scholarly journals 1179Intergenerational Effects of Violence on Women’s Perinatal Wellbeing and Infant Health Outcomes in Vietnam

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Phuc Huyen Do ◽  
Philip Baker ◽  
Van Thang Vo ◽  
Xuan Bach Tran ◽  
Michael Dunne
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Birth Outcomes ◽  
Childhood Maltreatment ◽  
Infant Health ◽  
Maternal Mental Health ◽  
Poor Mental Health ◽  
Partner Support ◽  
Adverse Birth Outcomes ◽  
Violence During Pregnancy

Abstract Background This study examined the intergenerational effects of being exposed to childhood maltreatment (CM) and prenatal intimate partner violence (p-IPV) on perinatal mental distress and birth outcomes in central Vietnam. Methods A birth cohort study in Hue City, Vietnam was conducted with 150 women in the third trimester of pregnancy (Wave 1) and three months after childbirth (Wave 2). Using multivariable logistic regression models, augmented inverse-probability-weighted estimators and structural equation modelling (SEM), we analyzed a theoretical model by evaluating adjusted risk differences and pathways between CM, p-IPV and subsequent perinatal adversity and indicators of infant health problems. Results One in two pregnant women experienced at least one form of CM (55.03%) and one in ten pregnant women experienced both CM and p-IPV (10.67%). Mothers who experienced p-IPV or witnessed IPV as a child were approximately twice as likely to experience poor mental health during pregnancy [ARR 1.94, 95% CI (1.20-3.15)]. Infants had a two-fold higher risk of adverse birth outcomes (low birth weight, preterm birth, admission to neonatal intensive care) [ARR 2.45 95% CI (1.42, 4.25)] if their mothers experienced any form of p-IPV, with greater risk if their mothers were exposed to both CM and p-IPV [ARR 3.45 95% CI (1.40, 8.53)]. Notably, significant pathways to p-IPV were found via adverse childhood experience (ACE) events (β = 0.13), neighborhood disorder (β = 0.14) and partner support (β = -1.3). Conclusions These results emphasize the detrimental and prolonged nature of the effect of violence during childhood and pregnancy. Exposure to childhood maltreatment and violence during pregnancy increases the risk of maternal mental health difficulties and adverse birth outcomes. Antenatal care systems need to be responsive to women’s previous experiences of violence and maternal mental health. The significant protective role of partner support and social support should also be considered when designing tailored interventions to address violence during pregnancy. Key messages Mothers with violent and adverse family backgrounds have twice the risk of poor mental health during pregnancy, and their infants have twice the risk of adverse birth outcomes. Social support during pregnancy may have a buffering effect by reducing the long-term impact of childhood traumatic events.

scholarly journals Intergenerational Effects of Violence on Women’s Perinatal Wellbeing and Infant Health Outcomes: Evidence from a Birth Cohort Study in Central Vietnam

2021 ◽  
Author(s):  
Phuc Huyen Do ◽  
Philip RA Baker ◽  
Van Thang Vo ◽  
Aja Murray ◽  
Linda Murray ◽  
...  
Keyword(s):  
Mental Health ◽  
Birth Outcomes ◽  
Childhood Maltreatment ◽  
Infant Health ◽  
Maternal Mental Health ◽  
Partner Support ◽  
Birth Cohort Study ◽  
Adverse Birth Outcomes ◽  
Central Vietnam ◽  
Violence During Pregnancy

Abstract Background: This study examined the intergenerational effects of being exposed to childhood maltreatment (CM) and prenatal intimate partner violence (p-IPV) on perinatal mental distress and birth outcomes in central Vietnam. Methods: A birth cohort study in Hue City, Vietnam was conducted with 150 women in the third trimester of pregnancy (Wave 1) and three months after childbirth (Wave 2). Using multivariable logistic regression models, augmented inverse-probability-weighted estimators and structural equation modelling (SEM), we analyzed a theoretical model by evaluating adjusted risk differences and pathways between CM, p-IPV and subsequent perinatal adversity and indicators of infant health problems. Results: One in two pregnant women experienced at least one form of CM (55.03%) and one in ten pregnant women experienced both CM and p-IPV (10.67%). Mothers who experienced p-IPV or witnessed IPV as a child were approximately twice as likely to experience poor mental health during pregnancy [ARR 1.94, 95% CI (1.20-3.15)]. Infants had a two-fold higher risk of adverse birth outcomes (low birth weight, preterm birth, admission to neonatal intensive care) [ARR 2.45 95% CI (1.42, 4.25)] if their mothers experienced any form of p-IPV, with greater risk if their mothers were exposed to both CM and p-IPV [ARR 3.45 95% CI (1.40, 8.53)]. Notably, significant pathways to p-IPV were found via adverse childhood experience (ACE) events (β = 0.13), neighborhood disorder (β = 0.14) and partner support (β = -1.3). Conclusion: These results emphasize the detrimental and prolonged nature of the effect of violence during childhood and pregnancy. Exposure to childhood maltreatment and violence during pregnancy increases the risk of maternal mental health difficulties and adverse birth outcomes. Antenatal care systems need to be responsive to women’s previous experiences of violence and maternal mental health. The significant protective role of partner support and social support should also be considered when designing tailored interventions to address violence during pregnancy.

scholarly journals Intergenerational effects of violence on women’s perinatal wellbeing and infant health outcomes: evidence from a birth cohort study in Central Vietnam

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Huyen Phuc Do ◽  
Philip R. A. Baker ◽  
Thang Van Vo ◽  
Aja Murray ◽  
Linda Murray ◽  
...  
Keyword(s):  
Mental Health ◽  
Birth Outcomes ◽  
Childhood Maltreatment ◽  
Infant Health ◽  
Maternal Mental Health ◽  
Partner Support ◽  
Birth Cohort Study ◽  
Adverse Birth Outcomes ◽  
Central Vietnam ◽  
Violence During Pregnancy

Abstract Background Girls exposed to violence have a high risk of being victimized as adults and are more likely than non-abused women to have children who are treated violently. This intergenerational transmission may be especially serious when women suffer violence during pregnancy and early motherhood, as it impairs maternal wellbeing and infant health and development. This study examined the intergenerational effects of being exposed to childhood maltreatment (CM) and prenatal intimate partner violence (p-IPV) on perinatal mental distress and birth outcomes in central Vietnam. Methods A birth cohort study in Hue City, Vietnam was conducted with 150 women in the third trimester of pregnancy (Wave 1) and 3 months after childbirth (Wave 2). Using multivariable logistic regression models, augmented inverse-probability-weighted estimators and structural equation modelling (SEM), we analyzed a theoretical model by evaluating adjusted risk differences and pathways between CM, p-IPV and subsequent perinatal adversity and indicators of infant health problems. Results One in two pregnant women experienced at least one form of CM (55.03%) and one in ten pregnant women experienced both CM and p-IPV (10.67%). Mothers who experienced p-IPV or witnessed IPV as a child were approximately twice as likely to experience poor mental health during pregnancy [ARR 1.94, 95% CI (1.20–3.15)]. Infants had a two-fold higher risk of adverse birth outcomes (low birth weight, preterm birth, admission to neonatal intensive care) [ARR 2.45 95% CI (1.42, 4.25)] if their mothers experienced any form of p-IPV, with greater risk if their mothers were exposed to both CM and p-IPV [ARR 3.45 95% CI (1.40, 8.53)]. Notably, significant pathways to p-IPV were found via adverse childhood experience (ACE) events (β = 0.13), neighborhood disorder (β = 0.14) and partner support (β = − 1.3). Conclusion These results emphasize the detrimental and prolonged nature of the effect of violence during childhood and pregnancy. Exposure to childhood maltreatment and violence during pregnancy increases the risk of maternal mental health difficulties and adverse birth outcomes. Antenatal care systems need to be responsive to women’s previous experiences of violence and maternal mental health. The significant protective role of partner support and social support should also be considered when designing tailored interventions to address violence during pregnancy.

scholarly journals Inter-partner violence during pregnancy, maternal mental health and birth outcomes in Vietnam: A systematic review

2019 ◽  
Vol 96 ◽  
pp. 255-265 ◽  
Author(s):  
Huyen Phuc Do ◽  
Bach Xuan Tran ◽  
Cuong Tat Nguyen ◽  
Thang Van Vo ◽  
Philip R.A. Baker ◽  
...  
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Birth Outcomes ◽  
Partner Violence ◽  
Maternal Mental Health ◽  
Violence During Pregnancy

Roles of Psychological Distress and Social Support in the Relationship Between Childhood Maltreatment and Perceived Needs for Mental Health Care

2021 ◽  
pp. 088626052110063
Author(s):  
Tingting Gao ◽  
Songli Mei ◽  
Muzi Li ◽  
Carl D’ Arcy ◽  
Xiangfei Meng
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Health Care ◽  
Psychological Distress ◽  
Mental Health Care ◽  
Childhood Maltreatment ◽  
Perceived Needs ◽  
Perceived Need ◽  
History Of ◽  
The Relationship

Childhood maltreatment is a major public health issue worldwide. It increases a range of health-risk behaviors, psychological and physical problems, which are associated with an increased need for mental health services in adulthood. Identification of mediating factors in the relationship between maltreatment and seeking mental health care may help attenuate the negative consequences of childhood maltreatment and promote more appropriate treatment. This study aims to examine whether the relationship between childhood maltreatment and perceived need for mental health care is mediated by psychological distress and/or moderated by social support. Data from the Canadian Community Health Survey-Mental Health 2012 are analyzed. A total of 8,993 participants, who had complete information on childhood maltreatment and diagnoses of mental disorders or psychological distress, are included in this study. Structural equation modeling and the PROCESS macro were used to identify relationships among childhood maltreatment, perceived needs for mental health care, and psychological distress. Hierarchical linear regression was then used to verify the moderated mediation model. We found that psychological distress partially mediated the effect of childhood maltreatment on perceived needs for mental health care in adulthood. Social support played an important role in terms of moderating the relationship between maltreatment and perceived needs for care. For those with a history of childhood maltreatment, those who perceived a low level of social support were more likely to have higher levels of psychological distress and perceived need for mental health care. This is the first study to identify the separate and combined roles of psychological distress and social support in the relationship between childhood maltreatment and perceived need for mental health care. Selective prevention strategies should focus on social support to improve mental health services among people with a history of childhood maltreatment.

scholarly journals Military spouses with deployed partners are at greater risk of poor perinatal mental health: a scoping review

2019 ◽  
Vol 165 (5) ◽  
pp. 363-370 ◽  
Author(s):  
Lauren Rose Godier-McBard ◽  
L Ibbitson ◽  
C Hooks ◽  
M Fossey
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Scoping Review ◽  
Healthcare Providers ◽  
Well Being ◽  
Perinatal Period ◽  
Poor Mental Health ◽  
Adverse Outcomes ◽  
Military Spouses ◽  
Perinatal Mental Health

BackgroundPoor mental health in the perinatal period is associated with a number of adverse outcomes for the individual and the wider family. The unique circumstances in which military spouses/partners live may leave them particularly vulnerable to developing perinatal mental health (PMH) problems.MethodsA scoping review was carried out to review the literature pertaining to PMH in military spouses/partners using the methodology outlined by Arksey and O’Malley (2005). Databases searched included EBSCO, Gale Cengage Academic OneFile, ProQuest and SAGE.ResultsThirteen papers fulfilled the inclusion criteria, all from the USA, which looked a PMH or well-being in military spouses. There was a strong focus on spousal deployment as a risk factor for depressive symptoms and psychological stress during the perinatal period. Other risk factors included a lack of social/emotional support and increased family-related stressors. Interventions for pregnant military spouses included those that help them develop internal coping strategies and external social support.ConclusionsUS literature suggests that military spouses are particularly at risk of PMH problems during deployment of their serving partner and highlights the protective nature of social support during this time. Further consideration needs to be made to apply the findings to UK military spouses/partners due to differences in the structure and nature of the UK and US military and healthcare models. Further UK research is needed, which would provide military and healthcare providers with an understanding of the needs of this population allowing effective planning and strategies to be commissioned and implemented.

scholarly journals Perinatal mental health around the world: priorities for research and service development in Africa

2020 ◽  
Vol 17 (3) ◽  
pp. 56-59 ◽  
Author(s):  
Mwawi Ng'oma ◽  
Tesera Bitew ◽  
Malinda Kaiyo-Utete ◽  
Charlotte Hanlon ◽  
Simone Honikman ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Partner Violence ◽  
Large Scale ◽  
Infant Health ◽  
Common Mental Disorders ◽  
Maternal Mental Health ◽  
Service Development ◽  
Middle Income ◽  
The Right

Africa is a diverse and changing continent with a rapidly growing population, and the mental health of mothers is a key health priority. Recent studies have shown that: perinatal common mental disorders (depression and anxiety) are at least as prevalent in Africa as in high-income and other low- and middle-income regions; key risk factors include intimate partner violence, food insecurity and physical illness; and poor maternal mental health is associated with impairment of infant health and development. Psychological interventions can be integrated into routine maternal and child healthcare in the African context, although the optimal model and intensity of intervention remain unclear and are likely to vary across settings. Future priorities include: extension of research to include neglected psychiatric conditions; large-scale mixed-method studies of the causes and consequences of perinatal common mental disorders; scaling up of locally appropriate evidence-based interventions, including prevention; and advocacy for the right of all women in Africa to safe holistic maternity care.

Young construction workers: substance use, mental health, and workplace psychosocial factors

2017 ◽  
Vol 10 (4) ◽  
pp. 155-168 ◽  
Author(s):  
Ken Pidd ◽  
Vinita Duraisingam ◽  
Ann Roche ◽  
Allan Trifonoff
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Substance Use ◽  
Psychological Distress ◽  
Construction Industry ◽  
Psychosocial Factors ◽  
Job Stress ◽  
Poor Mental Health ◽  
Psychological Wellbeing ◽  
Content Type

Purpose Young Australian workers are at elevated risk of mental health and alcohol and other drug related problems. The purpose of this paper is to examine the relationship between alcohol and drug (AOD) use, psychological wellbeing, and the workplace psychosocial environment among young apprentices in the construction industry. Design/methodology/approach A cross-sectional survey of a cohort of 169 construction industry apprentices in their first year of training was undertaken. The survey included measures of psychological distress (K10), quantity/frequency measures of alcohol and illicit drug use, and workplace psychosocial factors. Findings Construction industry apprentices are at elevated risk of AOD related harm and poor mental health. Levels of psychological distress and substance use were substantially higher than age/gender equivalent Australian population norms. Job stress, workplace bullying, and general social support accounted for 38.2 per cent of the variance in psychological distress. General social support moderated the effects of job stress and bullying on psychological distress. Substance use was not associated with psychological distress. However, workplace social support accounted for 2.1 per cent of the variance in AUDIT-C scores, and 2.0 per cent of the variance in cannabis use. Workplace bullying explained 2.4 per cent of the variance in meth/amphetamine use. Practical implications Construction trades apprentices are a high-risk group for harmful substance use and poor mental health. Study results indicate that psychosocial wellbeing interventions are warranted as a harm reduction strategy. Originality/value This is the first study of its kind to describe a cohort of Australian construction trade apprentices in terms of their substance use and psychological wellbeing. The study shows workplace psychosocial factors may predict young workers psychological wellbeing.

scholarly journals Violence While in Utero: The Impact of Assaults during Pregnancy on Birth Outcomes

2020 ◽  
pp. 1-46
Author(s):  
Janet Currie ◽  
Michael Mueller-Smith ◽  
Maya Rossin-Slater
Keyword(s):  
New York ◽  
Birth Outcomes ◽  
Infant Health ◽  
In Utero ◽  
Adverse Birth Outcomes ◽  
Disadvantaged Women ◽  
The Us ◽  
Birth Records ◽  
The Impact

We study the effects of prenatal exposure to violent crime on infant health, using New York City crime records linked to mothers' addresses in birth records data. We address endogeneity of assault exposure with three strategies and find that in utero assault exposure significantly increases the incidence of adverse birth outcomes. We calculate that the annual social cost of assault during pregnancy in the US is more than $3.8 billion. Since infant health predicts long-term wellbeing and disadvantaged women are disproportionately likely to be domestic abuse victims, violence in utero may be an important channel for intergenerational transmission of inequality.

scholarly journals The effect of social support to postpartum depression in postpartum mother in 2018

2019 ◽  
Vol 1 (2) ◽  
Author(s):  
Dessy Hertati ◽  
Evi Nurhidayati
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Postpartum Depression ◽  
Maternal Depression ◽  
Maternal Mental Health ◽  
Post Partum ◽  
Depression Symptoms ◽  
The Social ◽  
One Year ◽  
Postpartum Mothers

The Effect Of Social Support To Postpartum Depression in Postpartum Mother. Post-partum mother have the potential of depression. Their new role as mother gives a higher burden on their mental health. According to the American of Pedriatrics, a retrospective study conducted by nursing found that one of seven women was hospitalized for depression during pregnancies up to one year after childbirth. The prevalence of maternal depression in 2 weeks after delivery was 80-85% and more than 8-15% will develop into postpartum depression. Pregnant mother who did not receive social support were associated with the incidence of postpartum depression with an OR of 2.12 to 3.38 as well as postpartum mothers who received less social support associated with postpartum depression with OR values of 2.06 to 9.64.The study was conducted by literature studies on 10 previous studies about social support variables and the occurrence of postpartum depression. It was found that social support is essential for post-partum mothers in order to keep their confidence to take care their babies and adapt to new things. The social supports were expected from husbands, families, health professionals and environment. Several factors such as culture, education level, demography, and birth experience have the effects on the potential of post-partum depression. Low level of social support increased maternal depression and reduce maternal mental health within four weeks after delivery. High levels of depression can lead to self-harming, acute depression symptoms such as sadness, crying, irritability, anxiety, concentration difficulty, lability of feelings and sleep and appetite disorders, even at an advanced level, it can lead to suicide. In order to minimize and overcome postpartum depression, midwives are expected to provide promotive preventive care on mental health both in prenatal and antenatal periods.

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