Impact of maternal common mental disorders on child educational outcomes at 7 and 9 years : a population-based cohort study in Ethiopia

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dc.contributor.authorMekonnen, Habtamuen_ZA
dc.contributor.authorMedhin, Girmayen_ZA
dc.contributor.authorTomlinson, Marken_ZA
dc.contributor.authorAlem, Atalayen_ZA
dc.contributor.authorPrince, Martinen_ZA
dc.contributor.authorHanlon, Charlotteen_ZA
dc.date.accessioned2019-10-22T09:51:59Z
dc.date.available2019-10-22T09:51:59Z
dc.date.issued2018-01
dc.descriptionCITATION: Mekonnen, H. et al. 2018. Impact of maternal common mental disorders on child educational outcomes at 7 and 9 years: a population-based cohort study in Ethiopia. BMJ Open, 8(1):e018916, doi:10.1136/bmjopen-2017-018916.en_ZA
dc.descriptionThe original publication is available at https://bmjopen.bmj.com/en_ZA
dc.description.abstractObjectives To examine the association between exposure to maternal common mental disorders (CMD) in preschool and early school age children and subsequent child educational outcomes. Design A population-based cohort study. Setting The study was undertaken in the Butajira health and demographic surveillance site (HDSS), a predominantly rural area of south central Ethiopia. Participants Inclusion criteria are women aged between 15 and 49 years, able to speak Amharic, in the third trimester of pregnancy and resident of the HDSS. 1065 women were recruited between July 2005 and February 2006 and followed up. When the average age of children was 6.5 years old, the cohort was expanded to include an additional 1345 mothers and children who had been born in the 12 months preceding and following the recruitment of the original cohort, identified from the HDSS records. Data from a total of 2090 mother–child dyads were included in the current analysis. Measures Maternal CMD was measured when the children were 6–7 (6/7) and 7–8 (7/8) years old using the Self-reporting Questionnaire, validated for the setting. Educational outcomes (dropout) of the children at aged 7/8 years (end of 2013/2014 academic year) were obtained from maternal report. At age 8/9 years (end of 2014/2015 academic year), educational outcomes (academic achievement, absenteeism and dropout) of the children were obtained from school records. Results After adjusting for potential confounders, exposure to maternal CMD at 7/8 years was associated significantly with school dropout (OR 1.07; 95% CI 1.00 to 1.13, P=0.043) and absenteeism (incidence rate ratio 1.01; 95% CI 1.00 to 1.02 P=0.026) at the end of 2014/2015 academic year. There was no association between maternal CMD and child academic achievement. Conclusion Future studies are needed to evaluate whether interventions to improve maternal mental health can reduce child school absenteeism and dropout.en_ZA
dc.description.sponsorshipWellcome Trust (project grant: 093559)en_ZA
dc.description.versionPublishers versionen_ZA
dc.identifier.citationMekonnen, H. et al. 2018. Impact of maternal common mental disorders on child educational outcomes at 7 and 9 years: a population-based cohort study in Ethiopia. BMJ Open, 8(1):e018916, doi:10.1136/bmjopen-2017-018916.en_ZA
dc.identifier.issn2044-6055 (online)
dc.identifier.otherdoi:10.1136/bmjopen-2017-018916
dc.identifier.urihttp://hdl.handle.net/10019.1/106687
dc.language.isoen_ZAen_ZA
dc.publisherBMJ Publishing Groupen_ZA
dc.rights.holderAuthors retain copyrighten_ZA
dc.subjectCommon mental disorders -- CMDen_ZA
dc.subjectSouth central Ethiopiaen_ZA
dc.subjectPreschool childrenen_ZA
dc.subjectEarly childhooden_ZA
dc.subjectChild educationalen_ZA
dc.subjectButajira Hospitalen_ZA
dc.subjectMental health problemsen_ZA
dc.subjectMaternal common mental disordersen_ZA
dc.subjectChild developmenten_ZA
dc.titleImpact of maternal common mental disorders on child educational outcomes at 7 and 9 years : a population-based cohort study in Ethiopiaen_ZA
dc.typeArticleen_ZA
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