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Mudiyanselage SB, Wanni Arachchige Dona S, Angeles MR, Majmudar I, Marembo M, Tan EJ, Price A, Watts JJ, Gold L, Abimanyi-Ochom J. The impact of maternal health on child's health outcomes during the first five years of child's life in countries with health systems similar to Australia: A systematic review. PLoS One 2024; 19:e0295295. [PMID: 38457392 PMCID: PMC10923423 DOI: 10.1371/journal.pone.0295295] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2023] [Accepted: 11/19/2023] [Indexed: 03/10/2024] Open
Abstract
INTRODUCTION The first five years of life is an important developmental period that establishes the foundation for future health and well-being. Mothers play a primary role in providing emotional and physical nourishment during early childhood. This systematic review aims to explore the association between maternal health and child health in the first five years of the child's life. MATERIALS AND METHODS As primary aims, we systematically synthesised published evidence relating to the first five years of life for associations between maternal health exposures (mental, physical and Health-Related Quality of Life (HRQoL) and child health outcomes (physical health, mental health, HRQoL and Health Service Use (HSU) /cost). As a secondary aim, we explored how the above associations vary between disadvantaged and non-disadvantaged populations. The search was limited to studies that published and collected data from 2010 to 2022. The systematic review was specific to countries with similar health systems to Australia. The search was conducted in MEDLINE, CINAHL, APA PsycINFO, GLOBAL HEALTH, and EMBASE databases. The quality of the included studies was assessed by The Effective Public Health Practice Project (EPHPP) tool. RESULTS Thirteen articles were included in the final synthesis from the identified 9439 articles in the primary search. Six (46%) explored the association between maternal mental health and child's physical health, two (15%) explored maternal and child's physical health, one (8%) explored maternal and child's mental health, one (8%) explored maternal physical health and child's HRQoL, and three (23%) explored maternal mental health and child's HSU. We found an association between maternal health and child health (physical and mental) and HSU outcomes but no association between maternal health and child's overall HRQoL. The results for disadvantaged communities did not show any difference from the general population. DISCUSSION AND CONCLUSION Our review findings show that maternal health influences the child's health in the first five years. However, the current evidence is limited, and the findings were primarily related to a specific maternal or child's health condition. There was no evidence of associations of child health outcomes in healthy mothers. There is an extensive research gap investigating maternal health exposures and child outcomes in quality of life and overall health.
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Affiliation(s)
- Shalika Bohingamu Mudiyanselage
- School of Health and Social Development and Deakin Health Economics, Institute for Health Transformation, Deakin University, Geelong, Australia
| | - Sithara Wanni Arachchige Dona
- School of Health and Social Development and Deakin Health Economics, Institute for Health Transformation, Deakin University, Geelong, Australia
| | - Mary Rose Angeles
- School of Health and Social Development and Deakin Health Economics, Institute for Health Transformation, Deakin University, Geelong, Australia
| | - Ishani Majmudar
- School of Health and Social Development and Deakin Health Economics, Institute for Health Transformation, Deakin University, Geelong, Australia
| | - Miriam Marembo
- Department of Econometrics and Business Statistics, Monash University, Clayton, Victoria, Australia
- Department of Education, Victoria, Melbourne, Australia
| | - Eng Joo Tan
- Monash University Health Economics Group (MUHEG), School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
| | - Anna Price
- Centre for Community Child Health, The Royal Children’s Hospital, Parkville, Victoria, Australia
- Population Health, Murdoch Children’s Research Institute, Parkville, Victoria, Australia
- Department of Paediatrics, University of Melbourne, Parkville, Victoria, Australia
| | - Jennifer J. Watts
- School of Health and Social Development and Deakin Health Economics, Institute for Health Transformation, Deakin University, Geelong, Australia
| | - Lisa Gold
- School of Health and Social Development and Deakin Health Economics, Institute for Health Transformation, Deakin University, Geelong, Australia
| | - Julie Abimanyi-Ochom
- School of Health and Social Development and Deakin Health Economics, Institute for Health Transformation, Deakin University, Geelong, Australia
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Kirkbride JB, Anglin DM, Colman I, Dykxhoorn J, Jones PB, Patalay P, Pitman A, Soneson E, Steare T, Wright T, Griffiths SL. The social determinants of mental health and disorder: evidence, prevention and recommendations. World Psychiatry 2024; 23:58-90. [PMID: 38214615 PMCID: PMC10786006 DOI: 10.1002/wps.21160] [Citation(s) in RCA: 9] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/13/2024] Open
Abstract
People exposed to more unfavourable social circumstances are more vulnerable to poor mental health over their life course, in ways that are often determined by structural factors which generate and perpetuate intergenerational cycles of disadvantage and poor health. Addressing these challenges is an imperative matter of social justice. In this paper we provide a roadmap to address the social determinants that cause mental ill health. Relying as far as possible on high-quality evidence, we first map out the literature that supports a causal link between social determinants and later mental health outcomes. Given the breadth of this topic, we focus on the most pervasive social determinants across the life course, and those that are common across major mental disorders. We draw primarily on the available evidence from the Global North, acknowledging that other global contexts will face both similar and unique sets of social determinants that will require equitable attention. Much of our evidence focuses on mental health in groups who are marginalized, and thus often exposed to a multitude of intersecting social risk factors. These groups include refugees, asylum seekers and displaced persons, as well as ethnoracial minoritized groups; lesbian, gay, bisexual, transgender and queer (LGBTQ+) groups; and those living in poverty. We then introduce a preventive framework for conceptualizing the link between social determinants and mental health and disorder, which can guide much needed primary prevention strategies capable of reducing inequalities and improving population mental health. Following this, we provide a review of the evidence concerning candidate preventive strategies to intervene on social determinants of mental health. These interventions fall broadly within the scope of universal, selected and indicated primary prevention strategies, but we also briefly review important secondary and tertiary strategies to promote recovery in those with existing mental disorders. Finally, we provide seven key recommendations, framed around social justice, which constitute a roadmap for action in research, policy and public health. Adoption of these recommendations would provide an opportunity to advance efforts to intervene on modifiable social determinants that affect population mental health.
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Affiliation(s)
| | - Deidre M Anglin
- City College, City University of New York, New York, NY, USA
- Graduate Center, City University of New York, New York, NY, USA
| | - Ian Colman
- School of Epidemiology and Public Health, University of Ottawa, Ottawa, ON, Canada
| | | | - Peter B Jones
- Department of Psychiatry, University of Cambridge, Cambridge, UK
- Cambridgeshire & Peterborough NHS Foundation Trust, Cambridge, UK
| | - Praveetha Patalay
- Medical Research Council Unit for Lifelong Health and Ageing, University College London, London, UK
- Centre for Longitudinal Studies, Social Research Institute, University College London, London, UK
| | - Alexandra Pitman
- Division of Psychiatry, University College London, London, UK
- Camden and Islington NHS Foundation Trust, London, UK
| | - Emma Soneson
- Department of Psychiatry, University of Oxford, Oxford, UK
| | - Thomas Steare
- Medical Research Council Unit for Lifelong Health and Ageing, University College London, London, UK
| | - Talen Wright
- Division of Psychiatry, University College London, London, UK
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de Oliveira AIB, Wernet M, Petruccelli G, Silveira AO, Ruiz MT. Home visit to premature and low birth weight newborns: nurse's experience report. Rev Esc Enferm USP 2024; 57:e20230209. [PMID: 38194515 PMCID: PMC10789127 DOI: 10.1590/1980-220x-reeusp-2023-0209en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2023] [Accepted: 11/01/2023] [Indexed: 01/11/2024] Open
Abstract
OBJECTIVE To report the structures of the experience of nurse's home visits to premature and low birth weight newborns. METHOD This is a descriptive study of the experience report type, structured on the experience of the nurse authors in the development of 48 home visits in a city in the state of São Paulo and its microregion between August 2020 and 2021 with eight mothers of premature and low weight newborns. RESULTS The guiding documents "Home visit for families with preterm and low birth weight newborns" and "Strategy of guiding questions for home visits" were created and used to promote open narratives from parental caregivers about caring for at-risk newborns, creating a relational space aimed at joint construction. CONCLUSION The documents used have favored home visits, helping nurses to establish professional bonds and build relational space through dialogue when conducting their activities in the home environment.
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Affiliation(s)
| | - Monika Wernet
- Universidade Federal de São Carlos, São Carlos, SP, Brazil
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Vicente JB, Pegorin TC, Santos ALDO, Veríssimo MDLÓR. Interventions for child development based on the Touchpoints Model: scoping review. Rev Lat Am Enfermagem 2023; 31:e4034. [PMID: 37820222 PMCID: PMC10561796 DOI: 10.1590/1518-8345.6732.4034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2023] [Accepted: 08/01/2023] [Indexed: 10/13/2023] Open
Abstract
OBJECTIVE to map the characteristics of interventions to promote child development that used the Touchpoints Model. METHOD this is a scoping review, guided by the recommendations of the JBI Reviewer's Manual, carried out in nine databases, in the gray literature and in the reference list of the selected studies. The research question was "what are the characteristics of interventions with parents/caregivers and children to promote child development, from pregnancy to six years of age, based on the Touchpoints Model?". Rayyan was used for the selection of studies and a standard form for data extraction. The analysis was carried out descriptively. RESULTS twelve publications were included in the review. Interventions were heterogeneous; concentrated in the period from pregnancy to three years of age; prioritized the dissemination of Touchpoints content according to age, and parenting aspects; most were performed by nurses, in Primary Health Care, and during home visits. Interventions were related to overall development, greater understanding of development and greater interaction with the child. CONCLUSION studies have shown potential for favorable outcomes for child development and parenting. The variability of interventions made it difficult to map more effective characteristics. (1) Interventions in the period of pregnancy until the child's 3 years of life predominated. (2) Interventions by nurses in Primary Care and home visits predominated. (3) The interventions were mostly delivered individually and face-to-face. (4) The participating parents had a greater understanding of child development. (5) There was more interaction with the child, use of toys and learning materials.
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Affiliation(s)
| | - Talita Cristina Pegorin
- Universidade de São Paulo, Escola de Enfermagem, São Paulo, SP, Brasil
- Becaria de la Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Brasil
| | - Ana Laura de Oliveira Santos
- Universidade de São Paulo, Escola de Enfermagem, São Paulo, SP, Brasil
- Becaria del Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Brasil
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Price A, Bryson H, Mensah FK, Kenny B, Wang X, Orsini F, Gold L, Kemp L, Bruce T, Dakin P, Noble K, Makama M, Goldfeld S. Embedding nurse home visiting in universal healthcare: 6-year follow-up of a randomised trial. Arch Dis Child 2023; 108:824-832. [PMID: 37399321 DOI: 10.1136/archdischild-2023-325662] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/04/2023] [Accepted: 06/09/2023] [Indexed: 07/05/2023]
Abstract
OBJECTIVE Nurse home visiting (NHV) is designed to redress child and maternal health inequities. Of the previous trials to investigate NHV benefits beyond preschool, none were designed for populations with universal healthcare. To address this evidence gap, we investigated whether the Australian 'right@home' NHV programme improved child and maternal outcomes when children turned 6 and started school. METHODS A screening survey identified pregnant women experiencing adversity from antenatal clinics across two states (Victoria, Tasmania). 722 were randomised: 363 to the right@home programme (25 visits promoting parenting and home learning environment) and 359 to usual care. Child measures at 6 years (first school year): Strengths and Difficulties Questionnaire (SDQ), Social Skills Improvement System (SSIS), Childhood Executive Functioning Inventory (CHEXI) (maternal/teacher-reported); general health and paediatric quality of life (maternal-reported) and reading/school adaptation items (teacher-reported). Maternal measures: Personal Well-being Index (PWI), Depression Anxiety Stress Scales, warm/hostile parenting, Child-Parent Relationship Scale (CPRS), emotional abuse and health/efficacy items. Following best-practice methods for managing missing data, outcomes were compared between groups (intention-to-treat) using regression models adjusted for stratification factors, baseline variables and clustering (nurse/site level). RESULTS Mothers reported on 338 (47%) children, and teachers on 327 (45%). Patterns of group differences favoured the programme arm, with small benefits (effect sizes ranging 0.15-0.26) evident for SDQ, SSIS, CHEXI, PWI, warm parenting and CPRS. CONCLUSIONS Four years after completing the right@home programme, benefits were evident across home and school contexts. Embedding NHV in universal healthcare systems from pregnancy can offer long-term benefits for families experiencing adversity. TRIAL REGISTRATION NUMBER ISRCTN89962120.
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Affiliation(s)
- Anna Price
- Centre for Community Child Health, The Royal Children's Hospital, Parkville, Vic, Australia
- Population Health, Murdoch Children's Research Institute, Parkville, Vic, Australia
- Department of Paediatrics, University of Melbourne, Parkville, Vic, Australia
| | - Hannah Bryson
- Centre for Community Child Health, The Royal Children's Hospital, Parkville, Vic, Australia
- Population Health, Murdoch Children's Research Institute, Parkville, Vic, Australia
| | - Fiona K Mensah
- Population Health, Murdoch Children's Research Institute, Parkville, Vic, Australia
- Department of Paediatrics, University of Melbourne, Parkville, Vic, Australia
| | - Bridget Kenny
- Centre for Community Child Health, The Royal Children's Hospital, Parkville, Vic, Australia
- Population Health, Murdoch Children's Research Institute, Parkville, Vic, Australia
| | - Xiaofang Wang
- Clinical Epidemiology and Biostatistics Unit, Murdoch Children's Research Institute, Parkville, Victoria, Australia
- Melbourne Children's Trials Centre, Murdoch Children's Research Institute, Parkville, Vic, Australia
| | - Francesca Orsini
- Clinical Epidemiology and Biostatistics Unit, Murdoch Children's Research Institute, Parkville, Victoria, Australia
- Melbourne Children's Trials Centre, Murdoch Children's Research Institute, Parkville, Vic, Australia
| | - Lisa Gold
- School of Health and Social Development, Deakin University, Geelong, Vic, Australia
| | - Lynn Kemp
- Ingham Institute, Western Sydney University, Penrith South, New South Wales, Australia
| | - Tracey Bruce
- Ingham Institute, Western Sydney University, Penrith South, New South Wales, Australia
| | - Penny Dakin
- Policy & Projects, Australian Research Alliance for Children and Youth, Canberra, Australian Capital Territory, Australia
| | - Kristy Noble
- Policy & Projects, Australian Research Alliance for Children and Youth, Canberra, Australian Capital Territory, Australia
| | - Maureen Makama
- Centre for Community Child Health, The Royal Children's Hospital, Parkville, Vic, Australia
- Population Health, Murdoch Children's Research Institute, Parkville, Vic, Australia
| | - Sharon Goldfeld
- Centre for Community Child Health, The Royal Children's Hospital, Parkville, Vic, Australia
- Population Health, Murdoch Children's Research Institute, Parkville, Vic, Australia
- Department of Paediatrics, University of Melbourne, Parkville, Vic, Australia
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Frankham LJ, Thorsteinsson EB, Bartik W. The Impact of COVID-19 Related Distress on Antenatal Depression in Australia. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:4783. [PMID: 36981691 PMCID: PMC10049555 DOI: 10.3390/ijerph20064783] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/13/2022] [Revised: 02/25/2023] [Accepted: 03/03/2023] [Indexed: 06/18/2023]
Abstract
Globally, the impact of COVID-19 on mental health has been significant. Pregnant women are known to be a vulnerable population in relation to mental health. In Australia, there was an unprecedented demand during the pandemic for mental health services, including services for pregnant women. Maternal mental health has unique and enduring features that can significantly shape a child's overall development and poor maternal mental health can have considerable social and economic costs. This cross-sectional study evaluated symptoms of antenatal depression and COVID-19-related distress in a sample of two hundred and sixty-nine pregnant women residing in Australia aged between 20 and 43 (M = 31.79, SD = 4.58), as part of a larger study. Social media advertising was used to recruit participants between September 2020 and November 2021. Prevalence rates for antenatal depression were found to be higher in this study (16.4%) compared with previous Australian prevalence rates (7%). COVID-19 distress in relation to having a baby during a COVID-19 outbreak significantly predicted symptoms of antenatal depression, B = 1.46, p < 0.001. Results from this study suggest that mothers and families may have increased mental health vulnerabilities as a consequence of the pandemic for some time yet.
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