Breastfeeding difficulties and maternal mental health: role of social support in rural northwestern China
Notice bibliographique
Résumé
BACKGROUND: Globally, escalating mental health issues among postpartum women underscore their significant impact on individuals, children, and society. This study investigates the associations between breastfeeding difficulties and maternal mental health in rural areas of northwestern China. Additionally, we examine how mothers' perceived family support and home visits by community health workers (CHWs) are associated with variations in maternal mental health outcomes. METHODS: Data for this study were collected in March and December 2021. Descriptive statistics and multivariate linear regression analyses were conducted to examine the prevalence of maternal mental health problems and the association between breastfeeding difficulties and maternal mental health. Maternal mental health was assessed using Depression, Anxiety, and Stress Scale (DASS-21), while breastfeeding difficulties were measured based on mothers' self-reported experiences with common breastfeeding challenges. Perceived family support for breastfeeding and a community-based home visit intervention were analyzed to explore differences in associations across subgroups. RESULTS: Greater overall breastfeeding difficulty was significantly associated with higher maternal stress (β = 2.391, P = 0.001), and showed marginally positive associations with depression (β = 1.186, P = 0.102) and anxiety (β = 0.953, P = 0.082). Among specific categories, feeding process difficulties were significantly associated with increased anxiety (β = 1.173, P = 0.031) and stress (β = 2.031, P = 0.008). Among mothers with lower practical support, breastfeeding difficulties were significantly associated with higher depression (β = 1.782, P = 0.009), anxiety (β = 1.577, P = 0.002), and stress (β = 2.722, P < 0.001), whereas associations in the higher support group were not significant. For emotional support, a stronger association with stress was observed in the lower support group (β = 2.748, P = 0.008) but not in the higher support group. Stratification by community health worker home visits showed minimal subgroup differences. CONCLUSIONS: In essence, this study underscores the impact of breastfeeding challenges on maternal mental health and highlights family support's pivotal role, calling for targeted intervention to support rural mothers. TRIAL REGISTRATION: The study was approved by the Medical Ethics Committee of Shaanxi Normal University and Xi'an Jiaotong University of China (No: 2020 - 1240) on 08/03/2019. Meantime, the study obtained the registration numbers ISRCTN98898991 from the ISRCTN registry, which is recognized by WHO and ICMJE, on 26/03/2019.
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Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,001 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,001 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,001 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,001 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».