Intimate Partner Violence, Depression, and Child Growth and Development.

Journal: Pediatrics

Volume: 142

Issue: 1

Year of Publication: 2019

Affiliated Institutions:  Department of Global Health and Social Medicine, Harvard Medical School and hind.hashim.n@gmail.com. Departments of Global Health and Population. Center on the Developing Child, Harvard University, Cambridge, Massachusetts. Ifakara Health Institute, Dar es Salaam, Tanzania; and. Department of Psychiatry and Mental Health, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania. Department of Global Health and Social Medicine, Harvard Medical School and.

Abstract summary 

Evidence on the relationship between maternal depression and exposure to intimate partner violence (IPV) with child physical growth and development is equivocal. Our aim in the current study is to examine these relationships among women and their children in Tanzania.The Bayley Scales of Infant Development and anthropometric measures were used to assess children 18 to 36 months of age ( = 1031). Maternal exposure to IPV and depression were assessed using the Tanzania Demographic and Health Survey questionnaire and the Patient Health Questionnaire-9, respectively. We used linear regression models to calculate standardized mean differences (SMDs) for developmental outcomes and generalized linear models to estimate the associations with nutritional status.Mild depressive symptoms in mothers (Patient Health Questionnaire-9 ≥5) and exposure to physical and sexual IPV were associated with lower SMDs for motor skills (-0.14 [ = .023] and -0.23 [ < .01], respectively), expressive communication (-0.13 [ = .187] and -0.23 [ < .01], respectively), receptive communication (-0.19 [ < .009] and -0.16 [ = .03], respectively), and cognitive development (-0.08 [ = .245] and -0.12 [ = .07], respectively). Exposure to physical and sexual IPV was associated with higher risk for stunting (relative risk = 1.6; < .001).This study reveals that maternal depressive symptoms and IPV are associated with adverse child nutritional and developmental outcomes. Further research is needed to develop programs to address IPV and depression among women and enhance the growth and development of their children.

Authors & Co-authors:  Neamah Hind H HH Sudfeld Christopher C McCoy Dana Charles DC Fink Günther G Fawzi Wafaie W WW Masanja Honorati H Danaei Goodarz G Muhihi Alfa A Kaaya Sylvia S Smith Fawzi Mary C MC

Study Outcome 

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Statistics
Citations : 
Authors :  10
Identifiers
Doi : e20173457
SSN : 1098-4275
Study Population
Women,Mothers
Mesh Terms
Child Development
Other Terms
Study Design
Study Approach
Country of Study
Tanzania
Publication Country
United States