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The Effect of Maternal Death on the Health of the Husband and Children in a Rural Area of China: A Prospective Cohort Study
- Source :
- PLoS ONE, PLoS ONE, Vol 11, Iss 6, p e0157122 (2016)
- Publication Year :
- 2016
- Publisher :
- Public Library of Science (PLoS), 2016.
-
Abstract
- Objective To examine the effects of maternal death on the health of the index child, the health and educational attainment of the older children, and the mental health and quality of life of the surviving husband. Methods A cohort study including 183 households that experienced a maternal death matched to 346 households that experienced childbirth but not a maternal death was conducted prospectively between June 2009 and October 2011 in rural China. Data on household sociodemographic characteristics, physical and mental health were collected using a quantitative questionnaire and medical examination at baseline and follow-up surveys. Multivariate linear regression, logistic regression models and difference-in-difference (DID) were used to compare differences of outcomes between two groups. Findings The index children who experienced the loss of a mother had a significantly higher likelihood of dying, abandonment and malnutrition compared to children whose mothers survived at the follow-up survey. The risk of not attending school on time and dropping out of school among older children in the affected group was higher than those in the control group during the follow-up. Husbands whose wife died had significantly lower EQ-5D index and EQ-VAS both at baseline and at follow-up surveys compared to those without experiencing a wife’s death, suggesting an immediate and sustained poorer mental health quality of life among the surviving husbands. Also the prevalence of posttraumatic stress disorder (PTSD) was 72.6% at baseline and 56.2% at follow-up among husbands whose wife died. Conclusions Maternal death has multifaceted and spillover effects on the physical and mental health of family members that are sustained over time. Programmes that reduce maternal mortality will mitigate repercussions on surviving family members are critical and needed.
- Subjects :
- Male
Rural Population
Physiology
Maternal Health
lcsh:Medicine
Social Sciences
Pathology and Laboratory Medicine
Families
Labor and Delivery
0302 clinical medicine
Sociology
Quality of life
Medicine and Health Sciences
Coughing
Childbirth
Prospective Studies
030212 general & internal medicine
lcsh:Science
Child
Prospective cohort study
Children
Schools
030219 obstetrics & reproductive medicine
Multidisciplinary
Post-Traumatic Stress Disorder
Obstetrics and Gynecology
Anxiety Disorders
Maternal Mortality
Female
Maternal death
Research Article
Cohort study
Adult
China
medicine.medical_specialty
Neuropsychiatric Disorders
Neuroses
Education
03 medical and health sciences
Signs and Symptoms
Diagnostic Medicine
Mental Health and Psychiatry
medicine
Humans
Spouses
Psychiatry
Nutrition
Family Health
business.industry
lcsh:R
Malnutrition
Biology and Life Sciences
Infant
medicine.disease
Mental health
Health Care
Socioeconomic Factors
Age Groups
People and Places
Quality of Life
Birth
Maternal Death
Women's Health
lcsh:Q
Population Groupings
Rural area
Physiological Processes
business
Demography
Subjects
Details
- ISSN :
- 19326203
- Volume :
- 11
- Database :
- OpenAIRE
- Journal :
- PLOS ONE
- Accession number :
- edsair.doi.dedup.....30b9b87da16e37b311e2d444b8d84adc