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The 2019 Rio Grande birth cohort: profile of a Brazilian 5-year study on mental health conditions
Rafaela Costa Martins1,2,3, Francine Dos Santos Costa1,4, Cauane Blumenberg1,3
1Grupo de Pesquisa e Inovação em Saúde (GPIS), Federal University of Rio Grande (FURG), Rio Grande, Brazil.
Insights
The Rio Grande birth cohort study tracked maternal and child mental health over time, revealing high depression and anxiety rates during the COVID-19 pandemic. It highlights culturally specific risk factors for intergenerational mental health transmission.
Area of Science:
- Epidemiology
- Life Course Research
- Mental Health Research
Background:
- The 2019 Rio Grande birth cohort was established to study mental health and its intergenerational transmission.
- Systematic identification of hospital births in Rio Grande, Southern Brazil, formed the cohort's foundation.
Purpose of the Study:
- To investigate the life course epidemiology of mental health and its intergenerational transmission.
- To collect data on sociodemographic, environmental, and behavioral factors impacting maternal and child mental health.
- To evaluate child mental health and development in relation to maternal factors and pandemic experiences.
Main Methods:
- A prospective birth cohort study initiated in 2019 with baseline interviews of 2,051 mothers.
- Four follow-up assessments conducted between 2020 and 2024, utilizing online questionnaires.
- Data collection included maternal mental health, child development, and various risk factors.
Main Results:
- Highest prevalence rates for depression (34.7%) and anxiety (33.1%) were observed during the WebCOVID-19-3 follow-up (2021-22).
- The cohort provides insights into maternal mental health, child development, and post-COVID-19 behaviors.
- Culturally specific risk factors for mental health were emphasized.
Conclusions:
- The cohort offers a unique resource for understanding mental health trajectories from birth.
- Findings underscore the significant impact of the COVID-19 pandemic on maternal mental health.
- Further research can explore intergenerational mental health patterns and culturally relevant interventions.
Abstract:
We established the 2019 Rio Grande birth cohort to investigate the life course epidemiology of mental health and its intergenerational transmission. In 2019, we systematically identified all hospital births in the city of Rio Grande, located in Southern Brazil. Mothers who delivered a singleton liveborn child were administered a standardized, face-to-face questionnaire. In 2020, we conducted 2 follow-up assessments (WebCOVID-19 1 and 2), a third in 2021-22 (WebCOVID-19-3), and a fourth in 2023-24 (WebPOST-COVID). Across these follow-ups, we collected data on socio-demographic, environmental, and behavioral factors pertaining to both mother and child, as well as maternal mental health. Child mental health and development were specifically evaluated during the fourth follow-up. At baseline, 2,051 mothers were interviewed. Response rates for the online follow-ups were 54.1%, 51.1%, 48.7%, and 34.6%, respectively. In WebCOVID-19-3, the highest prevalence rates for depression (34.7%) and anxiety (33.1%) were observed. This cohort provides novel insights into maternal mental health, child development, and post-coronavirus disease 2019 behaviors, emphasizing culturally specific risk factors. Our findings are based on both published and ongoing studies. Data may be requested upon reasonable request.
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