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1.
Rev. Esc. Enferm. USP ; 53: e03491, Jan.-Dez. 2019. graf
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-1020389

RESUMO

RESUMO Objetivo Relatar as experiências educativas das mães ou cuidadoras de crianças com microcefalia, desenvolvidas por equipe acadêmica na temática da promoção da saúde dessas crianças. Método Trata-se de relato de experiência vivenciado por alunos do curso de graduação em enfermagem, discentes e docentes do programa de Pós-Graduação em Saúde e Ambiente da Universidade Tiradentes sobre intervenções educativas realizadas em três unidades de referência no atendimento à criança com microcefalia no estado de Sergipe. A amostra do estudo foi de conveniência. Resultados Participaram da pesquisa 70 mães ou cuidadoras principais de crianças com diagnóstico confirmado de microcefalia, durante os meses de setembro a dezembro. Os eixos temáticos-teóricos selecionados para descrever as atividades foram promoção da alimentação saudável, importância do vínculo mãe e filho e estimulação precoce de crianças com microcefalia. Conclusão A experiência relatada demostrou a importância das estratégias educativas na promoção da saúde de crianças com microcefalia, proporcionando capacitação adicional às mães/cuidadoras para que estas ofereçam um cuidado holístico e humanizado a essas crianças.


RESUMEN Objetivo Relatar las experiencias educativas de las madres o cuidadoras de niños con microcefalia, desarrolladas por equipo académico en la temática de la promoción de la salud de esos niños. Método Se trata de relato de experiencia vivida por alumnos de la carrera universitaria de enfermería, discentes y docentes del programa de Posgrado en Salud y Ambiente de la Universidad Tiradentes acerca de intervenciones educativas realizadas en tres unidades de referencia en la atención al niño con microcefalia en el Estado de Sergipe. La muestra del estudio fue de conveniencia. Resultados Participaron en la investigación 70 madres o cuidadoras principales de niños con diagnóstico de microcefalia, durante los meses de septiembre a diciembre. Los ejes temáticos-teóricos seleccionados para describir las actividades fueron promoción de la alimentación sana, importancia del vínculo madre e hijo y estimulación precoz de niños con microcefalia. Conclusión La experiencia relatada demostró la importancia de las estrategias educativas en la promoción de la salud de niños con microcefalia, proporcionando capacitación adicional a las madres/cuidadoras a fin de que estas proporcionen un cuidado holístico y humanizado a esos niños.


ABSTRACT Objective To report the educational experiences of mothers or caregivers of children with microcephaly, as developed by an academic team with the theme of promoting these children's health. Method This is an experience report by undergraduate nursing students and Health and Environment Post-Graduation students and professors of Tiradentes University on educational interventions carried out in three reference units for the care of children with microcephaly in the state of Sergipe. The study sample was taken by convenience. Results A total of 70 mothers or primary caregivers of children with a confirmed diagnosis of microcephaly during the months of September to December participated in the study. The thematic-theoretical axes selected to describe the activities were promotion of healthy eating, importance of the mother and child bond, and early stimulation of children with microcephaly. Conclusion The experience reported demonstrates the importance of educational strategies in promoting the health of children with microcephaly, providing additional training to mothers/caregivers to provide holistic and humanized care to these children.


Assuntos
Humanos , Feminino , Adolescente , Adulto , Pessoa de Meia-Idade , Educação em Saúde , Cuidadores , Promoção da Saúde , Microcefalia/terapia , Mães , Entrevista , Enfermagem Familiar , Pesquisa Qualitativa
2.
Acta colomb. psicol ; 22(2): 148-177, July-Dec. 2019. tab, graf
Artigo em Inglês | LILACS | ID: biblio-1019280

RESUMO

Abstract The objective of the present study was to design, validate and obtain the reliability of the Maternal Attitudes Towards Overweight and Childhood Obesity Scale. The validation of this instrument was carried out in four stages: a) Study 1: Exploratory, with N= 95 mothers and grandmothers aged 20 to 46 years (M age = 32.43, SD = 7.9) which used the semantic networks technique to inquire about the psychological meaning of overweight and obesity; b) Study 2: Content Validity, where 33 items were written and the content validity was obtained through five judges; c) Study 3: First Validation, which included 346 mothers aged 18 to 62 (M age = 33.08, SD = 6.8) with preschool children; 11 items were obtained distributed in three factors denominated: negative attitude (α = .72), meaning (α = .63) and importance (α = .56), with α = .77 of the total scale and an explained variance of 54.50%; d) Study 4: Second Validation, in which 369 mothers and grandmothers (3 %) aged between17 and 63 years (M age = 32.43, SD = 7.9) participated. The final scale was two-dimensional, composed of 11 items with an α =.85 and an explained variance of 46%, which evaluates the negative attitudes perceived towards obesity and its consequences.


Resumo O objetivo do presente estudo foi desenhar e validar a Escala de atitudes maternas com respeito ao sobrepeso e à obesidade infantil. Em particular, a validação consistiu de quatro etapas: (a) um estudo exploratório (Estudo 1) com 95 mães e avós de 20 a 46 anos (M idade = 32.43, DP = 7.9), no qual se utilizou a técnica de redes semânticas para conhecer o significado psicológico do sobrepeso e da obesidade; (b) um estudo de validade de conteúdo (Estudo 2), no qual 33 reativos foram escritos e a validade de conteúdo foi obtida por meio do conceito de cinco juizes; (c) um estudo para uma primeira validação (Estudo 3) com 346 mães de 18 a 62 anos (M idade = 33.08, DP = 6.8) com filhos em idade pré-escolar, com a qual foram obtidos 11 reativos distribuidos em três fatores, denominados atitude negativa (α = .72), significado (α = .63) e importância (α = .56), com um α = .77 na escala total e uma variância explicada de 54,50%, e (d) um estudo para uma segunda validação (Estudo 4), no qual participaram 369 mães e avós (3 %) de 17 a 63 anos (M idade = 32.43, DE = 7.9). Como resultado, a escala foi bidimensional, composta por 11 reativos, com um α = .85 e uma variância explicada de 46%, que avalia as atitudes negativas percebidas com respeito à obesidade e suas consequências.


Resumen El objetivo del presente estudio fue diseñar y validar la escala de actitudes maternas hacia el sobrepeso y la obesidad infantil. En particular, la validación consistió en cuatro etapas: (a) un estudio exploratorio (Estudio 1) con 95 madres y abuelas de 20 a 46 años (M edad = 32.43, DE = 7.9), en el que se utilizó la técnica de redes semánticas para conocer el significado psicológico del sobrepeso y la obesidad; (b) un estudio de validez de contenido (Estudio 2), en el que se redactaron 33 reactivos, y la validez de contenido se obtuvo mediante el concepto de cinco jueces; (c) un estudio para una primera validación (Estudio 3) con 346 madres de 18 a 62 años (M edad = 33.08, DE = 6.8), con hijos en edad preescolar, con el cual se obtuvieron 11 reactivos distribuidos en tres factores, denominados actitud negativa (α = .72), significado (α = .63) e importancia (α = .56), con un α = .77 en la escala total y una varianza explicada del 54.50 %; y (d) un estudio para una segunda validación (Estudio 4), en el que participaron 369 madres y abuelas (3 %) de 17 a 63 años (M edad = 32.43, DE = 7.9). Como resultado, la escala fue bidimensional, compuesta por 11 reactivos, con un α = .85 y una varianza explicada del 46 %, que evalúa las actitudes negativas percibidas hacia la obesidad y las consecuencias de esta.


Assuntos
Humanos , Feminino , Adulto , Pessoa de Meia-Idade , Adulto Jovem , Sobrepeso , Mães , Obesidade
4.
Niger J Clin Pract ; 22(9): 1218-1223, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31489857

RESUMO

Aim: This study aimed to determine the sleeping habits and sleeping periods of kindergarten children, in order to analyze the problems related to sleep hygiene and determine the underlying factors. Methods: The sample size of this cross-sectional study consisted of 390 children. A questionnaire filled in by the parents was used as the data collection tool. The data were analyzed with appropriate statistical tests. Results: According to the mothers, 77.2% of the children had their own room at home. Thirty nine percent of children slept with the full light on in their room, 50.3% slept with night light on in their room, 12.3% slept with the radio/television on in their room. Infant sleep practices found in this study are swaddling (18.5%), wrapping of the infant's arms (21.0%), and rocking (58.7%). Conclusions: In terms of sleep hygiene, the vast majority of the children slept in a bright environment, and there were electronic appliances in the room. Common infant-transition-to-sleep practices observed were wrapping their arms and swaddling them. In our point of view, awareness training for parents about the subject will support sleep hygiene practices.


Assuntos
Hábitos , Transtornos do Sono-Vigília/prevenção & controle , Sono/fisiologia , Criança , Saúde da Criança , Pré-Escolar , Estudos Transversais , Feminino , Humanos , Lactente , Masculino , Mães , Pais , Instituições Acadêmicas , Transtornos do Sono-Vigília/epidemiologia , Inquéritos e Questionários
6.
Am J Occup Ther ; 73(5): 7305345030p1-7305345030p6, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31484035

RESUMO

IMPORTANCE: Pregnancy loss and infant death are unexpected, traumatic, life-changing events. The role of occupational therapy practitioners in treating this population is not well defined. OBJECTIVE: To describe the outcomes of an occupation-based residential retreat for women who have experienced pregnancy or infant loss. DESIGN: Program evaluation. SETTING: Seven residential retreats for bereaved mothers. PARTICIPANTS: One hundred forty-one women who experienced perinatal loss. INTERVENTION: Residential retreats that were held in natural settings and included occupation-based activities such as group discussions, yoga, meditation, crafts, and rituals to facilitate grieving and healing processes after perinatal loss. OUTCOMES AND MEASURES: The Beck Depression Inventory, PTSD Checklist-Civilian Version, Self-Compassion Scale, and Multidimensional Scale of Perceived Social Support were collected pre- and postretreat. RESULTS: Statistically significant improvements were seen in women's depression, trauma, self-compassion, and perceived social support from pre- to postretreat. CONCLUSIONS AND RELEVANCE: At present, occupational therapy practitioners support this population primarily by providing referrals and information about local resources. However, as occupational therapy practice in primary care settings grows, so too do possibilities for the development of occupational therapy-related interventions to support maternal mental health. WHAT THIS ARTICLE ADDS: This article provides preliminary support for occupation-based retreats as a treatment for improving maternal mental health after perinatal loss.


Assuntos
Depressão , Ioga , Feminino , Humanos , Lactente , Saúde Mental , Mães , Ocupações , Gravidez
7.
MMWR Morb Mortal Wkly Rep ; 68(34): 745-748, 2019 Aug 30.
Artigo em Inglês | MEDLINE | ID: mdl-31465319

RESUMO

Surveillance of U.S. breastfeeding duration and exclusivity has historically reported estimates among all infants, regardless of whether they had initiated breastfeeding. These surveillance estimates have consistently shown that non-Hispanic black (black) infants are less likely to breastfeed, compared with other racial/ethnic groups.* Less is known about disparities in breastfeeding duration when calculated only among infants who had initiated breastfeeding, compared with surveillance estimates based on all infants. CDC analyzed National Immunization Survey-Child (NIS-Child) data for infants born in 2015 to describe breastfeeding duration and exclusivity at ages 3 and 6 months among all black and non-Hispanic white (white) infants, and among only those who had initiated breastfeeding. When calculated among all infants regardless of breastfeeding initiation, breastfeeding differences between black and white infants were 14.7 percentage points (95% confidence interval [CI] = 10.7-18.8) for any breastfeeding at age 3 months and were significantly different for both any and exclusive breastfeeding at both ages 3 and 6 months. Among only infants who had initiated breastfeeding, the magnitude of black-white differences in breastfeeding rates were smaller. This was most notable in rates of any breastfeeding at 3 months, where the percentage point difference between black and white infants was reduced to 1.2 (95% CI = -2.3-4.6) percentage points and was no longer statistically significant. Black-white disparities in breastfeeding duration result, in part, from disparities in initiation. Interventions both to improve breastfeeding initiation and to support continuation among black mothers might help reduce disparities.


Assuntos
Afro-Americanos/psicologia , Aleitamento Materno/etnologia , Grupo com Ancestrais do Continente Europeu/psicologia , Mães/psicologia , Adulto , Afro-Americanos/estatística & dados numéricos , Aleitamento Materno/psicologia , Aleitamento Materno/estatística & dados numéricos , Grupo com Ancestrais do Continente Europeu/estatística & dados numéricos , Disparidades nos Níveis de Saúde , Humanos , Lactente , Mães/estatística & dados numéricos , Fatores de Tempo , Estados Unidos , Adulto Jovem
8.
Cas Lek Cesk ; 158(3-4): 118-125, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31416318

RESUMO

The various health risks associated with the increasing age of mothers at childbirth include the low birth weight of new-born children. The aim of the article is to verify the relationship between the birth weight of new-born children and the age of mothers at childbirth employing data on new-born children from the General Health Insurance Company of the Czech Republic. The data also allow take into consideration other characteristics such as the gender of the child, the frequency of childbirth, complications during hospitalisation and the type of conception (spontaneous or following IVF treatment). It was found that the proportion of new-born children with birthweights of 2500+ g exceeded 93% for women aged 25-39 and that the proportion is only slightly lower for women aged 40 and over. The lowest proportion (less than 88 %) was determined for women below the age of 20, while the proportion for women aged 20-24 years stood at 92 %. No relationship was proved between a higher proportion of children born with low weights and the higher age of women with respect either to single or multiple births. However, the research did reveal the significantly higher proportion of children from single births with lower birth weights most likely born following IVF treatment. Moreover, the proportion of new-born children hospitalised due to health complications increases with the increasing age of mothers at childbirth with respect to both normal and lower birth weights.


Assuntos
Peso ao Nascer , Idade Materna , Resultado da Gravidez , Nascimento Prematuro , Adulto , Idoso , Criança , República Tcheca , Feminino , Humanos , Recém-Nascido , Recém-Nascido Prematuro , Mães , Vigilância da População , Gravidez , Técnicas de Reprodução Assistida , Adulto Jovem
10.
Psychiatr Hung ; 34(2): 172-182, 2019.
Artigo em Húngaro | MEDLINE | ID: mdl-31417006

RESUMO

An increasing number of studies deal with the potential correspondence between suicidal behaviour and creativity nowadays. Psychobiographical analysis of the life of well known artists may help the better understanding of this phenomenon. In the present study predictive and protective factors of suicide are presented through the case of the well known suicidal poet and writer, Sylvia Plath. The most important predictive factors of suicide in her case are: affective disorder, comorbid anxiety disorder, prior attempt of suicide, and also her seriously affected personality, that mainly appears in her affective dependence. Her life events, both causes and effects of these, are also predisposing suicide. The early loss of her father, ambivalent relation with her mother and her marriage foredoomed to failure are the most significant of them. Although she used to write since her early childhood, the constant fluctuation of her psychological state had serious effect on her ability to write and also her motivation, both being an additional source of stress, due to her performance pressure. The fear of the acceptance of her works could also lay to increased amount of stress and anxiety on her sensitive personality. Her tragical life events, her psychiatric illness and her relentless templets towards herself could cause such a pressing stress, that neither creation, nor motherhood (the most important protective factor for women) could predominate. Neither moving to England, nor her last confessional book, "The Bell Jar" could cure her many kind of wounds, and these factors together lead to the suicide.


Assuntos
Criatividade , Transtornos do Humor/história , Transtornos do Humor/psicologia , Fatores de Proteção , Suicídio/história , Suicídio/psicologia , Transtornos de Ansiedade/complicações , Feminino , História do Século XX , Humanos , Transtornos do Humor/complicações , Mães/psicologia , Motivação , Fatores de Risco , Estresse Psicológico/complicações , Redação/história
11.
Artigo em Alemão | MEDLINE | ID: mdl-31440768

RESUMO

BACKGROUND: The basis for healthy development is established during the first years of one's life. In this early phase, parents can significantly influence the health conditions under which their child grows up. Parental education can play a key role in this regard. This study examines the association of maternal education with health and health behavior in infants. METHODS: A subsample of the representative German KiGGS study (Wave 1, 2009-2012) on the health of children and adolescents was investigated. Data from 1727 mothers who reported on health-specific characteristics of their infants (0 to 2 years), on their own educational background, and on characteristics of the family were analyzed. The influence of maternal education on indices of health and health behavior in infants was investigated by means of logistic regression; additional predictors were considered in regression models. RESULTS: Higher maternal education was associated with better health behavior, but not with overall infant health. The impact of maternal education on health behavior remained significant when considering other predictors (financial worries, low maternal age at childbirth, premature birth/low birth weight). Overall, low maternal education was accompanied by an accumulation of additional risks. CONCLUSIONS: Higher maternal education can help infants have a good start in their lives. The impact of poor health behavior on infant health may not become apparent until later in their lives. For prevention and intervention, it is important to identify sensitive stages of development during childhood and the underlying mechanisms of the relationship between maternal education and infant health behavior.


Assuntos
Escolaridade , Comportamentos Relacionados com a Saúde , Mães/educação , Criança , Feminino , Alemanha , Humanos , Lactente , Comportamento Materno , Pais , Gravidez
12.
Medicine (Baltimore) ; 98(32): e16794, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31393408

RESUMO

To investigate the emotional problems (depressive and anxiety symptoms) of mothers of children with autism spectrum disorder (ASD) and explore the role of the mother's socioeconomic status (SES) and the core symptoms of the child on the mother's emotional problems.This cross-sectional survey was performed in 180 mothers of children with ASD in Chang Sha city of China. The 7-item Generalized Anxiety Disorder Scale (GAD-7) and the 9-item Patient Health Questionnaire (PHQ-9) were used to assess the anxiety and depressive symptoms of the mothers of the autistic children. The education level and annual family income, as well as occupation, were be selected as components of the mother's SES. Autism Behaviour Checklist (ABC) and Social Responsiveness Scale (SRS) were used for the evaluation of the core symptoms of the children. A general information questionnaire was also used. The ordinal regression was used to examine the effect of the SES and children's core symptoms on maternal emotional problems.The valid response rate was 92.7% (167 of 180 questionnaires were returned). Of the mothers studied, 72.5% and 80.2% had depressive and anxiety symptoms, respectively, and 67.1% suffered from both symptoms. Mother's SES was observed to be unrelated to maternal anxiety symptoms (P >.05). Only 1 component of the SES (junior high school education level) was related to depressive symptoms (OR = 0.31, 95% CI 0.12-0.80). SRS score under 115 (OR = 0.38, 95% CI 0.16-0.93) of autistic children was a protective factor against maternal anxiety symptoms. The borderline and mild behavioral problems (OR = 0.43, 95% CI 0.19-0.99; OR = 0.45, 95% CI 0.22-0.94, respectively) of autistic children were protective factors against maternal depressive symptoms.Mothers of autistic children generally exhibited high levels of anxiety and depressive symptoms. The core symptoms of the autistic children were observed to be strongly associated with both maternal anxiety and depressive symptoms. Improvements in the core symptoms of children with ASD may help reduce maternal anxiety and depressive symptoms to some extent.


Assuntos
Transtorno do Espectro Autista/fisiopatologia , Saúde Mental/estatística & dados numéricos , Mães/psicologia , Classe Social , Adulto , Ansiedade/epidemiologia , Criança , Pré-Escolar , China , Estudos Transversais , Depressão/epidemiologia , Emoções , Feminino , Humanos , Relações Interpessoais , Linguagem , Masculino , Índice de Gravidade de Doença , Adulto Jovem
14.
Pan Afr Med J ; 32: 207, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31312319

RESUMO

Introduction: Plastic surgery for Down syndrome has not been embraced in sub-Saharan Africa. This study sought to determine the attitudes of some parents from sub-Saharan Africa to plastic surgery for their Down syndrome child. Methods: Consenting parents completed a questionnaire survey instrument that obtained demographic characteristics and contained a likert scale on attitudes to plastic surgery. Internal consistency of the scale was determined with Chronbach's alpha and Pearsons chi square analysis was used to analyze relationships between demographic variables and attitudes scores. Values less than 0.05 were considered statistically significant. Results: Most (61.9%) of the 42 consenting mothers were above 35 years of age. The most disturbing of the Down syndrome characteristics were the protruding tongue, 18(42.9%), slanting palpebral fissures, 14(33.3%) and the flattened nasal bridge 14(33.3%). Although the mothers had low awareness of plastic surgery most of them had favourable attitudes towards it. A reliability analysis of the mother's attitudes on the likert scale showed good internal consistency. Chronbachs alpha 0.87. Conclusion: The parents in this study have favourable attitudes towards plastic surgery for Down syndrome. The prominent tongue was the most disturbing feature.


Assuntos
Síndrome de Down/cirurgia , Mães/psicologia , Pais/psicologia , Procedimentos Cirúrgicos Reconstrutivos/psicologia , Adulto , África ao Sul do Saara , Criança , Pré-Escolar , Estudos Transversais , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Lactente , Masculino , Pessoa de Meia-Idade , Reprodutibilidade dos Testes
15.
Women Birth ; 32(5): 383-390, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31257181

RESUMO

BACKGROUND: This case study explores the four pregnancy and birthing journeys of Wiradjuri & Ngemba-Wayilwan woman, Fleur Magick Dennis. Fleur provides a personal account of her journeys and relates them to socio-cultural issues surrounding her life during these times. Fleur experienced her first birth in hospital and her three next births at different locations out of hospital on Wiradjuri Country. Fleur is able to show that her personal wellbeing & healing and that of her family & community is linked to her having been able to birth according to her spiritual & cultural beliefs. The midwife for Fleur's third and fourth pregnancy, Hazel Keedle, then provides a brief account of her experiences supporting Fleur in her choices and explores the impact of these births on her midwifery and personal life.


Assuntos
Continuidade da Assistência ao Paciente , Parto Domiciliar , Tocologia , Mães/psicologia , Grupo com Ancestrais Oceânicos/psicologia , Parto/psicologia , Satisfação Pessoal , Austrália , Centros de Assistência à Gravidez e ao Parto , Feminino , Hospitais , Humanos , Gravidez
17.
Artigo em Russo | MEDLINE | ID: mdl-31317904

RESUMO

Advanced technologies of neonatal reanimation and intensive care have led to the increase in the number of children with the extremely low and low birth weight. These children constitute a risk group often having severe development complications and disabilities. This article provides a review of the existing research literature on emotional states of mothers of prematurely born infants' and characteristics of their early interaction. The data on the influence of the mother's emotional state on her interaction with her prematurely born infant and its impact on the child's long-term development are presented. The authors present directions of studying development of prematurely born infants, which are not fully reflected in the literature, regarding infants with structural intracranial changes (intraventricular hemorrhages) and associated hydrocephalus and posthemorrhagic hydrocephaly. New targets of practical work have been developed to improve the family-centered interdisciplinary support for children at infancy and early age.


Assuntos
Emoções , Recém-Nascido Prematuro , Mães , Criança , Desenvolvimento Infantil , Feminino , Humanos , Lactente , Recém-Nascido , Mães/psicologia , Parto , Gravidez
18.
BMC Public Health ; 19(1): 896, 2019 Jul 08.
Artigo em Inglês | MEDLINE | ID: mdl-31286907

RESUMO

BACKGROUND: Early initiation of breastfeeding (EIBF) reduces the risk of neonatal mortality. Previous studies from India have documented some factors associated with EIBF. However, those studies used data with limited sample size that potentially affect the application of the evidence. Additionally, the effectiveness of national breastfeeding programmes requires up-to-date analysis of new and robust EIBF data. The present study aimed to investigate the prevalence and determinants of EIBF in India and determine to what extent these factors differ by a mother's residence in the rural or urban area. METHODS: This study used information from a total weighted sample of 94,401 mothers from the 2015-2016 India National Family Health Survey. Multivariate logistic regression was used to investigate the association between the study factors and EIBF in India and rural-urban populations, after adjusting for confounders and sampling weight. RESULTS: Our analysis indicated that 41.5% (95% confidence interval (CI): 40.9-42.5, P < 0.001) of Indian mothers initiated breastfeeding within 1-h post-birth, with similar but significant different proportions estimated for those who resided in rural (41.0, 95% CI: 40.3-41.6, P < 0.001) and urban (42.9, 95% CI: 41.7-44.2, P < 0.001) areas. Mothers who had frequent health service contacts and those with higher educational attainment reported higher EIBF practice. Multivariate analyses revealed that higher educational achievement, frequent antenatal care visits and birthing in a health facility were associated with EIBF in India and rural populations (only health facility birthing for urban mothers). Similarly, residing in the North-Eastern, Southern, Eastern and Western regions were also associated with EIBF. Birthing through caesarean, receiving delivery assistance from non-health professionals and residing in rural areas of the Central region were associated with delayed EIBF in all populations. CONCLUSION: We estimated that more than half of Indian mothers delayed breastfeeding initiation, with different rural-urban prevalence. Key modifiable factors (higher maternal education and frequent health service contacts) were associated with EIBF in India, with notable difference in rural-urban populations. Our study suggests that targeted and well-coordinated infant feeding policies and interventions will improve EIBF for all Indian mothers.


Assuntos
Aleitamento Materno/estatística & dados numéricos , Mães/estatística & dados numéricos , População Rural/estatística & dados numéricos , Fatores de Tempo , População Urbana/estatística & dados numéricos , Adulto , Escolaridade , Feminino , Humanos , Índia/epidemiologia , Lactente , Recém-Nascido , Modelos Logísticos , Análise Multivariada , Gravidez , Cuidado Pré-Natal/estatística & dados numéricos , Prevalência , Fatores Socioeconômicos
19.
BMC Public Health ; 19(1): 895, 2019 Jul 08.
Artigo em Inglês | MEDLINE | ID: mdl-31286930

RESUMO

BACKGROUND: It is recommended that Antenatal Care (ANC) be initiated within the first trimester of pregnancy for essential interventions, such folic acid supplementation, to be effective. In Tanzania, only 24% of mothers attend their first ANC appointment during their first trimester. Studies have shown that women who have had contact with a health worker are more likely to attend their first antenatal care appointment earlier in pregnancy. Community health workers (CHWs) are in an opportune position to be this contact. This study explored CHW experiences with identifying women early in gestation to refer them to facility-based antenatal care services in Morogoro, Tanzania. METHODS: This qualitative study employed 10 semi-structured focus group discussions, 5 with 34 CHWs and 5 with 34 recently delivered women in three districts in Morogoro, Tanzania. A thematic analytical approach was used to identify emerging themes among the CHW and RDW responses. RESULTS: Study findings show CHWs play a major role in identifying pregnant women in their communities and linking them with health facilities. Lack of trust and other factors, however, affect early pregnancy identification by the CHWs. They utilize several methods to identify pregnant women, including: asking direct questions to households when collecting information on the national census, conducting frequent household visits and getting information about pregnant women from health facilities. CONCLUSIONS: We present a framework for the interaction of factors that affect CHWs' ability to identify pregnant women early in gestation. Further studies need to be conducted investigating optimal workload for CHWs, as well as reasons pregnant women might conceal their pregnancies.


Assuntos
Agentes Comunitários de Saúde/psicologia , Mães/psicologia , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Gestantes/psicologia , Cuidado Pré-Natal/psicologia , Adulto , Agendamento de Consultas , Feminino , Grupos Focais , Instalações de Saúde/estatística & dados numéricos , Humanos , Gravidez , Primeiro Trimestre da Gravidez/psicologia , Pesquisa Qualitativa , Medição de Risco , Tanzânia
20.
Epidemiol Health ; 41: e2019035, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31319652

RESUMO

OBJECTIVES: Child development is a significant issue in global public health, and maternal mental health (MMH) can have a remarkable effect on children's development of communication skills. We aimed to investigate the association between MMH and communication skills in a sample of Iranian children. METHODS: This study was conducted in Shiraz, Iran during 2016. In total, 640 mothers who lived in Shiraz and were registered in the Fars Birth Cohort (FBC) study were invited to attend the FBC clinic with their children. A trained physician evaluated MMH using the General Health Questionnaire (GHQ). Additionally, a trained nurse assessed the children's communication development status using the Ages and Stages Questionnaire for 60-month old children. RESULTS: The majority of the mothers were homemakers (82.8%) and had high school diplomas (38.9%). The mothers' mean age was 33.7±4.6 years. Seventy-nine (12.3%) children had delayed communication skills, but no significant association was found between children's communication skills and the mothers' total GHQ score (p=0.43). In total, 493 mothers (77.0%) had abnormal somatic symptoms, 497 (77.7%) had abnormal anxiety/insomnia, 337 (52.7%) had social dysfunction, and 232 (36.3%) suffered from depression. Logistic regression indicated that after adjusting for confounders, the odds of delayed communication skills were 3-fold higher among the children of mothers with abnormal somatic symptoms than among other children (p=0.01). CONCLUSIONS: The study results confirmed that MMH had a significant impact on children's communication skills. Moreover, maternal abnormal somatic symptoms exerted the strongest impact on the development of communication skills in 5-yearold children.


Assuntos
Desenvolvimento Infantil , Comunicação , Transtornos Mentais/epidemiologia , Mães/psicologia , Adulto , Pré-Escolar , Estudos de Coortes , Feminino , Humanos , Irã (Geográfico)/epidemiologia , Mães/estatística & dados numéricos , Inquéritos e Questionários
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