Poor early childhood outcomes attributable to maternal depression in Mexican women.

Abstract

We aimed to estimate the population fraction of poor early child health and developmental outcomes attributable to maternal depressive symptoms (DS) contrasting it between low- and middle/high-income households. We used a nationally representative probabilistic sample of 4240 children younger than 5years old and their mothers, derived from the Mexican National Health and Nutrition Survey Data (ENSANUT 2012). Complex survey design, sampling, and analytic weights were taken into account in analyses. DS was measured by CESD-7. Child outcomes were as follows: breastfeeding, attending well-child check-ups, respiratory disease, diarrhea and general health problems, immunization, accidents, growth, obesity, and food insecurity. Prevalence of DS among mothers was 21.36%. In low-SES households, DS was associated with higher risk of never being breastfed (RR=1.77; p<.05), health problems (RR=1.37; p<.05), acute respiratory disease (RR=1.51; p<.05), accidents requiring child hospitalization (RR=2.16; p<.01), and moderate or severe food insecurity (RR=1.58; p<.001). In medium- or high-SES households, DS was associated with higher risk of never attending a developmental check-up (RR=2.14; p<.05) and moderate or severe food insecurity (RR=1.75; p<.01). Population risks attributable to DS ranged from 2.30 to 17.45%. Prevention of DS could lead to reduction of problematic early childhood outcomes in both low and medium/high SES.