ArticleInternational breastfeeding journal2021
The effect of maternal depressive symptoms on infant feeding practices in rural Ethiopia: community based birth cohort study.
Article in International breastfeeding journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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14 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.
- The epidemiology of maternal mental health in Africa: a systematic review.Archives of women's mental health · 2025Pooled it
- Article
- Prospective cohort study of postpartum depressive symptoms and associated risk factors among women with and without preeclampsia in Sidama Region, Ethiopia.Maternal health, neonatology and perinatology · 2026Article
- Psychosocial Predictors of Infant and Young Child Feeding Practices Among Mother-Child Dyads in Malawi and South Africa.Maternal & child nutrition · 2025Article
- Maternal Mental Health and Child Dietary Diversity in Rural Kenya: Findings From a Pooled Analysis of 2 Baseline Studies.Current developments in nutrition · 2025Article
- Intimate Partner Violence Against Indigenous Women and Association with Stunting and Anemia in Children: A Mixed Approach in Chimborazo-Ecuador.Maternal and child health journal · 2025Article
- Prevalence and associated factors of psychological distress among caregivers of children with malnutrition: a cross‑sectional study.BMC public health · 2025Article
- Gender-based violence and child nutrition in fragile settings: exploring intersections and opportunities for evidence generation.BMJ nutrition, prevention & health · 2025Review
- Maternal mental health and nutritional status of infants aged under 6 months: A secondary analysis of a cross-sectional survey.PLOS global public health · 2024Article
- Linkages between maternal experience of intimate partner violence and child nutrition outcomes: A rapid evidence assessment.PloS one · 2024Article
- Article
- Associations between infant and young child feeding (IYCF) practice and attitudes toward intimate partner violence (IPV) in Timor-Leste.BMC women's health · 2023Article
- Factors influencing Tanzanian mothers' feeding practices for toddlers: A predictive correlational study.Belitung nursing journal · 2023Article
- Food insecurity, low dietary diversity and poor mental health among Syrian refugee mothers living in vulnerable areas of Greater Beirut, Lebanon.The British journal of nutrition · 2022Article
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Authors and funding
6 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMaternal depression and other psychosocial factors have been shown to have adverse consequences on infant feeding practices. This study explored the longitudinal relationship of maternal depressive symptoms and other selected psychosocial factors with infant feeding practices (IFPs) in rural Ethiopia using summary IFP index.
methodsThis study uses existing data from the ENGINE birth cohort study, conducted from March 2014 to March 2016 in three districts in the southwest of Ethiopia. A total of 4680 pregnant women were recruited and data were collected once during pregnancy (twice for those in the first trimester), at birth, and then every 3 months until the child was 12 months old. A standardized questionnaire was used to collect data on IFPs, maternal depressive symptoms, household food insecurity, intimate partner violence (IPV), maternal social support, active social participation, and other sociodemographic variables. A composite measure of IFP index was computed using 14 WHO recommended infant and young child feeding (IYCF) practice indicators. High IFP index indicated best practice. Prenatal and postnatal maternal depressive symptoms were assessed using the patient health questionnaire (PHQ-9). Linear multilevel mixed effects model was fitted to assess longitudinal relationship of IFPs with maternal depression and other psychosocial factors.
resultsReports of higher postnatal depressive symptoms (ß = - 1.03, P = 0.001) and IPV (ß = - 0.21, P = 0.001) were associated with lower scores on the IFP index. Whereas, reports of better maternal social support (ß = 0.11, P = 0.002) and active social participation (ß = 0.55, P < 0.001) were associated with higher scores on the IFP index. Contrary to expectations, moderate household food insecurity (ß = 0.84, P = 0.003), severe household food insecurity (ß = 1.03, P = 0.01) and infant morbidity episodes (ß = 0.63, P = 0.013) were associated with higher scores on the IFP index.
conclusionsOverall, a multitude of factors are related to IFPs and hence coordinated, multi-sectoral and multi-stakeholder interventions including maternal depressive symptoms screening and management are needed to improve infant feeding practices.
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