The objective of this study is to measure the association between protein-energy malnutrition (PEM) in children and their mothers'mental health, in a low income area in the city of Embú, Sao Paulo, Brazil.
A case-control study was performed.
Cases were 60 moderately and severely malnourished children (Gomez criteria) selected from two primary health care units.
Controls consisted of 45 eutrophic children attending the same units.
The main outcome measure was for the mothers to present a mental health score>6 according with the'Adult Psychiatric Morbidity Questionnaire' (QMPA), a psychiatric screening instrument.
Of mothers of children with PEM, 63% and 38% of mothers in the control group were QMPA positive : odds ratio (OR)=2.8 (95% confidence interval [Cl] : 1.2-6.9).
Of PEM children, 27% had low birthweight (LBW=<2500 g) and 6% of the control group had LBW.
Interactions were found between : mothers'mental health and number of children (with =4 children : OR=20.0 [95% Cl : 2.1-274.2], with ¾3 children : OR=1.6 [95% Cl : 0.6-4.5), as well as mothers'mental health and maternal age (in women>30 : OR=12.5 [95% Cl : 2.0-93.4], in women ¾30 : OR=1.5 [95% Cl : 0.5-4.4]. Conclusions.
Mothers of children with PEM showed a higher rate of mental disturbances than mothers of eutrophic children.
Unlike LBW, maternal age and number of children interact with mothers'mental health, increasing the association.
Management of poor mental health...
Mots-clés Pascal : Malnutrition, Enfant, Homme, Epidémiologie, Trouble psychiatrique, Mère, Pauvreté, Brésil, Amérique du Sud, Amérique, Trouble nutrition
Mots-clés Pascal anglais : Malnutrition, Child, Human, Epidemiology, Mental disorder, Mother, Poverty, Brazil, South America, America, Nutrition disorder
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0123775
Code Inist : 002B22C. Création : 199608.