Maternal caregiving capabilities are associated with child linear growth in rural Zimbabwe.
Maternal caregiving capabilities are associated with child linear growth in rural Zimbabwe.
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DOI：
10.1111/mcn.13122
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发表时间：
2021-04
影响因子：
3.4
通讯作者：
Sanitation Hygiene Infant Nutrition Efficacy (SHINE) Trial Team
中科院分区：
文献类型：
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作者：
Tome J;Mbuya MNN;Makasi RR;Ntozini R;Prendergast AJ;Dickin KL;Pelto GH;Constas MA;Moulton LH;Stoltzfus RJ;Humphrey JH;Matare CR;Sanitation Hygiene Infant Nutrition Efficacy (SHINE) Trial Team
从出生到两岁，儿童的福祉取决于他们从照料者（主要是母亲）那里得到的照料质量。我们开发了一种定量调查工具来评估妇女的七个社会心理特征，这些特征决定了她们的照顾能力（“母性能力”：身体健康、心理健康、决策自主权、社会支持、母性自我效能、工作量和时间压力以及性别规范态度）。我们测量了4025名母亲的产妇能力，以及她们4073名儿童的生长情况，这些儿童参加了津巴布韦农村地区的“卫生婴儿营养功效”（SHINE）试验。我们使用具有可交换相关结构的广义估计方程模型来检验怀孕期间每个母亲的能力与18个月时婴儿年龄长度Z （LAZ）之间的关系，仅在未调整分析中考虑聚类内相关和干预臂，在调整分析中考虑潜在的混杂因素，以检验怀孕期间评估的每种能力与18个月时儿童LAZ之间的关系。在调整后的模型中，性别规范态度得分每增加一个单位（反映更公平的性别规范态度）与LAZ +0.09 （95% CI: 0.02, 0.16）和发育迟缓几率降低相关（调整后的优势比[AOR]: 0.86; 95% CI: 0.74, 1.01）；社会支持评分每增加一个单位与LAZ +0.11相关（95% CI: 0.05, 0.17, p < 0.010），与发育迟缓几率降低相关（AOR: 0.83; 95% CI: 0.73, 0.96）。决策自主权每增加一个单位，发育迟缓的几率就降低6% （AOR: 0.94; 95% CI: 0.89, 0.996, p = 0.04）。加强这些产妇能力的干预措施和社会规划可能会改善儿童的营养状况。
Between birth and 2 years, children's well‐being depends on the quality of care they receive from caregivers, primarily their mothers. We developed a quantitative survey instrument to assess seven psychosocial characteristics of women that determine their caregiving ability (‘maternal capabilities’: physical health, mental health, decision‐making autonomy, social support, mothering self‐efficacy, workload and time stress, and gender norm attitudes). We measured maternal capabilities in 4,025 mothers and growth in their 4,073 children participating in the Sanitation Hygiene Infant Nutrition Efficacy (SHINE) trial in rural Zimbabwe. We used generalized estimating equation models with exchangeable correlation structure to test the association between each maternal capability during pregnancy, and infant length‐for‐age Z (LAZ) at 18 months, accounting only for within‐cluster correlation and intervention arms in unadjusted analyses and for potential confounders in adjusted analyses to examine the association between each capability, assessed during pregnancy, with child LAZ at 18 months of age. In adjusted models, each unit increase in gender norm attitudes score (reflecting more equitable gender norm attitudes) was associated with +0.09 LAZ (95% CI: 0.02, 0.16) and a decreased odds of stunting (adjusted odds ratio [AOR]: 0.86; 95% CI: 0.74, 1.01); each unit increase in social support score was associated with +0.11 LAZ (95% CI: 0.05, 0.17, p < 0.010) and decreased odds of stunting (AOR: 0.83; 95% CI: 0.73, 0.96). Each unit increase in decision‐making autonomy was associated with a 6% reduced odds of stunting (AOR: 0.94; 95% CI: 0.89, 0.996, p = 0.04). Interventions and social programming that strengthen these maternal capabilities may improve child nutritional status.
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DOI：
10.1093/cid/civ851
发表时间：
2015-12-15
期刊：
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
影响因子：
--
作者：
Matare CR;Mbuya MN;Pelto G;Dickin KL;Stoltzfus RJ;Sanitation Hygiene Infant Nutrition Efficacy (SHINE) Trial Team
通讯作者：
Sanitation Hygiene Infant Nutrition Efficacy (SHINE) Trial Team
影响因子：
5.2
作者：
Avan, Bilal;Richter, Linda M.;Stein, Alan
通讯作者：
Stein, Alan
影响因子：
4.5
作者：
Chibanda, Dixon;Mangezi, Walter;Shetty, Avinash K.
通讯作者：
Shetty, Avinash K.
影响因子：
2.5
作者：
Chang HY;Keyes KM;Lee KS;Choi IA;Kim SJ;Kim KW;Shin YH;Ahn KM;Hong SJ;Shin YJ
通讯作者：
Shin YJ
影响因子：
168.9
作者：
Haider, R;Ashworth, A;Huttly, SRA
通讯作者：
Huttly, SRA