Evidence map›Paper›PMID 20667895›Full record

ArticleArchives of disease in childhood. Fetal and neonatal edition2011

Perinatal mental distress and infant morbidity in Ethiopia: a cohort study.

Joanna Ross, Charlotte Hanlon, Girmay Medhin, Atalay Alem, Fikru Tesfaye, Bogale Worku, Michael Dewey, Vikram Patel, Martin Prince

Open access · bronzeAbstract read
In one paragraph

Article in Archives of disease in childhood. Fetal and neonatal edition, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 4 pooled it
4.6field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 4 syntheses or guidelines pooled it, 72 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 3 countries.

Joanna RossFaculty of Medicine, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia.
Charlotte Hanlon
Girmay Medhin
Atalay Alem
Fikru Tesfaye
Bogale Worku
Michael Dewey
Vikram Patel
Martin Prince
Addis Ababa University · ETKing's College London · GBLondon School of Hygiene & Tropical Medicine · GB

Funding

Wellcome Trust 081504Wellcome Trust 091834Wellcome Trust GR07164A
6 · The paper itself

Abstract

objectives(1) To investigate the impact of perinatal common mental disorders (CMD) in Ethiopia on the risk of key illnesses of early infancy: diarrhoea, fever and acute respiratory illnesses (ARI) and (2) to explore the potential mediating role of maternal health behaviours.

designPopulation-based cohort study.

settingDemographic surveillance site in a predominantly rural area of Ethiopia.

participants1065 women (86.3% of eligible) in the third trimester of pregnancy were recruited and 954 (98.6%) of surviving, singleton mother-infant pairs were followed up until 2 months after birth. MAIN EXPOSURE MEASURE: High levels of CMD symptoms, as measured by the locally validated Self-Reporting Questionnaire (SRQ-20 ≥6), in pregnancy only, postnatally only and at both time-points ('persistent').

main outcome measuresMaternal report of infant illness episodes in first 2 months of life.

resultsThe percentages of infants reported to have experienced diarrhoea, ARI and fever were 26.0%, 25.0% and 35.1%, respectively. Persistent perinatal CMD symptoms were associated with 2.15 times (95% CI 1.39 to 3.34) increased risk of infant diarrhoea in a fully adjusted model. The strength of association was not affected by including potential mediators: breast feeding practices, hygiene, the infant's vaccination status or impaired maternal functioning. Persistent perinatal CMD was not associated with infant ARI or fever after adjusting for confounders.

conclusionsPersistent perinatal CMD was associated with infant diarrhoea in this low-income country setting. The observed relationship was independent of maternal health-promoting practices. Future research should further explore the mechanisms underlying the observed association to inform intervention strategies.

Indexed as

AdolescentAdultChild of Impaired ParentsCohort StudiesConfounding Factors, EpidemiologicDeveloping CountriesDiarrhea, InfantileEthiopiaFemaleFeverHealth BehaviorHumansInfant, NewbornMental DisordersMiddle AgedMothers

Identifiers

PMID20667895
PMCPMC3009468
OpenAlexW2016043642

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.