Maternal depression, a hidden predictor for severe acute malnutrition in children aged 6-59 months: a case-control study at Omdurman Paediatrics Teaching Hospital, Sudan.

Autor:	Mohammedahmed ASA; Faculty of Medicine, University of Khartoum, Khartoum, Sudan.; Pediatrics and Child Health Specialty Council, Sudan Medical Specialization Board, Khartoum, Sudan., Koko AEA; Faculty of Medicine, University of Khartoum, Khartoum, Sudan., Arabi AME; Department of Paediatrics and Child Health, Faculty of Medicine, University of Khartoum, Khartoum, Sudan., Ibrahim MA; Mental Health Service, Hamad Medical Corporation, Doha, Qatar.
Jazyk:	angličtina
Zdroj:	Sudanese journal of paediatrics [Sudan J Paediatr] 2020; Vol. 20 (2), pp. 111-121.
DOI:	10.24911/SJP.106-1590606922
Abstrakt:	Malnutrition remains one of the main disabling issues in child health, especially in developing countries. Maternal depression by its related disabilities has been linked with children undernutrition in the studies abroad. Unfortunately, not much is known regarding this issue in Sudan, so this study aims to examine the association between maternal depression and severe acute malnutrition (SAM) in children under 5 years of age. A matched case-control study was conducted in Omdurman Paediatrics Teaching Hospital. Children admitted with SAM were assigned as cases, whereas controls were age- and sex-matched children with normal weight and height admitted in the same hospital. Mothers of both cases and controls were assessed for depression utilising the Patient Health Questionnaire-9 tool. The prevalence of depression among mothers of malnourished children was high (41.5%) compared to the mothers of controls (19.1%). In multivariate logistic regression analyses, the adjusted odds ratio (AOR) of maternal depression were markedly higher in cases than in controls (AOR = 3.09, p = 0.002), as was the odds of below 1-year breastfeeding weaning (AOR = 18.60, p = 0.006) and mother illiteracy (AOR = 2.42 p = 0.031). Furthermore, the analysis found a significant negative association between the occurrence of malnutrition and exclusive breastfeeding (AOR = 0.43, p = 0.015). Maternal depression carries a significant burden in the mothers of children hospitalised with SAM. We strongly recommend routine screening and treatment for depression in childbearing age mothers in the available relative maternal and child health clinics. Competing Interests: The authors declare that there is no conflict of interest regarding the publication of this article. (Copyright © Sudanese Association of Pediatricians.)
Databáze:	MEDLINE
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