Common mental disorders among women, social circumstances and toddler growth in rural <scp>V</scp>ietnam: a population‐based prospective study

Fisher, Jane; Tran, Thanh; Nguyen, Trang Thu; Nguyen, Hau; Tran, Thach

doi:10.1111/cch.12235

Cited by 13 publications

(20 citation statements)

References 45 publications

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“…The adverse effects of maternal perinatal CMD on early childhood growth were also established. 43 When other factors were controlled, children whose mothers experienced CMD in late pregnancy or early postpartum had lower length-for-age Z score at 15 months of age (−0.15, 95% CI −0.28 to −0.05). It is the first study worldwide to show that father’s behaviour is also relevant to child growth as a more hostile marital relationship was associated indirectly with lower toddler length-for-age Z scores via maternal CMD.…”

Section: Introductionmentioning

confidence: 99%

Addressing multiple modifiable risks through structured community-based Learning Clubs to improve maternal and infant health and infant development in rural Vietnam: protocol for a parallel group cluster randomised controlled trial

et al. 2018

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IntroductionOptimal early childhood development is an international priority. Risks during pregnancy and early childhood have lasting effects because growth is rapid. We will test whether a complex intervention addressing multiple modifiable risks: maternal nutrition, mental health, parenting capabilities, infant health and development and gender-based violence, is effective in reducing deficient cognitive development among children aged two in rural Vietnam.Methods and analysisThe Learning Clubs intervention is a structured programme combining perinatal stage-specific information, learning activities and social support. It comprises 20 modules, in 19 accessible, facilitated groups for women at a community centre and one home visit. Evidence-informed content is from interventions to address each risk tested in randomised controlled trials in other resource-constrained settings. Content has been translated and culturally adapted for Vietnam and acceptability and feasibility established in pilot testing.We will conduct a two-arm parallel-group cluster-randomised controlled trial, with the commune as clustering unit. An independent statistician will select 84/112 communes in Ha Nam Province and randomly assign 42 to the control arm providing usual care and 42 to the intervention arm. In total, 1008 pregnant women (12 per commune) from 84 clusters are needed to detect a difference in the primary outcome (Bayley Scales of Infant and Toddler Development Cognitive Score <1 SD below standardised norm for 2 years of age) of 15% in the control and 8% in the intervention arms, with 80% power, significance 0.05 and intracluster correlation coefficient 0.03.Ethics and disseminationMonash University Human Research Ethics Committee (Certificate Number 20160683), Melbourne, Victoria, Australia and the Institutional Review Board of the Hanoi School of Public Health (Certificate Number 017-377IDD- YTCC), Hanoi, Vietnam have approved the trial. Results will be disseminated through a comprehensive multistranded dissemination strategy including peer-reviewed publications, national and international conference presentations, seminars and technical and lay language reports.Trial registration numberACTRN12617000442303; Pre-results.

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Section: Introductionmentioning

confidence: 99%

Addressing multiple modifiable risks through structured community-based Learning Clubs to improve maternal and infant health and infant development in rural Vietnam: protocol for a parallel group cluster randomised controlled trial

et al. 2018

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“…Since 2000 we have generated epidemiological evidence about the mental health of women in rural Vietnam. Four rigorous studies, reported in six papers, examined the prevalence and intermediary determinants, but not the socioeconomic and political context, of antenatal CMDs [16][17][18][19][20][21].…”

Section: Introductionmentioning

confidence: 99%

Social and economic development and pregnancy mental health: secondary analyses of data from rural Vietnam

et al. 2020

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Background: This study aimed to establish whether changes in the socioeconomic context were associated with changes in population-level antenatal mental health indicators in Vietnam. Methods: Social, economic and public policies introduced in Vietnam (1986-2010) were mapped. Secondary analyses of data from two cross-sectional community-based studies conducted in 2006 (n = 134) and 2010 (n = 419), involving women who were ≥ 28 weeks pregnant were completed. Data for these two studies had been collected in structured individual face-to-face interviews, and included indicators of antenatal mental health (mean Edinburgh Postnatal Depression Scale Vietnam-validation (EPDS-V) score), intimate partner relationships (Intimate Bonds Measure Vietnam-validation) and sociodemographic characteristics. Socioeconomic characteristics and mean EPDS-V scores in the two study years were compared and mediation analyses were used to establish whether indicators of social and economic development mediated differences in EPDS-V scores. Results: Major policy initiatives for poverty reduction, hunger eradication and making domestic violence a crime were implemented between 2006 and 2010. Characteristics and circumstances of pregnant women in Ha Nam improved significantly. Mean EPDS-V score was lower in 2010, indicating better population-level antenatal mental health. Household wealth and intimate partner controlling behaviours mediated the difference in EPDS-V scores between 2006 and 2010. Conclusions: Changes in the socioeconomic and political context, particularly through policies to improve household wealth and reduce domestic violence, appear to influence women's lives and population-level antenatal mental health. Cross-sectoral policies that reduce social risk factors may be a powerful mechanism to improve antenatal mental health at a population level.

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“…In general, the prevalence of depression is greater among women, an epidemiological finding that can potentially be explained by genetic and environmental risks and their interaction [ 2 – 4 ]. Women living in low and middle income countries (LMICs) are at increased risk for common mental disorders including depression, in part due to the high prevalence of poverty-related stressors that disproportionately affect women, such as food insecurity, limited education, financial hardship, intimate partner violence, and high fertility rates [ 5 – 11 ]. Furthermore, contextual effects, including living in a region without geographic proximity to health care and/or lacking access to daily necessities have been shown to contribute to depression [ 12 – 14 ].…”

Section: Introductionmentioning

confidence: 99%

Water insecurity and gendered risk for depression in rural Uganda: a hotspot analysis

et al. 2018

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BackgroundWater insecurity is linked to depression in low- and middle-income countries (LMICs), though it remains unclear how geospatial clustering of water insecurity in rural regions is associated with risk for depression.MethodsWe conducted a population-based survey of a rural parish in southwestern Uganda (N = 1603) to evaluate the joint geospatial clustering of water insecurity and risk for depression among men and women living in rural Uganda.ResultsGeospatial clustering of self-reported water insecurity and depressive symptoms was found to be present among both men and women. Depression hotspots were more often observed near water insecurity hotspots among women, relative to men. Multivariable regression revealed that residing in a water insecurity hotspot significantly increased risk for depressive symptoms among women, but not among men.ConclusionsResiding in a water insecurity hotspot is associated with greater risk for probable depression among women, but not among men, pointing to the need for focused depression screening among women residing in water insecure households.

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Common mental disorders among women, social circumstances and toddler growth in rural Vietnam: a population‐based prospective study

Cited by 13 publications

References 45 publications

Addressing multiple modifiable risks through structured community-based Learning Clubs to improve maternal and infant health and infant development in rural Vietnam: protocol for a parallel group cluster randomised controlled trial

Addressing multiple modifiable risks through structured community-based Learning Clubs to improve maternal and infant health and infant development in rural Vietnam: protocol for a parallel group cluster randomised controlled trial

Social and economic development and pregnancy mental health: secondary analyses of data from rural Vietnam

Water insecurity and gendered risk for depression in rural Uganda: a hotspot analysis

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