Prenatal Material Hardships and Infant Regulatory Capacity at 10 Months Old in Low-Income Hispanic Mother-Infant Pairs.
Prenatal Material Hardships and Infant Regulatory Capacity at 10 Months Old in Low-Income Hispanic Mother-Infant Pairs.
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DOI：
10.1016/j.acap.2018.04.134
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发表时间：
2018-11
影响因子：
3.1
通讯作者：
Gross RS
中科院分区：
文献类型：
--
作者：
Fuller A;Messito MJ;Mendelsohn AL;Oyeku SO;Gross RS
产前母亲的压力已与婴儿的气质模式，后来的行为困难。物质困难，即无法满足基本需求，是重要的产前压力源。我们的目的是确定产前物质困难和10个月大的婴儿气质之间的关系。这是一项基于初级保健的早期肥胖预防计划（早期开始）的随机对照试验中的母婴对纵向研究。代表物质困难的自变量是：住房失修，粮食不安全，难以支付账单和邻里压力（邻里安全）。代表婴儿气质的因变量进行了评估，使用的问题，从三个分量表的婴儿行为问卷：定向/监管能力，负面影响，和surgency/外向。我们使用线性回归来研究个体和累积困难与每个气质领域之间的关联，调整混杂因素，并测试抑郁症作为调节剂。412对母婴完成了10个月的评估。32%的人表示食物不安全，26%的人难以支付账单，35%的房屋年久失修，9%的人感到邻里压力。在调整后的分析中，食品不安全与定向/调节能力得分较低（B=-0.25，95% CI-0.47，-0.04）、邻里压力（B=-0.50，95% CI-0.83，-0.16）和经历3-4次困难（与无困难相比）（B=-0.54，95% CI-0.83，-0.21）相关。对于邻居的压力，关联更强的母亲与产前抑郁症状的婴儿（交互项p=0.06）。产前的物质困难与较低的定向/调节能力。这些发现支持了进一步研究探索气质如何与儿童行为相关的必要性，以及减少产前物质困难的政策。
Prenatal maternal stresses have been associated with infant temperament patterns linked to later behavioral difficulties. Material hardships, defined as inability to meet basic needs, are important prenatal stressors. Our objective was to determine the associations between prenatal material hardships and infant temperament at 10 months. This was a longitudinal study of mother-infant pairs in a randomized controlled trial of a primary care-based early obesity prevention program (Starting Early). Independent variables representing material hardship were: housing disrepair, food insecurity, difficulty paying bills and neighborhood stress (neighborhood safety). Dependent variables representing infant temperament were assessed using questions from three subscales of the Infant Behavior Questionnaire: orienting/regulatory capacity, negative affect, and surgency/extraversion. We used linear regression to investigate associations between individual and cumulative hardships and each temperament domain, adjusting for confounders, and testing for depression as a moderator. 412 mother-infant pairs completed 10 month assessments. 32% reported food insecurity, 26% difficulty paying bills, 35% housing disrepair and 9% neighborhood stress. In adjusted analyses, food insecurity was associated with lower orienting/regulatory capacity scores (B=−0.25, 95% CI −0.47, −0.04), as were neighborhood stress (B=−0.50, 95% CI −0.83, −0.16) and experiencing 3–4 hardships (compared with none) (B=−0.54, 95% CI −0.83, −0.21). For neighborhood stress, the association was stronger among infants of mothers with prenatal depressive symptoms (interaction term p=0.06). Prenatal material hardships were associated with lower orienting/regulatory capacity. These findings support the need for further research exploring how temperament relates to child behavior, and for policies to reduce prenatal material hardships.
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影响因子：
22.4
作者：
Bridgett, David J.;Burt, Nicole M.;Edwards, Erin S.;Deater-Deckard, Kirby
通讯作者：
Deater-Deckard, Kirby
影响因子：
2.2
作者：
Luecken, Linda J.;MacKinnon, David P.;Gonzales, Nancy A.
通讯作者：
Gonzales, Nancy A.
影响因子：
17.7
作者：
O'Donnell, Kieran J.;Meaney, Michael J.
通讯作者：
Meaney, Michael J.
影响因子：
4.6
作者：
Gershoff, Elizabeth T.;Aber, J. Lawrence;Lennon, Mary Clare
通讯作者：
Lennon, Mary Clare
影响因子：
3.3
作者：
Monk C;Spicer J;Champagne FA
通讯作者：
Champagne FA