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

Haithar, S.; Kuria, Mary Wangari; Sheikh, Aasim; Kumar, Manasi; Stoep, Ann Vander

doi:10.1186/s12887-018-1261-1

Cited by 28 publications

(21 citation statements)

References 38 publications

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“…We also found that that mothers showing symptoms of depression, anxiety, and stress were more These findings are consistent with the few studies that exist on mental health and hygiene, which have similarly found that the two are negatively associated [16][17][18]. Given these findings, it is likely that mental health issues are associated with mothers paying less attention to their infant's hygiene-an association which is common with other child care practices, such as infant nutrition [39][40][41] and immunizations [9].…”

Section: Discussionsupporting

confidence: 88%

Maternal Mental Health, Handwashing Practices, and Infant Illness in Rural China

Jiang

Cohen

Ohtori

et al. 2020

Preprint

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Background: Maternal mental health problems are a major burden to global public health and play an important role in infant wellbeing. While western countries have extensively studied the associations between maternal mental disorders, infant health, and hygiene practices, little is known in developing settings. This study investigates the correlations between maternal mental health problems and infant illness as well as handwashing practices of mothers in rural western China.Methods: The research team followed a multi-stage random cluster sampling method to select a total of 720 mothers of infants aged 0-6 months from poverty counties in rural western China. Surveys questions about mental health were based on the Depression, Anxiety, and Stress Scale-21 (DASS-21), and questions about infant illness and handwashing practices followed evaluative surveys of prior studies. Adjusted ordinary least squares (OLS) regressions were run to examine how maternal mental health problems (including depression, anxiety, and stress symptoms) are associated with infant illnesses and maternal handwashing practices.Results: We found significant associations between all three symptoms of maternal mental health and whether the infant had shown symptoms of illness twice in the past two weeks; depression and anxiety symptoms are significantly associated with whether the infant had been taken to the doctor in the past two weeks. Additionally, depression symptoms had a significant negative association with all categories of handwashing practices, and symptoms of anxiety and stress were significantly associated with handwashing count and frequently washing hands after cleaning infant’s bottom.Conclusion: These results indicate that maternal mental health problems are significantly associated with infant illness and suggest that postnatal mental health interventions may be effective in mitigating poor infant health outcomes.

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Section: Discussionsupporting

confidence: 88%

Maternal Mental Health, Handwashing Practices, and Infant Illness in Rural China

Jiang

Cohen

Ohtori

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…These findings are consistent with the few studies that exist on mental health and hygiene, which have similarly found that the two are negatively associated [16][17][18]. Given these findings, it is likely that mental health issues are associated with mothers paying less attention to their infant's hygiene-an association which is common with other child care practices, such as infant nutrition [39][40][41] and immunizations [9].…”

Section: Discussionsupporting

confidence: 85%

Postnatal Mental Health, Handwashing Practices, and Infant Illness in Rural China

Jiang

Cohen

Ohtori

et al. 2021

Preprint

View full text Add to dashboard Cite

Background: Maternal mental health problems are a major burden to global public health and play an important role in infant wellbeing. While western countries have extensively studied the associations between maternal mental disorders, infant health, and hygiene practices, little is known in developing settings. This study investigates the correlations between postnatal mental health problems and infant illness as well as handwashing practices of mothers in rural western China.Methods: The research team followed a multi-stage random cluster sampling method to select a total of 720 mothers of infants aged 0-6 months from poverty counties in rural western China. Surveys questions about mental health were based on the Depression, Anxiety, and Stress Scale-21 (DASS-21), and questions about infant illness and handwashing practices followed evaluative surveys of prior studies. Adjusted ordinary least squares (OLS) regressions were run to examine how postnatal mental health problems (including depression, anxiety, and stress symptoms) are associated with infant illnesses and maternal handwashing practices.Results: We found significant associations between all three symptoms of postnatal mental health and whether the infant had shown symptoms of illness twice in the past two weeks; depression and anxiety symptoms are significantly associated with whether the infant had been taken to the doctor in the past two weeks. Additionally, depression symptoms had a significant negative association with all categories of handwashing practices, and symptoms of anxiety and stress were significantly associated with handwashing count and frequently washing hands after cleaning infant’s bottom.Conclusion: These results indicate that postnatal mental health problems are significantly associated with infant illness and suggest that postnatal mental health interventions may be effective in mitigating poor infant health outcomes.

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“…Globally, many studies conducted to identify factors affecting SAM among under-five children [12,13,14,15]. In 2014, a study in Nepal found that low socioeconomic status, mother's age at birth >35, birth interval months <24 months, illiterate father, bottle feeding and not initiating complementary feeding at the age of 6 months were significantly associated with SAM [8].…”

Section: Introductionmentioning

confidence: 99%

Maternal profiles and social determinants of severe acute malnutrition among children under-five years of age: A case-control study in Nepal

Hossain¹,

Niroula²,

Duwal³

et al. 2020

Heliyon

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Background: Addressing the determinants of severe acute malnutrition (SAM) among children remains a challenge in Nepal. This study investigated the effect of maternal and social determinants of SAM among under-five children of Nepal. Methods: We conducted a hospital-based unmatched case-control study with 256 under-five children (128 cases and 128 controls). The children aged 6-59 months were taken, and the cases and controls were defined based on mid-upper arm circumference (MUAC). Results: Backward Stepwise logistic regression analysis of 6-59 months children showed that the odds of SAM were lower among male children (AOR ¼ 0.50, 95% CI ¼ 0.27-0.92), mothers from high socioeconomic status (AOR ¼ 0.469, 95% CI ¼ 0.26-0.83), breastfeeding 6-12 months (AOR ¼ 0.21, 95% CI ¼ 0.05-0.68), breastfeeding !13 months (AOR ¼ 0.18, 95% CI ¼ 0.05-0.54) and optimal complementary feeding (AOR ¼ 0.40, 95% CI ¼ 0.22-0.70). SAM was significantly higher among children of the age group 6-24 months (AOR ¼ 2.57, 95% CI ¼ 1.30-5.22) and children with a history of diarrhea (AOR ¼ 1.75, 95% CI ¼ 0.92-3.39). Conclusions: In order to reduce the children's SAM, it is necessary to scale up services to improve the socioeconomic status which includes the education, occupation, and monthly income of the mother. Girls of age group 6-24 months were more likely to develop SAM. Two contributing factors to decrease SAM are the importance of exclusive breastfeeding practices and the availability and usage of soap in hand washing, which are ideal for low cost interventions. To reduce SAM in Nepal, a focus on enhancing complementary feeding through increased affordability of nutritious foods is also needed.

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

Cited by 28 publications

References 38 publications

Maternal Mental Health, Handwashing Practices, and Infant Illness in Rural China

Maternal Mental Health, Handwashing Practices, and Infant Illness in Rural China

Postnatal Mental Health, Handwashing Practices, and Infant Illness in Rural China

Maternal profiles and social determinants of severe acute malnutrition among children under-five years of age: A case-control study in Nepal

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