Examining the Potential Mediating Role of Maternal Mental Health in the Association Between Socioeconomic Deprivation and Child Development Outcomes.

IF 1.8 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Maternal and Child Health Journal Pub Date : 2025-02-07 DOI:10.1007/s10995-025-04050-5

Kenneth Okelo, Aja Murray, Josiah King, Iain Hardie, Hildigunnur Anna Hall, Emily Luedecke, Louise Marryat, Lucy Thompson, Helen Minnis, Michael Lombardo, Philip Wilson, Bonnie Auyeung

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引用次数: 0

Abstract

Background: Socioeconomic deprivation has been linked to negative child developmental outcomes including brain development, psychological well-being, educational attainment, and social-emotional well-being. Maternal mental health has also been linked to mothers' parenting practices and their children's developmental outcomes. However, limited evidence exists regarding the role of maternal mental health (prenatal and postnatal) in the association between socioeconomic deprivation and children's developmental outcomes.

Methods: We examined the potential role of maternal mental health in the association between socioeconomic deprivation (SED) and child development outcomes. We used a large linked administrative health dataset covering children born between 2011 and 2015 in Greater Glasgow and Clyde, Scotland. Of the 76,483 participants, 55,856 mothers with matched children's developmental outcome data were included. A mediation analysis model, adjusted for confounders and covariates, was used.

Results: Maternal mental health assessed by a history of hospital admissions mediated, but to a small extent, the relationship between SED and children's developmental outcomes. The average direct effect (ADE), of SED in the first model with a history of hospital admissions, was ADE: ES = - 0.0875 (95% CI = - 0.097, - 0.08; p < 0.001) and ACME: ES = - 0.0002 (95% CI = - 0.001, - 0.0001; p = 0.01). The proportion mediated by the history of mental health admission was 0.3%.

Conclusion: The association between SED and children's developmental outcomes appears to be partially mediated by maternal mental health, although the proportional-mediated effect was very small.

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来源期刊

Maternal and Child Health Journal PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

3.20

自引率

4.30%

发文量

271

期刊介绍： Maternal and Child Health Journal is the first exclusive forum to advance the scientific and professional knowledge base of the maternal and child health (MCH) field. This bimonthly provides peer-reviewed papers addressing the following areas of MCH practice, policy, and research: MCH epidemiology, demography, and health status assessment Innovative MCH service initiatives Implementation of MCH programs MCH policy analysis and advocacy MCH professional development. Exploring the full spectrum of the MCH field, Maternal and Child Health Journal is an important tool for practitioners as well as academics in public health, obstetrics, gynecology, prenatal medicine, pediatrics, and neonatology. Sponsors include the Association of Maternal and Child Health Programs (AMCHP), the Association of Teachers of Maternal and Child Health (ATMCH), and CityMatCH.