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Parental Prevention Practices for Young Children in the Context of Maternal Depression
Abstract
Objective.: To assess the relationship between maternal depression and 4 parent-based prevention practices (use of car seats and electrical plug covers, presence of syrup of ipecac in the home, and reading to their child), using a large nationally representative follow-back sample. Methods.: The maternal self-report components of 2 databases were used for this study, the 1988 National Maternal and Infant Health Survey and the linked companion 1991 Longitudinal Follow-Up Survey. A total of 7537 mothers with newborns in 1988 served as the subjects. Measures of the 4 prevention practices were extracted from the 1991 survey. Depressive symptom measures were derived from both surveys using the Center for Epidemiologic Studies-Depression Scale. Weighted bivariate and multivariate logistic analyses were used to assess the relationship between maternal depressive symptoms (trichotomized to depression at both time points, at 1 time point, and at neither time point) and parental prevention practices, while controlling for a wide variety of sociodemographic variables. Results.: Mothers reporting a high level of depressive symptoms (Center for Epidemiologic Studies-Depression Scale score ≥16) reported significantly poorer prevention practices for car seat use, covering electrical plugs, and having syrup of ipecac in the home. High depressive symptoms were also related to a lower likelihood of daily reading, but only for those mothers presently living with a male partner. Engagement in all prevention practices, except having syrup of ipecac in the home, were less likely if the mother reported high levels of depressive symptoms at both time points versus a single time point. Conclusion.: Maternal depression may significantly impede parental prevention practices. As maternal depression is a treatable condition, screening and treating this disorder may contribute to improvement in childhood prevention practices and ultimately child health.
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“Depressed mothers are also less likely to promote safety behaviours that may prevent injury and harm among their children and are more likely to use corporal punishment (Chung et al. 2004;Mclennan & Kotelchuck, 2000).”
From The effects of paternal depression on child and adolescent outcomes: A systematic review (2016) · cites this paper as Mclennan & Kotelchuck, 2000
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Witt, W. P., Fortuna, L. R., Wu, E., Kahn, R. S., Winickoff, J. P., Pirraglia, P. A., Ferris, T. G. G., & Kuhlthau, K. A. (2006) · Ambulatory Pediatrics · doi:10.1016/j.ambp.2005.12.004 · Cited by 15
Predictors of Maternal Depression Management among Primary Care Physicians
Leiferman, J. A., Dauber, S. E., Scott, K. D., Heisler, K. W., & Paulson, J. F. (2010) · Depression Research and Treatment · doi:10.1155/2010/671279 · Cited by 15
Personal assistance for children and adolescents (0-18) with physical impairments
Mayo‐Wilson, E., Montgomery, P., & Dennis, J. A. (2008) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd006277.pub2 · Cited by 15
Davis, E. C., Young, D., Gilson, K., Reynolds, J., Carter, R., Tonmukayakul, U., Williams, K. J., Gibbs, L. F., McDonald, R. L., Reddihough, D. S., et al. (2019) · JMIR Research Protocols · doi:10.2196/12531 · Cited by 14
Metadata
- Authors
- McLennan, J. D., & Kotelchuck, M.
- Affiliations
- McMaster University (CA)
- University of North Carolina at Chapel Hill (US)
- Venue
- Pediatrics
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 2000-05-01
- Volume
- 105
- Issue
- 5
- Pages
- 1090-1095
- ISSN
- 0031-4005 (ISSN-L)
- 1098-4275
- OpenAlex
- W1979609055
- Cited by
- 170
- References
- 34
- Citations by year
- 2025: 1 · 2023: 2 · 2022: 1 · 2021: 7 · 2020: 3 · 2019: 2 · 2018: 6 · 2017: 4 · 2016: 6 · 2015: 7 · 2014: 7 · 2013: 6 · 2012: 7
- FWCI
- 6.25
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- PEDIATRICS (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- maternal depression, child injury prevention, car seat use, syrup of ipecac, reading to children, depressive symptoms, young children, child health, maternal health screening
- MeSH terms
- Accident Prevention, Adult, Child, Depression, Female, Humans, Maternal Behavior, Multivariate Analysis
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