Maternal caregiving capabilities are associated with child linear growth in rural Zimbabwe

Dados Bibliográficos

ID15535552
AutoresJoice Tome (Zvitambo Institute for Maternal and Child Health Research), Mduduzi NN Mbuya (0000-0003-1230-2367, Zvitambo Institute for Maternal and Child Health Research), Rachel Makasi (Zvitambo Institute for Maternal and Child Health Research), Rachel R Makasi (Zvitambo Institute for Maternal and Child Health Research Harare Zimbabwe), Robert Ntozini (0000-0002-8543-2835, Zvitambo Institute for Maternal and Child Health Research), Andrew J Prendergast (0000-0001-7904-7992, Queen Mary University of London), Katherine L Dickin (0000-0001-6268-5242, Cornell University), G H Pelto (0000-0001-9271-8041, Cornell University), Mark A Constas (Cornell University), Lawrence H Moulton (0000-0001-7041-7387, Johns Hopkins University), Rebecca J Stoltzfus (0000-0002-3191-5372, Cornell University), Jean H Humphrey (0000-0001-6974-2975, Johns Hopkins University, autor correspondente), Cynthia R Matare (0000-0002-0041-2633, Cornell University), for the Sanitation Hygiene Infant Nutrition Efficacy Trial Team
Ano2020
Volume17
Fascículo2
Páginase13122-e13122
Data de publicação2020-12-21
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoMaternal and Child Nutrition (JOURNAL)
Identificadores do periódicoISSN: 1740-8695 • E-ISSN: 1740-8709
EditoraWiley (PUBLISHER • GB)
DOI10.1111/mcn.13122
PMID33350100
OpenAlexW3114680329
IdiomaEN
Citações recebidas11
Referências citadas50

Between birth and 2 years, children's well-being depends on the quality of care they receive from caregivers, primarily their mothers. We developed a quantitative survey instrument to assess seven psychosocial characteristics of women that determine their caregiving ability ('maternal capabilities': physical health, mental health, decision-making autonomy, social support, mothering self-efficacy, workload and time stress, and gender norm attitudes). We measured maternal capabilities in 4,025 mothers and growth in their 4,073 children participating in the Sanitation Hygiene Infant Nutrition Efficacy (SHINE) trial in rural Zimbabwe. We used generalized estimating equation models with exchangeable correlation structure to test the association between each maternal capability during pregnancy, and infant length-for-age Z (LAZ) at 18 months, accounting only for within-cluster correlation and intervention arms in unadjusted analyses and for potential confounders in adjusted analyses to examine the association between each capability, assessed during pregnancy, with child LAZ at 18 months of age. In adjusted models, each unit increase in gender norm attitudes score (reflecting more equitable gender norm attitudes) was associated with +0.09 LAZ (95% CI: 0.02, 0.16) and a decreased odds of stunting (adjusted odds ratio [AOR]: 0.86; 95% CI: 0.74, 1.01); each unit increase in social support score was associated with +0.11 LAZ (95% CI: 0.05, 0.17, p < 0.010) and decreased odds of stunting (AOR: 0.83; 95% CI: 0.73, 0.96). Each unit increase in decision-making autonomy was associated with a 6% reduced odds of stunting (AOR: 0.94; 95% CI: 0.89, 0.996, p = 0.04). Interventions and social programming that strengthen these maternal capabilities may improve child nutritional status

Confounding · Logistic regression · Odds · Odds ratio · Pregnancy · Psychiatry · Psychosocial · Social support · Child Nutrition and Water Access · Demography · Global Maternal and Child Health · Maternal Mental Health During Pregnancy and Postpartum · Medicine · Psychology · Social Psychology · Gerontology