The effect of maternal common mental disorders on infant undernutrition in Butajira, Ethiopia: The P-MaMiE study

BMC Psychiatry

Research Article

Girmay Medhin¹  Zufan Lakew²  Bogale Worku³  Abdulreshid Abdulahi⁴  Mesfin Aray⁴  Atalay Alem⁴  Charlotte Hanlon⁵  Mark Tomlinson⁶  Fikru Tesfaye⁷  Michael Dewey⁸  Marcus Hughes⁸  Martin Prince⁸  Vikram Patel⁹ 

[1] Aklilu Lemma Institute of Pathobiology, Addis Ababa University, Addis Ababa, Ethiopia;Department of Gynaecology and Obstetrics, Faculty of Medicine, Addis Ababa University, Addis Ababa, Ethiopia;Department of Paediatrics and Child Health, Faculty of Medicine, Addis Ababa University, Addis Ababa, Ethiopia;Department of Psychiatry, Faculty of Medicine, Addis Ababa University, Addis Ababa, Ethiopia;Department of Psychiatry, Faculty of Medicine, Addis Ababa University, Addis Ababa, Ethiopia;Health Service and Population Research Department, King's College London (Institute of Psychiatry), London, UK;Department of Psychology, Stellenbosch University, Matieland, South Africa;Department of Reproductive Health and Nutrition, School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia;Health Service and Population Research Department, King's College London (Institute of Psychiatry), London, UK;London School of Hygiene and Tropical Medicine, UK;Sangath, Santemol, Sonarwaddo, Raia, Salcette, Goa, India;

关键词: Common Mental Disorder;    Nutritional Index;    Demographic Surveillance Site;    Child Undernutrition;    Child Nutritional Status;   

DOI  :  10.1186/1471-244X-10-32

 received in 2009-09-10, accepted in 2010-04-30,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundAlthough maternal common mental disorder (CMD) appears to be a risk factor for infant undernutrition in South Asian countries, the position in sub-Saharan Africa (SSA) is unclearMethodsA population-based cohort of 1065 women, in the third trimester of pregnancy, was identified from the demographic surveillance site (DSS) in Butajira, to investigate the effect of maternal CMD on infant undernutrition in a predominantly rural Ethiopian population. Participants were interviewed at recruitment and at two months post-partum. Maternal CMD was measured using the locally validated Self-Reported Questionnaire (score of ≥ six indicating high levels of CMD). Infant anthropometry was recorded at six and twelve months of age.ResultThe prevalence of CMD was 12% during pregnancy and 5% at the two month postnatal time-point. In bivariate analysis antenatal CMD which had resolved after delivery predicted underweight at twelve months (OR = 1.71; 95% CI: 1.05, 2.50). There were no other statistically significant differences in the prevalence of underweight or stunted infants in mothers with high levels of CMD compared to those with low levels. The associations between CMD and infant nutritional status were not significant after adjusting for pre-specified potential confounders.ConclusionOur negative finding adds to the inconsistent picture emerging from SSA. The association between CMD and infant undernutrition might be modified by study methodology as well as degree of shared parenting among family members, making it difficult to extrapolate across low- and middle-income countries.

【 授权许可】

CC BY   
© Medhin et al; licensee BioMed Central Ltd. 2010