母亲的抑郁症状、育儿自我效能感与儿童成长。
Maternal depressive symptoms, parenting self-efficacy, and child growth.
作者信息
Surkan Pamela J, Kawachi Ichiro, Ryan Louise M, Berkman Lisa F, Carvalho Vieira Lina M, Peterson Karen E
机构信息
Harvard School of Public Health, Landmark Center, 401 Park Dr, 4th Floor West, Room 415, Boston, MA 02215, USA.
出版信息
Am J Public Health. 2008 Jan;98(1):125-32. doi: 10.2105/AJPH.2006.108332. Epub 2007 Nov 29.
OBJECTIVES
We assessed whether maternal depressive symptoms and parenting self-efficacy were associated with child growth delay.
METHODS
We collected data from a random sample of 595 low-income mothers and their children aged 6 to 24 months in Teresina, Piauí, Brazil, including information on sociodemographic characteristics, mothers' depressive symptoms and parenting self-efficacy, and children's anthropometric characteristics. We used adjusted logistic regression models in our analyses.
RESULTS
Depressive symptoms among mothers were associated with 1.8 times higher odds (95% confidence interval [CI] = 1.1, 2.9) of short stature among children. Parenting self-efficacy was not associated with short stature, nor did it mediate or modify the relationship between depressive symptoms and short stature. Maternal depressive symptoms and self-efficacy were not related to child underweight.
CONCLUSIONS
Our results showed that among low-income Brazilian families maternal depressive symptoms, but not self-efficacy, were associated with short stature in children aged 6 to 24 months after adjustment for known predictors of growth.
目的
我们评估了母亲的抑郁症状和育儿自我效能感是否与儿童生长发育迟缓有关。
方法
我们从巴西皮奥伊州特雷西纳市595名低收入母亲及其6至24个月大的孩子中随机抽样收集数据，包括社会人口学特征、母亲的抑郁症状和育儿自我效能感以及儿童的人体测量特征信息。我们在分析中使用了调整后的逻辑回归模型。
结果
母亲的抑郁症状与儿童身材矮小的几率高1.8倍相关（95%置信区间[CI]=1.1,2.9）。育儿自我效能感与身材矮小无关，也未介导或改变抑郁症状与身材矮小之间的关系。母亲的抑郁症状和自我效能感与儿童体重不足无关。
结论
我们的结果表明，在巴西低收入家庭中，在对已知的生长预测因素进行调整后，母亲的抑郁症状而非自我效能感与6至24个月大儿童的身材矮小有关。
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