Is Maternal Stress and Morbidity Associated with Infant Malnutrition?

Aim: To examine the relationship between maternal stress, maternal morbidity, social support and infant malnutrition, among mothers living in the semi-formal and formal settlements served by the Gold Fields Nutrition Centre (the Centre) at the Medical University of Southern Africa (MEDUNSA). Study d...

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Main Authors: M. Saasa-Modise, G.S. Fehrsen, L.M. Marais, J.B. Levin, G.T.H. Ellison, U. MacIntyre
Format: Article
Language:English
Published: AOSIS 2000-02-01
Series:South African Family Practice
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Online Access:https://safpj.co.za/index.php/safpj/article/view/2189
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author M. Saasa-Modise
G.S. Fehrsen
L.M. Marais
J.B. Levin
G.T.H. Ellison
U. MacIntyre
author_facet M. Saasa-Modise
G.S. Fehrsen
L.M. Marais
J.B. Levin
G.T.H. Ellison
U. MacIntyre
author_sort M. Saasa-Modise
collection DOAJ
description Aim: To examine the relationship between maternal stress, maternal morbidity, social support and infant malnutrition, among mothers living in the semi-formal and formal settlements served by the Gold Fields Nutrition Centre (the Centre) at the Medical University of Southern Africa (MEDUNSA). Study design: Case control study of mothers with malnourished infants (the cases) and mothers with well-nourished infants (the controls). Exposure: Maternal morbidity was assessed using a combination of tests, medical consultation, laboratory tests and health questionnaire. For maternal stress a questionnaire based on the Life Experiences Survey was used. The amount of social support that a mother received was assessed using a list of hypothetical circumstances in which they might seek help or support. In addition a detailed questionnaire was used to collect information on a variety of socio-demographic variables considered to be potential confounders. Statistical Analysis: Variables were compared between cases and controls using paired t-tests (for continuous variables) and McNemar's Chi squared test (for binary data). In addition conditional multiple logistic regression analyses were conducted to assess whether there was an independent association between maternal stress, social support and morbidity on the one hand, and infant malnutrition on the other. Results: Mothers with malnourished children were more likely to have greater stress and illness than mothers with well-nourished children. However the cases and controls did not differ much in their social support system. Using a conditional multiple logistic regression model it was found that malnutrition was significantly related to maternal illness (p=0.008) and maternal stress (p=0.013). lll mothers (odds ratio = 3.37) and stressed mothers (odds ratio = 1.097) were more likely to have malnourished infants. Conclusion: The study showed a strong association between maternal illness and child malnutrition and between maternal stress and child malnutrition, There was also no evidence of an association between social support and child malnutrition. In view of the high number of ill mothers, mothers of malnourished children need extra support and attention to care for their children.
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spelling doaj-art-8127f8cb8c044210a29231d2eed5f8a72025-08-20T03:46:57ZengAOSISSouth African Family Practice2078-61902078-62042000-02-0122110.4102/safp.v22i1.21891731Is Maternal Stress and Morbidity Associated with Infant Malnutrition?M. Saasa-ModiseG.S. FehrsenL.M. MaraisJ.B. LevinG.T.H. EllisonU. MacIntyreAim: To examine the relationship between maternal stress, maternal morbidity, social support and infant malnutrition, among mothers living in the semi-formal and formal settlements served by the Gold Fields Nutrition Centre (the Centre) at the Medical University of Southern Africa (MEDUNSA). Study design: Case control study of mothers with malnourished infants (the cases) and mothers with well-nourished infants (the controls). Exposure: Maternal morbidity was assessed using a combination of tests, medical consultation, laboratory tests and health questionnaire. For maternal stress a questionnaire based on the Life Experiences Survey was used. The amount of social support that a mother received was assessed using a list of hypothetical circumstances in which they might seek help or support. In addition a detailed questionnaire was used to collect information on a variety of socio-demographic variables considered to be potential confounders. Statistical Analysis: Variables were compared between cases and controls using paired t-tests (for continuous variables) and McNemar's Chi squared test (for binary data). In addition conditional multiple logistic regression analyses were conducted to assess whether there was an independent association between maternal stress, social support and morbidity on the one hand, and infant malnutrition on the other. Results: Mothers with malnourished children were more likely to have greater stress and illness than mothers with well-nourished children. However the cases and controls did not differ much in their social support system. Using a conditional multiple logistic regression model it was found that malnutrition was significantly related to maternal illness (p=0.008) and maternal stress (p=0.013). lll mothers (odds ratio = 3.37) and stressed mothers (odds ratio = 1.097) were more likely to have malnourished infants. Conclusion: The study showed a strong association between maternal illness and child malnutrition and between maternal stress and child malnutrition, There was also no evidence of an association between social support and child malnutrition. In view of the high number of ill mothers, mothers of malnourished children need extra support and attention to care for their children.https://safpj.co.za/index.php/safpj/article/view/2189maternal stressmaternal morbidityinfant malnutritioncase control studysouth africa
spellingShingle M. Saasa-Modise
G.S. Fehrsen
L.M. Marais
J.B. Levin
G.T.H. Ellison
U. MacIntyre
Is Maternal Stress and Morbidity Associated with Infant Malnutrition?
South African Family Practice
maternal stress
maternal morbidity
infant malnutrition
case control study
south africa
title Is Maternal Stress and Morbidity Associated with Infant Malnutrition?
title_full Is Maternal Stress and Morbidity Associated with Infant Malnutrition?
title_fullStr Is Maternal Stress and Morbidity Associated with Infant Malnutrition?
title_full_unstemmed Is Maternal Stress and Morbidity Associated with Infant Malnutrition?
title_short Is Maternal Stress and Morbidity Associated with Infant Malnutrition?
title_sort is maternal stress and morbidity associated with infant malnutrition
topic maternal stress
maternal morbidity
infant malnutrition
case control study
south africa
url https://safpj.co.za/index.php/safpj/article/view/2189
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AT jblevin ismaternalstressandmorbidityassociatedwithinfantmalnutrition
AT gthellison ismaternalstressandmorbidityassociatedwithinfantmalnutrition
AT umacintyre ismaternalstressandmorbidityassociatedwithinfantmalnutrition