1. Perinatal maternal depression in rural South Africa: Child outcomes over the first two years.
- Author
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Christodoulou, Joan, Le Roux, Karl, Tomlinson, Mark, Le Roux, Ingrid M, Katzen, Linnea Stansert, and Rotheram-Borus, Mary Jane
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MENTAL depression , *COMPARATIVE studies , *ALCOHOL drinking , *RESEARCH methodology , *MEDICAL cooperation , *PSYCHOLOGY of mothers , *PREGNANCY complications , *REGRESSION analysis , *RESEARCH , *RESEARCH funding , *RURAL population , *PSYCHOSOCIAL factors , *EVALUATION research , *SEXUAL partners , *PRENATAL exposure delayed effects - Abstract
Aims: To examine child outcomes over time among mothers with perinatally depressed mood in rural South Africa (SA).Methods: A representative sample of consecutive births (470/493) in the OR Tambo District of the Eastern Cape of South Africa (SA) were recruited and were reassessed at five points over the course of the next two years: 85% were reassessed at 3 months, 92% at 6 months, 88% at 9 months, 91% at 12 months, and 88% at 2 years post-birth. Over time, the children of mothers with perinatally depressed mood (16%) were compared to children of mothers without depressed mood using multiple linear and logistic regressions.Results: Mothers with perinatal depressed mood are significantly less likely to live with the child's father or their in-laws (23% vs 35%), have household incomes above 2000 ZAR (154 USD) (31% vs 51%), and significantly more likely to have experienced IPV prior (19% vs 9%) and during (32% vs 20%) pregnancy compared to mothers without depressed mood. There are no differences in age, education, primipara, HIV status (29% seropositive), or alcohol use. Growth and developmental delays and motor and speech milestones through 24 months post-birth are similar for mothers with and without perinatal depressed mood.Conclusions: Despite increased economic and partner difficulties associated with perinatal depressed mood, infant outcomes are similar in mothers with and without depressed mood in rural South Africa. [ABSTRACT FROM AUTHOR]- Published
- 2019
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