Association of maternal depression, family composition and poverty with maternal care and physical health of children in the first year of life

Authors

  • Isabela Resende Silva Scherrer Departamento de Pediatria da Faculdade de Medicina da Universidade Federal de Minas Gerais (UFMG), Belo Horizonte - MG, Brasil
  • Cláudia Regina Lindgren Alves Departamento de Pediatria da Faculdade de Medicina da Universidade Federal de Minas Gerais (UFMG), Belo Horizonte - MG, Brasil

DOI:

https://doi.org/10.36311/jhgd.v31.10859

Keywords:

maternal depression, maternal care, child health, socioeconomic factors, Social support

Abstract

Introduction: The child’s overall health depends on several factors, including the quality of the environment in which it lives and the care it receives. Child well-being early in life has an impact on its future and future generations’ health.

Objective: Analyze the association of maternal depression, family composition and socioeconomic conditions with the indicator of maternal care and physical health of children.

Methods: Retrospective cohort that analyzed data from 120 children in the first year of life. A Health and Maternal Care Indicator (ISCM) was created, aggregating information on growth, breastfeeding, vaccination, prophylaxis of iron deficiency anemia, illnesses and accidents. The socioeconomic and health conditions were obtained through a structured interview. Maternal depression was assessed by the Edinburgh Postnatal Depression Scale. The association between the ICSM and the predictors was examined by Quasipoisson Regression. The initial model was composed of variables with p<0.25 in the univariate analysis and p<0.05 in the final model.

Results: The mothers were adults (83.3%), studied for an average of 10 years and 36% of them had depressive symptoms. About 37% of the families were single-parent female, 59% were from Class C1-C2 of ABEP and 12% received the “Bolsa Família” benefit. ISCM was 8% lower in children whose mothers were depressed (p = 0.04) or had no partner (p = 0.03), and was 14% higher in families receiving Bolsa Família (p = 0.02) in relation to their peers.

Conclusion: Maternal depression and female single-parent family arrangements negatively impacted child health and care, while the conditional cash transfer program represented a protective factor.

Downloads

Download data is not yet available.

References

World Health Organization: Indicators for assessing infant and young child feeding practices. Conclusions of consensus meeting held 6-8 November 2007. Washington, 2007.

World Health Organization, United Nations Children’s Fund, World Bank Group. Nurturing care for early childhood development: a framework for helping children survive and thrive to transform health and human potential. Geneva; 2018.

Victora CG, Barreto ML, Do carmo LM, Monteiro CA, Schmidt MS, Paim J, et al. Health conditions and health-policy innovations in Brazil: The way forward. The Lancet, 377 (9782), pp. 2042-2053, 2011.

Santos IS, Matijasevich A, Domingues MR, Barros EGD, Barros FCF. Long-lasting maternal depression and child growth at 4 years of age: A cohort study. J Pediatr.;157(3):401–406, 2010.

Brasil- Ministério da Saúde. Secretaria de Vigilância em Saúde. Departamento de Análise de Situação em Saúde. Resumo Executivo Saúde Brasil 2013: uma análise da situação de saúde e das doenças transmissíveis relacionadas à pobreza [recurso eletrônico] / Ministério da Saúde, Secretaria de Vigilância em Saúde, Departamento de Análise de Situação em Saúde. – Brasília: Ministério da Saúde, 2015.

Cavenaghi, S., Alves, JED. Mulheres chefes de família no Brasil: avanços e desafios. 1. ed. Rio de Janeiro: ENS-CPES, 2018.

Darcy JM, Grzywacz JC, Stephens, RL, Leng I, Clinc CR, Arcury, TA. Maternal depressive symptomatology: 16-month follow-up of infant and maternal health-related quality of life. J. Am. Board Fam. Med; 24, 249–257, 2011.

Walker SP, Wachs TD, Grantham-mcgregor S, Black MM, Nelson CA, Huffman SL, et al. Inequality in early childhood: risk and protective factors for early child development. The Lancet; 378(9799):1325-38, 2011.

Premiji S. Perinatal distress in women in low- and middle-income countries: allostatic load as a framework to examine the effect of perinatal distress on preterm birth and infant health. Matern Child Health J.; 18:2393-2407, 2014.

Field T. Postpartum depression effects on early interactions, parenting, and safety practices: a review. Infant Behav Dev.; 33(1):1-6. 10, 2010.

Minkovitz CS, Strobino D, Scharfstein D, Hou W, Miller T, Mistry KB, et al. Maternal depressive symptoms and children's receipt of health care in the first 3 years of life. Pediatrics; 115:306–314, 2005.

Rahman A, Hafeez A, Bilal R, Sikander S, Malik A, Minhas F, et al. The impact of perinatal depression on exclusive breastfeeding: A cohort study. Maternal & child nutrition, 2015.

Hassan BK, Werneck GL, Hasselmann MH. Saúde mental materna e estado nutricional de crianças aos seis meses de vida. Rev Saude Publica; 50:7, 2016.

Brasil- Ministério da Saúde. Saúde da criança: aleitamento materno e alimentação complementar. Secretaria de Atenção à Saúde, Departamento de Atenção Básica. – 2. ed. – Brasília : Ministério da Saúde, 2015.

Brasil- Ministério da Saúde. Programa Nacional de Imunizações. Brasília, 2015.

Liu L, Oza S, Hogan D, Perin J, Rudan I, Lawn J, et al. Global, regional, and national causes of child mortality in 2000–13, with projections to inform post-2015 priorities: an updated systematic analysis. The Lancet ; 31;385(9966):430-40, 2015.

Yamaoka Y, Fujiwara T, tamiya N. Association Between Maternal Postpartum Depression and Unintentional Injury Among 4-Month-Old Infants in Japan. Matern Child Health J; 335:806–8, 2016.

SCHWEBEL DC, BREZAUSEK CM. Chronic Maternal Depression and Children’s Injury Risk. Journal of Pediatric Psychology; 33(10):1108-1116, 2008.

Sociedade Brasileira de Pediatria. Consenso sobre anemia ferropriva: mais que uma doença, uma urgência médica! Consenso do Departamentos de Nutrologia e Hematologia-Hemoterapia da Sociedade Brasileira de Pediatria. Rio de Janeiro; 2019

Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression: development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry; 150:782-6, 1987.

ABEP - Associação Brasileira de Empresas de Pesquisa – Critério de Classificação Econômica Brasil- 2014 – Disponível em: http://www.abep.org/criterio-brasil

Madeghe BA, Kimani VN, Vander Stoep A, Nicodimos S, Kumar M. Postpartum depression and infant feeding practices in a low income urban settlement in Nairobi-Kenya. BMC Research Notes.;9:506, 2016.

Brummelte, S., Galea, L.A. Depression during pregnancy and postpartum: contribution of stress and ovarian hormones. Prog. Neuropsychopharmacol. Biol. Psychiatry 34, 766–776, 2010.

Fisher J, Tran T, Nguyen TT, Nguyen H, Tran TD. Common mental disorders among women, social circumstances and toddler growth in rural Vietnam: a population-based prospective study. Child Care Health Dev.;41(6):843-52, 2015.

Santos IS, Matijsevich A, Tavares BF, Botelho IP, Lapolli C, Barros FC. Validation of the Edinburgh Postnatal Depression Scale (EPDS) in a sample of mothers from the 2004 Pelotas Birth Cohort Study. Cad. Saúde Pública, Rio de Janeiro, 23(11): 2577-2588, nov, 2007.

Gibson J, Mckenzie-mcharg K, Shakespeare J, Price J, Gray R. A systematic review of studies validating the Edinburgh Postnatal Depression Scale in antepartum and postpartum women. Acta Psychiatr Scand, 119:350–364, 2009.

Motlhatlhedi K, Setlhare V, Ganiyu AB, Firth J. Association between depression in carers and malnutrition in children aged 6 months to 5 years. Afr J Prm Health Care Fam Med.; 9(1):a1270, 2017.

Surkan PJ, Kawachi I, Peterson KE. Childhood overweight and maternal depressive symptoms. J Epidemiol Community Health; 62: e11, 2008.

Wolfberg A, MichelSKB, Shield SW, O’Campo P, Bronner Y, Bienstock J. Dads as breastfeeding advocates: results from a randomized controlled trial of an educational intervention. American Journal of Obstetrics and Gynecology, 191(3), 708–712, 2004.

Bich TH, Hoa DT, Målqvist M. Fathers as supporters for improved exclusive breastfeeding in Viet Nam. Matern Child Health J. 18(6): 1444-5, 2014.

Surkan PJ, Kiihl SF, Kozuki N, Vieira LMC. Social support of low-income Brazilian mothers related to time to completion of childhood vaccinations. Human Vaccines & Immunotherapeutics; 8:5, 596-603, 2012.

Rasella D, Aquino R, Santos CA, Paes-sousa R, Barreto ML. Effect of a conditional cash transfer programme on childhood mortality: a nationwide analysis of Brazilian municipalities. Lancet; 382: 57–64, 2013.

Shei A, Costa F, Reis MG, Ko AI.. The impact of Brazil’s Bolsa Família conditional cash transfer program on children’s health care utilization and health outcomes. BMC International Health and Human Righ; 14:10, 2014.

Published

2021-04-28

Issue

Section

ORIGINAL ARTICLES