Maternal depressive symptoms and child nutritional status: A cross-sectional study in socially disadvantaged
Qamar Saeed1, Nadia Shah1, Sumera Inam1
11 School of Public Health, Dow University of Health Sciences, Karachi, Pakistan.
Insights
Maternal depression significantly increases the risk of malnutrition in children under two. Mothers experiencing depressive symptoms were over three times more likely to have stunted or underweight children in Pakistan.
Area of Science:
- Public Health
- Child Nutrition
- Maternal Mental Health
Background:
- Malnutrition is a leading cause of child illness and death globally.
- The impact of maternal depression on child nutrition, particularly in developing nations, requires further investigation for public health insights.
Purpose of the Study:
- To examine the relationship between maternal depressive symptoms and the nutritional status of children under two years old.
- To assess the public health implications of maternal depression in low socioeconomic communities in Pakistan.
Main Methods:
- Data collected from 325 mothers with children under two in a low socioeconomic community in Pakistan.
- Maternal depressive symptoms assessed using the Aga Khan University Anxiety and Depression Scale (score ≥ 20).
- Logistic regression models used to determine the association between maternal depression and child stunting and underweight.
Main Results:
- 40% of mothers screened positive for depressive symptoms.
- Prevalence of stunting and underweight in children was 36.6% and 35.4%, respectively.
- Maternal depressive symptoms were significantly associated with increased odds of children being stunted (OR 3.15) and underweight (OR 3.26).
Conclusions:
- Maternal depressive symptoms are a significant risk factor for malnutrition (stunting and underweight) in young children.
- Factors like low maternal education, unemployment, and low household income correlate with higher risks of child malnutrition.
- Interventions addressing maternal mental health are crucial for improving child nutritional outcomes in vulnerable populations.
Abstract:
Malnutrition is a primary cause of child morbidity and mortality. The effects of maternal depressive symptoms on children's health, especially their nutritional status, have received less attention in developing countries but needs to be evaluated to understand the public health implications of maternal depression. The aim of the current study was to investigate the association between maternal depressive symptoms and children's nutritional status using data from low socioeconomic community in Pakistan. Maternal depressive symptoms defined as Aga Khan University Anxiety and Depression Scale score of 20 or greater was assessed for mothers with children under two years of age. Logistic regression models estimated the association between maternal depressive symptoms and stunting and underweight. Of 325 mothers, 40% scored positive on the depressive scale. The prevalence of stunting and underweight in children under two years was 36.6% and 35.4%, respectively. Maternal depressive symptoms were significantly associated with children being stunted and underweight. Mothers with depressive symptoms were more than three times likely to have stunted (odds ratio (OR) 3.15, 95% confidence interval (CI) 1.91-5.18, p value < .001) and underweight (OR 3.26, 95% CI 1.99-5.34, p value < .001) children compared to non-depressed mothers. Maternal-related factors such as poor education, unemployment, and low household income were found to be significantly associated with higher odds of children's short stature and underweight.
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