Maternal mental health modifies the association of food insecurity and early child development.
Maternal mental health modifies the association of food insecurity and early child development.
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DOI：
10.1111/mcn.12997
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发表时间：
2020-10
影响因子：
3.4
通讯作者：
Gubert MB
中科院分区：
文献类型：
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作者：
Pedroso J;Buccini G;Venancio SI;Pérez-Escamilla R;Gubert MB
我们研究了家庭粮食不安全与儿童早期发育之间的关系，以及母亲的抑郁和焦虑是否会改变这种关系。这项横断面研究包括在巴西联邦区初级卫生中心招募的468对母婴。母亲回答了一份问卷，评估早期儿童发展（结果），家庭粮食不安全（自变量），母亲抑郁症和特质焦虑（影响因素）。变量收集与验证问卷的巴西人口。采用Pearson χ 2检验和Logistic回归分析。生活在中度或重度粮食不安全家庭的婴儿与生活在安全家庭的婴儿相比，其早期儿童发育迟缓的几率是前者的2.52倍（95%置信区间[CI] [1.13，5.65]）。母亲的抑郁和焦虑改变了家庭粮食不安全和幼儿发展之间的关联强度，这是一个创新的发现。在母亲患有抑郁症的婴儿中，与食物安全家庭的婴儿相比，那些经历轻度（调整后的比值比[aOR] 3.33，95% CI [1.17，9.46]）和中度/重度家庭食物不安全（aOR 10.13，95% CI [2.18，47.10]）的婴儿发生早期儿童发育迟缓的几率更高。在母亲同时患有焦虑和抑郁的婴儿中，轻度（aOR 4.69，95% CI [1.41，15.59]）和中度/重度家庭食物不安全（aOR 16.07，95% CI [2.70，95.66]）的相关性甚至更强。总之，家庭粮食不安全是儿童早期发育迟缓的一个危险因素，而这种关联会因母亲的抑郁和焦虑而改变。未来的研究应评估解决产妇抑郁和焦虑以及家庭粮食不安全的干预措施对预防幼儿发育迟缓的影响。
We examined the association between household food insecurity and early child development and whether or not maternal depression and anxiety modifies this association. The cross‐sectional study included 468 mother–infant pairs recruited at primary health centers of the Federal District, Brazil. Mothers answered a questionnaire that evaluated early child development (outcome), household food insecurity (independent variable), maternal depression and trait anxiety (effect modifiers). Variables were collected with validated questionnaires for the Brazilian population. Pearson's χ 2 test and logistic regression analyses were conducted. Infants who lived in a moderate or severe food insecure household had 2.52 times (95% confidence interval [CI] [1.13, 5.65]) the odds of having early child development delays compared with infants in secure households. Maternal depression and anxiety modified the strength of association between household food insecurity and early child development, which is an innovative finding. Among infants with depressed mothers, those experiencing mild (adjusted odds ratio [aOR] 3.33, 95% CI [1.17, 9.46]) and moderate/severe household food insecurity (aOR 10.13, 95% CI [2.18, 47.10]) had higher odds of having early child development delays, compared with infants in food secure households. Among infants with both anxious and depressed mothers, these associations were even stronger for mild (aOR 4.69, 95% CI [1.41, 15.59]) and moderate/severe household food insecurity (aOR 16.07, 95% CI [2.70, 95.66]). In conclusion, household food insecurity is a risk factor for early child development delays, and this association is modified by maternal depression and anxiety. Future studies should evaluate the impact of intervention packages that address maternal depression and anxiety and household food insecurity on preventing early child development delays.
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DOI：
10.1016/s0140-6736(16)31389-7
发表时间：
2017-01-07
期刊：
Lancet (London, England)
影响因子：
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作者：
Black MM;Walker SP;Fernald LCH;Andersen CT;DiGirolamo AM;Lu C;McCoy DC;Fink G;Shawar YR;Shiffman J;Devercelli AE;Wodon QT;Vargas-Barón E;Grantham-McGregor S;Lancet Early Childhood Development Series Steering Committee
通讯作者：
Lancet Early Childhood Development Series Steering Committee
影响因子：
2.5
作者：
Batista, Christyann L. C.;Rodrigues, Vandilson P.;Nascimento, Maria D. S. B.
通讯作者：
Nascimento, Maria D. S. B.
影响因子：
3.3
作者：
Coelho, Renato;Ferreira, José Paulo;Halpern, Ricardo
通讯作者：
Halpern, Ricardo
影响因子：
3.2
作者：
Gebreyesus, Seifu Hagos;Endris, Bilal Shikur;Lindtjorn, Bernt
通讯作者：
Lindtjorn, Bernt
影响因子：
8
作者：
通讯作者：
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