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Báo cáo y học: " The effect of maternal common mental disorders on infant undernutrition in Butajira, Ethiopia: The P-MaMiE study"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: The effect of maternal common mental disorders on infant undernutrition in Butajira, Ethiopia: The P-MaMiE study | Medhin et al. BMC Psychiatry 2010 10 32 http www.biomedcentral.com 1471-244X 10 32 BMC Psychiatry RESEARCH ARTICLE Open Access The effect of maternal common mental disorders on infant undernutrition in Butajira Ethiopia The P-MaMiE study Girmay Medhin 1 Charlotte Hanlon2 3 Michael Dewey3 Atalay Alem2 FikruTesfaye4 Zufan Lakew5 Bogale Worku6 Mesfin Aray2 Abdulreshid Abdulahi2 Mark Tomlinson7 Marcus Hughes3 Vikram Patel8 9 and Martin Prince3 Abstract Background Although 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 unclear Methods A 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 postpartum. 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. Result The 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. Conclusion Our 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 .