Maternal depressive symptoms, parenting self-efficacy, and child growth

Maternal depressive symptoms, parenting self-efficacy, and child growth
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DOI:
10.2105/ajph.2006.108332
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发表时间:
2008-01-01
影响因子:
12.7
通讯作者:
Peterson, Karen E.
Peterson, Karen E.
中科院分区:
医学2区
文献类型:
--
作者:
Surkan, Pamela J.;Kawachi, Ichiro;Peterson, Karen E.

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目标。我们评估母亲抑郁症状和父母教养自我效能感是否与儿童生长迟缓有关。我们从巴西皮奥伊州特雷西纳随机抽取了595名低收入母亲及其6至24个月大的孩子作为样本,收集了有关社会人口学特征、母亲的抑郁症状和育儿自我效能感以及儿童的人体测量特征的数据。我们在分析中使用了调整后的Logistic回归模型。母亲的抑郁症状与儿童矮小的几率高1.8倍(95%可信区间[CI]=1.1,2.9)有关。父母教养自我效能感与身材矮小无关,也没有调节或修正抑郁症状与身材矮小之间的关系。母亲抑郁症状和自我效能感与儿童体重过轻无关。我们的结果表明,在低收入巴西家庭中,母亲的抑郁症状,而不是自我效能,与6至24个月大的儿童在调整已知的生长预测因素后身材矮小有关。
Objectives. We assessed whether maternal depressive symptoms and parenting self-efficacy were associated with child growth delay.Methods. We collected data from a random sample of 595 low-income mothers and their children aged 6 to 24 months in Teresina, Piaui, Brazil, including information on sociodemographic characteristics, mothers' depressive symptoms and parenting self-efficacy, and children's anthropometric characteristics. We used adjusted logistic regression models in our analyses.Results. Depressive symptoms among mothers were associated with 1.8 times higher odds (95% confidence interval [Cl] = 1.1, 2.9) of short stature among children. Parenting self-efficacy was not associated with short stature, nor did it mediate or modify the relationship between depressive symptoms and short stature. Maternal depressive symptoms and self-efficacy were not related to child underweight.Conclusions. Our results showed that among low-income Brazilian families maternal depressive symptoms, but not self-efficacy, were associated with short stature in children aged 6 to 24 months after adjustment for known predictors of growth.