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More than baby blues_Senefeld, Reider, Schooley_10.13.11
1. More Than the Baby Blues Effects of Depression on Pregnant and Post-Partum Women and the Mother-Infant-Child Relationship
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17. Association between maternal MD and child undernutrition ** p<0.05; *p<0.01 Maternal mental distress is associated with child feeding practices and anthropometry in Vietnam Phuong H. Nguyen 1 , Purnima Menon 2 , Rawat Rahul 3 and Marie T. Ruel 3 1 International Food Policy Research Institute (IFPRI), Hanoi, Viet Nam; 2 IFPRI, New Delhi, India; 3 IFPRI, Washington, DC. Poster presentation at the Experimental Biology conference in 2011
18. Association between maternal MD and IYCF practices Maternal mental distress is associated with child feeding practices and anthropometry in Vietnam Phuong H. Nguyen 1 , Purnima Menon 2 , Rawat Rahul 3 and Marie T. Ruel 3 1 International Food Policy Research Institute (IFPRI), Hanoi, Viet Nam; 2 IFPRI, New Delhi, India; 3 IFPRI, Washington, DC. Poster presentation at the Experimental Biology conference in 2011
19. Coefficients for associations between high maternal MD and child undernutrition (multivariate regression analysis) Maternal mental distress is associated with child feeding practices and anthropometry in Vietnam Phuong H. Nguyen 1 , Purnima Menon 2 , Rawat Rahul 3 and Marie T. Ruel 3 1 International Food Policy Research Institute (IFPRI), Hanoi, Viet Nam; 2 IFPRI, New Delhi, India; 3 IFPRI, Washington, DC. Poster presentation at the Experimental Biology conference in 2011
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22. What is HEAL? Health Education Action for Latinas A Guide A Curriculum A Discussion What are the roles a woman plays in her life, family, community, work, church, etc.?
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24. Group setting Guided discussion around specific topics Time set aside for women to reflect & dialogue A program that builds self esteem Educational, psychological, reflexive Gender-specific How does HEAL work?
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36. Outcomes General Latina women: Improved depression scores by 40% Pregnant women: Improved depression scores by 60%
The prevalence of stunting (16.8%), underweight (13.2%) and wasting (4.8%) among children was low; nearly a third of mothers (33.2%) had high MD scores. The mean age of mothers was 29 years, and average maternal education was 9 years. More than 20% of household had moderate or severe food insecurity. In bivariate analyses, the prevalence of stunting, underweight and wasting was significantly higher among mothers with a high MD score. However, the significant association only remained for underweight after controlling for child, maternal, and HH level confounders
Mothers with a high MD score have a lower rate of optimal infant and young child feeding. Multivariate models confirm these results and the statistical significance of associations remain for early initiation of breastfeeding and achieving a minimum acceptable diet.
High maternal MD was associated with lower child WAZ (-0.11, 95% CI: -0.18, -0.04) and WHZ (-0.13, 95% CI: -0.19, -0.07) after controlling for several confounding factors (child level, maternal level and household level) and adjusting for sample clustering