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BMC Public Health
Published in: BMC Public Health 1/2016

Open Access 01-12-2016 | Research article

Association between maternal depression and child stunting in Northern Ghana: a cross-sectional study

Authors: Anthony Wemakor, Kofi Akohene Mensah

Published in: BMC Public Health | Issue 1/2016

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Abstract

Background

Stunting indicates failure to attain genetic potential for height and is a well-documented indicator for poor growth. Depression is common in women of reproductive age and women’s mental health problems may affect the growth of young children. We examined the association between maternal depression and stunting in mother-child pairs attending Child Welfare Clinic (CWC) in Northern Ghana.

Methods

An analytical cross-sectional study was performed involving mothers (15–45 years) and their children (0–59 months) who attended CWC at Bilpeila Health Centre, Tamale, Ghana. Socio-demographic data were collected using a semi-structured questionnaire, maternal depression was measured using Centre for Epidemiological Studies Depression Screening Scale, and anthropometry was conducted on children following standard procedures. The association between maternal depression and child stunting was examined in logistic regression adjusting for potential confounders.

Results

Prevalence rates of child stunting and maternal depression were estimated at 16.1 and 27.8 % respectively in Northern Ghana. Mothers with depression when compared with those without depression tended to be younger, be currently unmarried, belong to the poorest household wealth tertile, and were more likely to have low birth weight babies, so these characteristics were adjusted for. In an adjusted multivariate logistic regression model, children of depressed mothers were almost three times more likely to be stunted compared to children of non-depressed mothers (Adjusted OR = 2.48, 95 % CI 1.29–4.77, p = 0.0011).

Conclusions

There is a high prevalence of depression among mothers in Northern Ghana which is associated with child stunting. Further studies are needed to identify the determinants of maternal depression and to examine its association with child stunting to inform nutrition programming.
Appendix
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Literature
1.
World Health Organisation. Physical status: the use and interpretation of anthropometry, WHO technical report series. Geneva: WHO; 1995.
2.
Victora CG, Adair L, Fall C, Hallal PC, Martorell R, Richter L, Sachdev HS, Maternal and Child Undernutrition Study Group. Maternal and child undernutrition: consequences for adult health and human capital. Lancet. 2008;371(9609):340–57.CrossRefPubMedPubMedCentral
3.
Barker DJ. The developmental origins of chronic adult disease. Acta Paediatr. 2004;93:26–33.CrossRef
4.
Bhutta ZA, Ahmed T, Black RE, Cousens S, Dewey K, Giugliani E, Haider BA, Kirkwood B, Morris SS, Sachdev HPS. What works?: Interventions for maternal and child undernutrition and survival. Lancet. 2008;371(9610):417–40.CrossRefPubMed
5.
GSS, GHS, and ICF. Ghana demographic and health survey 2014. Rockville: GSS, GHS, and ICF International; 2014.
6.
GSS, NMIMR, and ORC. Ghana demographic and health survey, 2003. Accra: Ghana Statistical Service; 2004.
7.
O’hara MW, Swain AM. Rates and risk of postpartum depression–a meta-analysis. Int Rev Psychiatry. 1996;8(1):37–54.CrossRef
8.
Sawyer A, Ayers S, Smith H. Pre- and postnatal psychological wellbeing in Africa: a systematic review. J Affect Disord. 2010;123:17–29.CrossRefPubMed
9.
Okronipa HET, Marquis GS, Lartey A, Brakohiapa L, Perez-Escamilla R, Mazur RE. Postnatal depression symptoms are associated with increased diarrhoea among infants of HIV-positive Ghanaian mothers. AIDS Behav. 2012;16:2216–25.CrossRefPubMedPubMedCentral
10.
Gold KJ, Spangenberg K, Wobil P, Schwenk TL. Depression and risk factors for depression among mothers of sick infants in Kumasi, Ghana. Int J Gynecol Obstet. 2013;120(3):228–31.CrossRef
11.
Weobong B, ten Asbroek AH, Soremekun S, Danso S, Owusu-Agyei S, Prince M, Kirkwood BR. Determinants of postnatal depression in rural Ghana: findings from the Don population based cohort study. Depress Anxiety. 2015;32(2):108–19.CrossRefPubMed
12.
Gavin NI, Gaynes BN, Lohr KN, Meltzer-Brody S, Gartlehner G, Swinson T. Perinatal Depression: A Systematic Review of Prevalence and Incidence. Obstet Gynecol. 2005;106(5, Part 1):1071–83.CrossRefPubMed
13.
Cummings EM, Davies PT. Maternal depression and child development. J Child Psychol Psychiatry. 1994;35(1):73–122.CrossRefPubMed
14.
15.
Rondó PHC, Rezende G, Lemos JO, Pereira JA. Maternal stress and distress and child nutritional status. Eur J Clin Nutr. 2013;67(4):348–52.CrossRefPubMed
16.
Cooper PJ, Tomlinson M, Swartz L, Woolgar M, Murray L, Molteno C. Post-partum depression and the mother-infant relationship in a South African peri-urban settlement. Br J Psychiatry. 1999;175(6):554–8.CrossRefPubMed
17.
Widdowson EM. Mental contentment and physical growth. Lancet. 1951;257(6668):1316–8.CrossRef
18.
Rahman A, Harrington R, Bunn J. Can maternal depression increase infant risk of illness and growth impairment in developing countries? Child: care. Health Dev. 2002;28(1):51–6.CrossRef
19.
Casey P, Goolsby S, Berkowitz C, Frank D, Cook J, Cutts D, Black MM, Zaldivar N, Levenson S, Heeren T, Meyers A. Maternal depression, changing public assistance, food security, and child health status. Pediatrics. 2004;113(2):298–304.CrossRefPubMed
20.
Hurley K, Surkan P, Black M. Maternal Depression and Child Growth in Developing Countries: A Focus on the Postnatal Period. In: Preedy VR, editor. Handbook of Growth and Growth Monitoring in Health and Disease. New York: Spinger; 2012. p. 2023–46.CrossRef
21.
Stewart RC. Maternal depression and infant growth–a review of recent evidence. Matern Child Nutr. 2007;3(2):94–107.CrossRefPubMed
22.
Surkan PJ, Kennedy CE, Hurley KM, Black MM. Maternal depression and early childhood growth in developing countries: systematic review and meta-analysis. Bull World Health Organ. 2011;89:607–15.CrossRefPubMedCentral
23.
World Health Organisation. WHO Child Growth Standards based on length/height, weight and age. Acta Paediatr. 2006;450:76–85.
24.
Radloff LS. The CES-D scale a self-report depression scale for research in the general population. Appl Psychol Meas. 1977;1(3):385–401.CrossRef
25.
Zhang MY. Handbook of rating scales in psychiatry. Changsha: Hunan Science and Technology Press; 1998.
26.
Adewuya AO, Ola BA, Aloba OO, Dada AO, Fasoto OO. Prevalence and correlates of depression in late pregnancy among Nigerian women. Depress Anxiety. 2007;24(1):15–21.CrossRefPubMed
27.
Fisher J, Mello MC, Patel V, Rahman A, Tran T, Holton S, Holmes W. Prevalence and determinants of common perinatal mental disorders in women in low-and lower-middle-income countries: a systematic review. Bull World Health Organ. 2012;90(2):139–49.CrossRef
28.
Weobong B, Akpalu B, Doku V, Owusu-Agyei S, Hurt L, Kirkwood B, Prince M. The comparative validity of screening scales for postnatal common mental disorder in Kintampo, Ghana. J Affect Disord. 2009;113(1):109–17.CrossRefPubMed
29.
Bindt C, Appiah-Poku J, Te Bonle M, Schoppen S, Feldt T, Barkmann C, Koffi M, Baum J, Nguah SB, Tagbor H, Guo N. Antepartum depression and anxiety associated with disability in African women: cross-sectional results from the CDS Study in Ghana and Côte d’Ivoire. PloS one. 2012;7(10):e48396.CrossRefPubMedPubMedCentral
30.
Ramalingaswami V, Jonsson U. Commentary: the Asian enigma. The Progress of Nations 1966. Nutrition, UNICEF. New York: United Nations Children's Fund; 1996.
31.
Unicef. Strategy for improved nutrition of children and women in developing countries. New York: Unicef; 1990.
32.
Patel V, DeSouza N, Rodrigues M. Postnatal depression and infant growth and development in low income countries: a cohort study from Goa, India. Arch Dis Child. 2003;88(1):34–7.CrossRefPubMedPubMedCentral
33.
Rahman A, Iqbal Z, Bunn J, Lovel H, Harrington H. Impact of maternal depression on infant nutritional status and illness: a cohort study. Arch Gen Psychiatry. 2004;61(9):946–52.CrossRefPubMed
34.
Anoop S, Saravanan B, Joseph A, Cherian A, Jacob KS. Maternal depression and low maternal intelligence as risk factors for malnutrition in children: a community based case-control study from South India. Arch Dis Child. 2004;89(4):325–9.CrossRefPubMedPubMedCentral
35.
Husain N, Cruickshank JK, Tomenson B, Khan S, Rahman A. Maternal depression and infant growth and development in British Pakistani women: a cohort study. BMJ Open. 2012;2(2):e000523.CrossRefPubMedPubMedCentral
36.
Adewuya AO, Ola BO, Aloba OO, Mapayi BM, Okeniyi JAO. Impact of postnatal depression on infants’ growth in Nigeria. J Affect Disord. 2008;108(1–2):191–3.CrossRefPubMed
Metadata
Title
Association between maternal depression and child stunting in Northern Ghana: a cross-sectional study
Authors
Anthony Wemakor
Kofi Akohene Mensah
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2016
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-016-3558-z

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