The impact of maternal experience of violence and common mental disorders on neonatal outcomes: a survey of adolescent mothers in Sao Paulo, Brazil.
The impact of maternal experience of violence and common mental disorders on neonatal outcomes: a survey of adolescent mothers in Sao Paulo, Brazil.
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DOI：
10.1186/1471-2458-7-209
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发表时间：
2007-08-16
影响因子：
4.5
通讯作者：
Laranjeira, Ronaldo
中科院分区：
文献类型：
--
作者：
Ferri, Cleusa P.;Mitsuhiro, Sandro S.;Barros, Marina C. M.;Chalem, Elisa;Guinsburg, Ruth;Patel, Vikram;Prince, Martin;Laranjeira, Ronaldo
怀孕期间的暴力和抑郁都与不良的新生儿结局有关，特别是低出生体重。这项研究的目的是调查这些母亲暴露在巴西圣保罗弱势群体中对怀孕青少年新生儿结局的独立和交互影响。共招募了930名连续入院分娩的怀孕少女。使用加州围产期评估对暴力行为进行评估。精神疾病的测量使用综合国际诊断访谈(CIDI)。评估新生儿的阿普加评分并测量他们的体重。21.9%的母亲报告终身暴力(2%在怀孕期间)，24.3%的母亲在过去12个月中有常见的精神障碍。这些暴露是相关的，而且每一种都与低教育程度有关。终生暴力与常见的精神疾病密切相关。孕期暴力(PR=2.59(1.05~6.40))、身体暴力威胁(PR=1.86(1.03~3.35))和常见精神障碍(PR=2.09(1.21~3.63))(以及抑郁、焦虑和创伤后应激障碍)与低出生体重儿独立相关。在低收入国家改善新生儿结局的努力可能忽略了两个独立但相互关联的重要风险因素：母亲遭受暴力和常见的精神障碍。
Both violence and depression during pregnancy have been linked to adverse neonatal outcomes, particularly low birth weight. The aim of this study was to investigate the independent and interactive effects of these maternal exposures upon neonatal outcomes among pregnant adolescents in a disadvantaged population from Sao Paulo, Brazil. 930 consecutive pregnant teenagers, admitted for delivery were recruited. Violence was assessed using the Californian Perinatal Assessment. Mental illness was measured using the Composite International Diagnostic Interview (CIDI). Apgar scores of newborns were estimated and their weight measured. 21.9% of mothers reported lifetime violence (2% during pregnancy) and 24.3% had a common mental disorder in the past 12 months. The exposures were correlated and each was associated with low education. Lifetime violence was strongly associated with Common Mental Disorders. Violence during pregnancy (PR = 2.59(1.05–6.40) and threat of physical violence (PR = 1.86(1.03–3.35) and any common mental disorders (PR = 2.09 (1.21–3.63) (as well as depression, anxiety and PTSD separately) were independently associated with low birth weight. Efforts to improve neonatal outcomes in low income countries may be neglecting two important independent, but correlated risk factors: maternal experience of violence and common mental disorder.
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影响因子：
168.9
作者：
Gitau, R;Cameron, A;Glover, V
通讯作者：
Glover, V
DOI：
10.1016/s0002-9378(99)70160-2
发表时间：
1999-01-01
影响因子：
9.8
作者：
French, NP;Hagan, R;Newnham, JP
通讯作者：
Newnham, JP
影响因子：
2.1
作者：
Jejeebhoy, SJ
通讯作者：
Jejeebhoy, SJ
影响因子：
4.4
作者：
Nasir, K;Hyder, AA
通讯作者：
Hyder, AA
影响因子：
4.2
作者：
Hoffman, S;Hatch, MC
通讯作者：
Hatch, MC