Maternal common mental disorder and infant growth--a cross-sectional study from Malawi

Hdl Handle:
http://hdl.handle.net/10144/118334
Title:
Maternal common mental disorder and infant growth--a cross-sectional study from Malawi
Authors:
Stewart, Robert C; Umar, Eric; Kauye, Felix; Bunn, James; Vokhiwa, Maclean; Fitzgerald, Margaret; Tomenson, Barbara; Rahman, Atif; Creed, Francis
Journal:
Maternal & Child Nutrition
Abstract:
The objective of the study was to investigate the association between maternal common mental disorder (CMD) and infant growth in rural Malawi. A cross-sectional study was conducted at a district hospital child health clinic. Participants were consecutive infants due for measles vaccination, and their mothers. Mean infant weight-for-age and length-for-age z-scores were compared between infants of mothers with and without CMD as measured using the self-reporting questionnaire (SRQ). Of 519 eligible infants/mothers, 501 were included in the analysis. Median infant age was 9.9 months. 29.9% of mothers scored 8 or above on the SRQ indicating CMD. Mean length-for-age z-score for infants of mothers with CMD (-1.50 SD 1.24) was significantly lower than for infants of mothers without CMD (-1.11 SD 1.12) Student's t-test: P = 0.001. This association was confirmed in multivariate analysis. Mean weight-for-age z-score for infants of mothers with CMD (-1.77 SD 1.16) was lower than for infants of mothers without CMD (-1.59 SD 1.09) but this difference was not significant on univariate (Student's t-test: P = 0.097) or multivariate analysis. The study demonstrates an association between maternal CMD and infant growth impairment in rural sub-Saharan Africa.
Affiliation:
Department of Community Health, College of Medicine, Blantyre, Malawi; Zomba Mental Hospital, Zomba, Malawi; Médecins Sans Frontières, Thyolo, Malawi; Population Health Service Executive, Dr Stevens Hospital, Dublin, Ireland; Department of Psychiatry, University of Manchester, Manchester, UK
Issue Date:
1-Jul-2008
URI:
http://hdl.handle.net/10144/118334
DOI:
10.1111/j.1740-8709.2008.00147.x
PubMed ID:
18582354
Additional Links:
http://onlinelibrary.wiley.com/doi/10.1111/j.1740-8709.2008.00147.x/abstract
Type:
Article
Language:
en
Description:
To access this article, click on "Additional Links".
ISSN:
1740-8709
Appears in Collections:
Paediatrics

Full metadata record

DC FieldValue Language
dc.contributor.authorStewart, Robert Cen
dc.contributor.authorUmar, Ericen
dc.contributor.authorKauye, Felixen
dc.contributor.authorBunn, Jamesen
dc.contributor.authorVokhiwa, Macleanen
dc.contributor.authorFitzgerald, Margareten
dc.contributor.authorTomenson, Barbaraen
dc.contributor.authorRahman, Atifen
dc.contributor.authorCreed, Francisen
dc.date.accessioned2010-12-23T16:39:42Z-
dc.date.available2010-12-23T16:39:42Z-
dc.date.issued2008-07-01-
dc.identifier.citationMatern Child Nutr 2008;4(3):209-19en
dc.identifier.issn1740-8709-
dc.identifier.pmid18582354-
dc.identifier.doi10.1111/j.1740-8709.2008.00147.x-
dc.identifier.urihttp://hdl.handle.net/10144/118334-
dc.descriptionTo access this article, click on "Additional Links".en
dc.description.abstractThe objective of the study was to investigate the association between maternal common mental disorder (CMD) and infant growth in rural Malawi. A cross-sectional study was conducted at a district hospital child health clinic. Participants were consecutive infants due for measles vaccination, and their mothers. Mean infant weight-for-age and length-for-age z-scores were compared between infants of mothers with and without CMD as measured using the self-reporting questionnaire (SRQ). Of 519 eligible infants/mothers, 501 were included in the analysis. Median infant age was 9.9 months. 29.9% of mothers scored 8 or above on the SRQ indicating CMD. Mean length-for-age z-score for infants of mothers with CMD (-1.50 SD 1.24) was significantly lower than for infants of mothers without CMD (-1.11 SD 1.12) Student's t-test: P = 0.001. This association was confirmed in multivariate analysis. Mean weight-for-age z-score for infants of mothers with CMD (-1.77 SD 1.16) was lower than for infants of mothers without CMD (-1.59 SD 1.09) but this difference was not significant on univariate (Student's t-test: P = 0.097) or multivariate analysis. The study demonstrates an association between maternal CMD and infant growth impairment in rural sub-Saharan Africa.en
dc.language.isoenen
dc.relation.urlhttp://onlinelibrary.wiley.com/doi/10.1111/j.1740-8709.2008.00147.x/abstracten
dc.rightsArchived with thanks to Maternal & Child Nutritionen
dc.subject.meshAdulten
dc.subject.meshAge Factorsen
dc.subject.meshBody Heighten
dc.subject.meshBody Weighten
dc.subject.meshCross-Sectional Studiesen
dc.subject.meshFemaleen
dc.subject.meshGrowthen
dc.subject.meshHIV Infectionsen
dc.subject.meshHealth Statusen
dc.subject.meshHumansen
dc.subject.meshInfanten
dc.subject.meshInfant Careen
dc.subject.meshInfant Nutrition Disordersen
dc.subject.meshMalawien
dc.subject.meshMaleen
dc.subject.meshMaternal Welfareen
dc.subject.meshMental Disordersen
dc.subject.meshMothersen
dc.subject.meshMultivariate Analysisen
dc.subject.meshNutritional Statusen
dc.subject.meshSex Factorsen
dc.titleMaternal common mental disorder and infant growth--a cross-sectional study from Malawien
dc.typeArticleen
dc.contributor.departmentDepartment of Community Health, College of Medicine, Blantyre, Malawi; Zomba Mental Hospital, Zomba, Malawi; Médecins Sans Frontières, Thyolo, Malawi; Population Health Service Executive, Dr Stevens Hospital, Dublin, Ireland; Department of Psychiatry, University of Manchester, Manchester, UKen
dc.identifier.journalMaternal & Child Nutritionen

Related articles on PubMed

All Items in MSF are protected by copyright, with all rights reserved, unless otherwise indicated.