Maternal depression and mental health in early childhood: an examination of underlying mechanisms in low-income and middle-income countries

Herba, Catherine M.; Glover, Vivette; Ramchandani, Paul; Rondón, Marta B.

doi:10.1016/s2215-0366(16)30148-1

Cited by 265 publications

(253 citation statements)

References 110 publications

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“…However, limited evidence also indicates that female-generated agriculture income is more likely to be used for nutritionally appropriate choices in the household [43, 44]. Poor maternal mental health is also associated with increases in childhood stunting [45] WASH interventions also have the potential to accelerate progress towards eliminating stunting [46]. Growing evidence shows that WASH interventions including improvement of water quality, provision of soap, and solar disinfection reduce diarrheal episodes and increase growth in length between birth and 1 year of age [47, 48].…”

Section: Linear Growth From Preconception To Beyond the First 1000 Dmentioning

confidence: 99%

World Perspective on the Epidemiology of Stunting between 1990 and 2015

2017

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Background: Stunting is the most prevalent form of child undernutrition with current worldwide estimates at 156 million. The majority of these children reside in low- and middle-income countries. When stunting prevails to adulthood, optimal growth potential and economic productivity are minimized. Results: In 2015 there were 98.5 million fewer stunted children under 5 years of age than in 1990. In East Asia and Pacific and South Asia, the stunting prevalence decreased by 24.8 and 25%, respectively. Minimal declines were observed in Latin America and the Caribbean at 12.6%, in the Middle East and North Africa at 12.9%, and in sub-Saharan Africa at 13.4%. But because large populations of children under 5 years of age are distributed disproportionately, decreases in prevalence do not translate to fewer numbers of stunted children globally. In sub-Saharan Africa, the number of stunted children increased by 12.4 million between 1990 and 2015. Conclusions: Adult height is dependent on nutrition-specific or nutrition-sensitive factors. Nutrition-specific factors can be targeted according to their impact at critical points of development and therefore offer multiple windows of opportunity for interventions. To date, many interventions focus on the first 1,000 days, but opportunities may extend into later childhood and adolescence.

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Section: Linear Growth From Preconception To Beyond the First 1000 Dmentioning

confidence: 99%

World Perspective on the Epidemiology of Stunting between 1990 and 2015

2017

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“…Maternal depression can negatively affect women’s reproductive roles [7] and although the exact mechanism is not known, it may affect child outcomes postnatally by interfering with mother–child bond and/or provision of child care [8, 9]. Maternal depression has been linked to poor child feeding practices [10] and undernutrition in children in developing countries [11–16].…”

Section: Introductionmentioning

confidence: 99%

Maternal depression does not affect complementary feeding indicators or stunting status of young children (6–23 months) in Northern Ghana

Wemakor

Iddrisu

2018

BMC Res Notes

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ObjectiveMaternal depression may affect child feeding practice which is an important determinant of child nutritional status. The objective of this study was to explore the association between maternal depression and WHO complementary feeding indicators [minimum dietary diversity (MDD), minimum meal frequency (MMF) and minimum acceptable diet (MAD)] or stunting status of children (6–23 months) in Tamale Metropolis, Ghana. A community-based cross-sectional study was carried out involving 200 mother–child pairs randomly sampled from three communities in Tamale Metropolis, Ghana.ResultsThe prevalence of MDD, MMF, and MAD were 56.5, 65.0, and 44.0% respectively and 41.0% of the children sampled were stunted. A third of the mothers (33.5%) screened positive for depression. Maternal depression did not influence significantly MDD (p = 0.245), MMF (p = 0.442), and MAD (p = 0.885) or children’s risk of stunting (p = 0.872). In conclusion maternal depression and child stunting are prevalent in Northern Ghana but there is a lack of evidence of an association between maternal depression and child feeding practices or nutritional status in this study population. Further research is needed to assess the effect of maternal depression on feeding practices and growth of young children.Electronic supplementary materialThe online version of this article (10.1186/s13104-018-3528-x) contains supplementary material, which is available to authorized users.

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“…Females in LMICs are more likely to be exposed to risk factors for poor mental health including trauma and HIV 27,30 . Depression, anxiety, intimate partner violence (IPV), as well as alcohol and smoking during pregnancy have all been shown to negatively influence breastfeeding behaviour 31–36 .…”

Section: Introductionmentioning

confidence: 99%

Mental health predictors of breastfeeding initiation and continuation among HIV infected and uninfected women in a South African birth cohort study

Thomas

Kuo

Cohen

et al. 2017

Preventive Medicine

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Breastfeeding is a cost-effective, yet underutilized strategy to promote maternal and infant health in low and middle income countries (LMICs). Breastfeeding remains challenging for mothers living with HIV in LMICs, yet few studies have examined mental health predictors of breastfeeding initiation and continuation. We investigated breastfeeding among mothers by HIV status in South Africa, evaluating predictors of breastfeeding initiation and continuation to identify intervention-targets. Breastfeeding patterns were investigated in a subsample of 899 breastfeeding mothers from the Drakenstein Child Health Study; a prospective birth cohort of 1,225 pregnant women, between March 2012 and March 2015 in a peri-urban area. Breastfeeding was assessed at 5 time-points between 6 weeks and 24 months’ infant age. Cox proportional hazard models evaluated breastfeeding initiation and duration. Logistic regression models with breastfeeding non-initiation as the outcome parameter were performed to determine associations with maternal sociodemographic, psychosocial factors and gestational outcomes. More HIV-uninfected mothers initiated breastfeeding (n=685, 97%) than HIV-infected mothers (n=87, 45%). Median duration of exclusive breastfeeding was short (2 months), but HIV-infected mothers engaged in exclusive breastfeeding for longer duration than uninfected mothers (3 vs 2 months). Despite concerning high rates, mental disorders were not significant predictors of breastfeeding behaviour. Employment and HIV diagnosis during pregnancy predicted a lower likelihood of breastfeeding initiation among HIV-infected mothers, while employment was associated with earlier breastfeeding-discontinuation in HIV-uninfected mothers. Findings indicate that future interventions should target sub-populations such as HIV-infected women because of distinct needs. Workplace interventions appear particularly key for mothers in our study.

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Maternal depression and mental health in early childhood: an examination of underlying mechanisms in low-income and middle-income countries

Cited by 265 publications

References 110 publications

World Perspective on the Epidemiology of Stunting between 1990 and 2015

World Perspective on the Epidemiology of Stunting between 1990 and 2015

Maternal depression does not affect complementary feeding indicators or stunting status of young children (6–23 months) in Northern Ghana

Mental health predictors of breastfeeding initiation and continuation among HIV infected and uninfected women in a South African birth cohort study

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