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Perinatal mental distress and infant morbidity in Ethiopia: a cohort study
- Source :
- Ross, J, Hanlon, C, Medhin, G, Alem, A, Tesfaye, F, Worku, B, Dewey, M, Patel, V & Prince, M 2011, ' Perinatal mental distress and infant morbidity in Ethiopia: a cohort study ', Archives of Disease in Childhood Fetal and Neonatal Edition, vol. 96, no. 1, pp. F59-F64 . https://doi.org/10.1136/adc.2010.183327, Archives of Disease in Childhood. Fetal and Neonatal Edition
- Publication Year :
- 2011
- Publisher :
- BMJ Publishing Group, 2011.
-
Abstract
- Objectives: (1) To investigate the impact of perinatal common mental disorders (CMD) in Ethiopia on the risk of key illnesses of early infancy: diarrhoea, fever and acute respiratory illnesses (ARI) and (2) to explore the potential mediating role of maternal health behaviours.Design: Population-based cohort study.Setting: Demographic surveillance site in a predominantly rural area of Ethiopia.Participants: 1065 women (86.3% of eligible) in the third trimester of pregnancy were recruited and 954 (98.6%) of surviving, singleton mother–infant pairs were followed up until 2 months after birth.Main exposure measure: High levels of CMD symptoms, as measured by the locally validated Self-Reporting Questionnaire (SRQ-20 ≥6), in pregnancy only, postnatally only and at both time-points (‘persistent’).Main outcome measures: Maternal report of infant illness episodes in first 2 months of life.Results: The percentages of infants reported to have experienced diarrhoea, ARI and fever were 26.0%, 25.0% and 35.1%, respectively. Persistent perinatal CMD symptoms were associated with 2.15 times (95% CI 1.39 to 3.34) increased risk of infant diarrhoea in a fully adjusted model. The strength of association was not affected by including potential mediators: breast feeding practices, hygiene, the infant's vaccination status or impaired maternal functioning. Persistent perinatal CMD was not associated with infant ARI or fever after adjusting for confounders.Conclusions: Persistent perinatal CMD was associated with infant diarrhoea in this low-income country setting. The observed relationship was independent of maternal health-promoting practices. Future research should further explore the mechanisms underlying the observed association to inform intervention strategies.
- Subjects :
- Adult
Pediatrics
medicine.medical_specialty
Adolescent
Fever
Health Behavior
Respiratory Tract Diseases
Population
Reproductive medicine
Mothers
Rural Health
Cohort Studies
Young Adult
03 medical and health sciences
Mental distress
0302 clinical medicine
Child of Impaired Parents
Pregnancy
Risk Factors
medicine
Humans
030212 general & internal medicine
Young adult
education
Developing Countries
2. Zero hunger
education.field_of_study
business.industry
Mental Disorders
Infant, Newborn
Obstetrics and Gynecology
Confounding Factors, Epidemiologic
Original Articles
General Medicine
Middle Aged
medicine.disease
Mental health
030227 psychiatry
3. Good health
Pregnancy Complications
Diarrhea, Infantile
Pediatrics, Perinatology and Child Health
Female
Ethiopia
business
Breast feeding
Cohort study
Subjects
Details
- Language :
- English
- ISSN :
- 13592998
- Database :
- OpenAIRE
- Journal :
- Ross, J, Hanlon, C, Medhin, G, Alem, A, Tesfaye, F, Worku, B, Dewey, M, Patel, V & Prince, M 2011, ' Perinatal mental distress and infant morbidity in Ethiopia: a cohort study ', Archives of Disease in Childhood Fetal and Neonatal Edition, vol. 96, no. 1, pp. F59-F64 . https://doi.org/10.1136/adc.2010.183327, Archives of Disease in Childhood. Fetal and Neonatal Edition
- Accession number :
- edsair.doi.dedup.....02b3fdf2479086c36a541365910e04ea