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妇幼保健项目中被忽视的“m”——为何母亲的心理健康对儿童营养至关重要。

The neglected 'm' in MCH programmes--why mental health of mothers is important for child nutrition.

作者信息

Rahman Atif, Patel Vikram, Maselko Joanna, Kirkwood Betty

机构信息

Department of Child Psychiatry, University of Liverpool, Liverpool, UK, and Institute of Psychiatry, Rawalpindi, Pakistan.

出版信息

Trop Med Int Health. 2008 Apr;13(4):579-83. doi: 10.1111/j.1365-3156.2008.02036.x. Epub 2008 Mar 3.

Abstract

In most societies, mothers are the primary providers of nutrition and care to young children. This is a demanding task, and poor physical or mental health in mothers might be expected to have adverse consequences on their children's health, nutrition and psychological well-being. Child nutrition programmes do not adequately address maternal mental health. In this article, we consider the evidence from less developed countries on whether maternal mental health influences child growth, with respect to evidence from both observational studies and from clinical trials. We estimate how much of the burden of undernutrition might be averted in one setting, and propose that promoting maternal mental health and treating maternal mental illness offer important new opportunities to tackle the twin scourges of maternal ill-health and child undernutrition.

摘要

在大多数社会中,母亲是幼儿营养和照料的主要提供者。这是一项艰巨的任务,母亲身体或心理健康状况不佳可能会对其子女的健康、营养和心理健康产生不利影响。儿童营养项目未能充分关注孕产妇心理健康。在本文中,我们结合观察性研究和临床试验的证据,考量来自欠发达国家的证据,以探讨孕产妇心理健康是否会影响儿童生长发育。我们估计在某一情况下可以避免多少营养不良负担,并提出促进孕产妇心理健康和治疗孕产妇精神疾病为应对孕产妇健康不佳和儿童营养不良这两大祸害提供了重要的新机遇。

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