Maternal common mental disorder and infant growth – a cross‐sectional study from Malawi

Maternal and Child Nutrition - Tập 4 Số 3 - Trang 209-219 - 2008
Robert C. Stewart1, Eric Umar1, Felix Kauye1, James Bunn1, Maclean Vokhiwa2, Margaret Fitzgerald3, Barbara Tomenson4, Atıf Rahman4, Francis Creed4
1Department of Community Health, College of Medicine, Blantyre, Malawi
2Zomba Mental Hospital, Zomba, Malawi
3Médecins Sans Frontières (Belgium), Thyolo, Malawi, and Population Health Service Executive, Dr Stevens Hospital, Dublin, Ireland, and
4Department of Psychiatry, University of Manchester, Manchester, UK

Tóm tắt

AbstractThe objective of the study was to investigate the association between maternal common mental disorder (CMD) and infant growth in rural Malawi. A cross‐sectional study was conducted at a district hospital child health clinic. Participants were consecutive infants due for measles vaccination, and their mothers.Mean infant weight‐for‐age and length‐for‐age z‐scores were compared between infants of mothers with and without CMD as measured using the self‐reporting questionnaire (SRQ).Of 519 eligible infants/mothers, 501 were included in the analysis. Median infant age was 9.9 months. 29.9% of mothers scored 8 or above on the SRQ indicating CMD. Mean length‐for‐age z‐score for infants of mothers with CMD (−1.50 SD 1.24) was significantly lower than for infants of mothers without CMD (−1.11 SD 1.12) Student's t‐test: P = 0.001. This association was confirmed in multivariate analysis. Mean weight‐for‐age z‐score for infants of mothers with CMD (−1.77 SD 1.16) was lower than for infants of mothers without CMD (−1.59 SD 1.09) but this difference was not significant on univariate (Student's t‐test: P = 0.097) or multivariate analysis.The study demonstrates an association between maternal CMD and infant growth impairment in rural sub‐Saharan Africa.

Từ khóa


Tài liệu tham khảo

10.1016/j.jad.2007.09.013

10.1192/bjp.175.6.554

Field A., 2005, Discovering Statistics Using SPSS

First M.B., 2002, Structured Clinical Interview for DSM‐IV‐TR Axis I Disorders—Non‐Patient Edition (SCID‐I/NP)

10.1016/S0140-6736(99)80008-7

10.1136/jech.2005.039180

10.1136/adc.88.7.574

10.1001/jama.282.8.744

NSO (Malawi), 2006, Statistical Yearbook 2006

NSO (Malawi) & ORC Macro, 2005, Malawi Demographic and Health Survey 2004

10.1176/appi.ajp.159.1.43

10.1136/adc.88.1.34

10.1016/S0140-6736(07)61240-9

10.1016/S0140-6736(07)61238-0

10.1016/j.jad.2006.10.004

10.1001/archpsyc.61.9.946

10.1111/j.1365-2214.2004.00382.x

10.1136/adc.2005.086579

SPSS Inc., 2004, SPSS for Windows, Release 13.0

10.1111/j.1740-8709.2007.00088.x

10.1111/j.1365-2214.2006.00598.x

WHO, 1994, A User's Guide to the Self Reporting Questionnaire (SRQ). WHO/MNH/PSF/94.8

10.1596/978-0-8213-6759-9

Thông tin
Thông tin xuất bản

Maternal and Child Nutrition

Tập 4 Số 3

209-219

Thông tin tác giả