case-control study was conducted in general paediatric wards at the Kenyatta National Hospital. The cases were children admitted with severe acute malnutrition as determined by WHO criteria. The controls were age and sex-matched children with normal weight admitted in the same wards with acute ailments. Mothers of the cases and controls were assessed for depression using the PHQ-9 questionnaire. Child anthropometric and maternal demographic data were captured. Logistic regression analyses were used to compare the odds of maternal depression in cases and controls, taking into account other factors associated with child malnutrition status.ResultsThe prevalence of moderate to severe depression among mothers of malnourished children was high (64.1%) compared to mothers of normal weight children (5.1%). In multivariate analyses, the odds of maternal depression was markedly higher in cases than in controls (adjusted OR = 53.5, 95% CI = 8.5–338.3), as was the odds of having very low income (adjusted OR = 77.6 95% CI = 5.8–1033.2).ConclusionsKenyan mothers whose children are hospitalized with malnutrition were shown in this study to carry a significant mental health burden. We strongly recommend formation of self-help groups that offer social support, counseling, strategies to address food insecurity, and economic empowerment skills for mothers of children hospitalized for malnourishment.

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Maternal mental health and nutritional status of six-month-old infants

Cited by 17 publications

References 25 publications

Associations between maternal mental health and early child wheezing in a South African birth cohort

Associations between maternal mental health and early child wheezing in a South African birth cohort

The Brazilian health system at crossroads: progress, crisis and resilience

Maternal depression and child severe acute malnutrition: a case-control study from Kenya

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