Women's health after pregnancy and child outcomes at age 3 years: A prospective cohort study

Women's health after pregnancy and child outcomes at age 3 years: A prospective cohort study
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DOI:
10.2105/ajph.92.8.1312
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发表时间:
2002-08-01
影响因子:
12.7
通讯作者:
Wise, PH
Wise, PH
中科院分区:
医学2区
文献类型:
--
作者:
Kahn, RS;Zuckerman, B;Wise, PH

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目标.本研究调查了妇女怀孕后身心健康状况的持续性和共病性,以及这些状况与儿童结局的关系。1988年和1991年对全国最近生育的妇女进行了调查。我们检查了关于母亲身体健康不良、抑郁症状、吸烟和母亲报告的儿童结局(年龄接近3岁)的纵向数据。妇女身体健康状况差和吸烟与儿童的身体健康和行为问题有很强的分级关联。而女性的抑郁症状与儿童的延迟语言和行为问题有关。怀孕后妇女健康状况的持续性和并发症对早期儿童的结局有不利影响。儿童保健专业人员应支持促进妇女怀孕以外健康的服务和政策。
Objectives. This study examined the persistence and comorbidity of women's physical and mental health conditions after pregnancy and the association of these conditions with child outcomes.Methods. A national cohort of women who recently gave birth were surveyed in 1988 and again in 1991. We examined longitudinal data on maternal poor physical health, depressive symptoms, and smoking, and maternal report of child outcomes (at age similar to3 years).Results. Women's poor physical health and smoking had strong, graded associations with children's physical health and behavior problems. whereas women's depressive symptoms were associated with children's delayed language and behavior problems.Conclusions. Substantial persistence and comorbidity of women's health conditions exist after pregnancy with adverse effects on early child outcomes. Child health professionals should support services and policies that promote women's health outside the context of pregnancy.