{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T17:18:18Z","timestamp":1784308698586,"version":"3.55.0"},"reference-count":44,"publisher":"BMJ","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Dis Child Fetal Neonatal Ed"],"accepted":{"date-parts":[[2010,5,17]]},"published-print":{"date-parts":[[2011,1]]},"abstract":"<jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>(1) To investigate the impact of perinatal common mental disorders (CMD) in Ethiopia on the risk of key illnesses of early infancy: diarrhoea, fever and acute respiratory illnesses (ARI) and (2) to explore the potential mediating role of maternal health behaviours.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design<\/jats:title>\n                  <jats:p>Population-based cohort study.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Setting<\/jats:title>\n                  <jats:p>Demographic surveillance site in a predominantly rural area of Ethiopia.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Participants<\/jats:title>\n                  <jats:p>1065 women (86.3% of eligible) in the third trimester of pregnancy were recruited and 954 (98.6%) of surviving, singleton mother\u2013infant pairs were followed up until 2 months after birth.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Main exposure measure<\/jats:title>\n                  <jats:p>High levels of CMD symptoms, as measured by the locally validated Self-Reporting Questionnaire (SRQ-20 \u22656), in pregnancy only, postnatally only and at both time-points (\u2018persistent\u2019).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Main outcome measures<\/jats:title>\n                  <jats:p>Maternal report of infant illness episodes in first 2 months of life.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The percentages of infants reported to have experienced diarrhoea, ARI and fever were 26.0%, 25.0% and 35.1%, respectively. Persistent perinatal CMD symptoms were associated with 2.15 times (95% CI 1.39 to 3.34) increased risk of infant diarrhoea in a fully adjusted model. The strength of association was not affected by including potential mediators: breast feeding practices, hygiene, the infant's vaccination status or impaired maternal functioning. Persistent perinatal CMD was not associated with infant ARI or fever after adjusting for confounders.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Persistent perinatal CMD was associated with infant diarrhoea in this low-income country setting. The observed relationship was independent of maternal health-promoting practices. Future research should further explore the mechanisms underlying the observed association to inform intervention strategies.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/adc.2010.183327","type":"journal-article","created":{"date-parts":[[2010,7,29]],"date-time":"2010-07-29T03:05:26Z","timestamp":1280372726000},"page":"F59-F64","source":"Crossref","is-referenced-by-count":62,"title":["Perinatal mental distress and infant morbidity in Ethiopia: a cohort study"],"prefix":"10.1136","volume":"96","author":[{"given":"Joanna","family":"Ross","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charlotte","family":"Hanlon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Girmay","family":"Medhin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atalay","family":"Alem","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fikru","family":"Tesfaye","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bogale","family":"Worku","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Dewey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vikram","family":"Patel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Prince","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2010,7,28]]},"reference":[{"key":"2025090514110921000_96.1.F59.1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291796004564"},{"key":"2025090514110921000_96.1.F59.2","doi-asserted-by":"publisher","DOI":"10.1017\/S002196309900476X"},{"key":"2025090514110921000_96.1.F59.3","doi-asserted-by":"publisher","DOI":"10.1111\/1469-7610.00784"},{"key":"2025090514110921000_96.1.F59.4","doi-asserted-by":"publisher","DOI":"10.1177\/109019802237027"},{"key":"2025090514110921000_96.1.F59.5","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2214.2004.00390.x"},{"key":"2025090514110921000_96.1.F59.6","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.153.8.808"},{"key":"2025090514110921000_96.1.F59.7","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2004-0341"},{"key":"2025090514110921000_96.1.F59.8","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2005.12.051"},{"key":"2025090514110921000_96.1.F59.9","first-page":"207","article-title":"Postpartum major depression at six weeks in primary health care: prevalence and associated factors","volume":"6","author":"Nakku","year":"2006","journal-title":"Afr Health Sci"},{"key":"2025090514110921000_96.1.F59.10","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.175.6.554"},{"key":"2025090514110921000_96.1.F59.11","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.2006.00950.x"},{"key":"2025090514110921000_96.1.F59.12","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.105.012096"},{"key":"2025090514110921000_96.1.F59.13","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-7-209"},{"key":"2025090514110921000_96.1.F59.14","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-3156.2008.02198.x"},{"key":"2025090514110921000_96.1.F59.15","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2002.009738"},{"key":"2025090514110921000_96.1.F59.16","doi-asserted-by":"publisher","DOI":"10.1136\/adc.88.1.34"},{"key":"2025090514110921000_96.1.F59.17","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.61.9.946"},{"key":"2025090514110921000_96.1.F59.18","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2007.09.013"},{"key":"2025090514110921000_96.1.F59.19","doi-asserted-by":"publisher","DOI":"10.1111\/j.1740-8709.2008.00147.x"},{"key":"2025090514110921000_96.1.F59.20","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ejcn.1601611"},{"key":"2025090514110921000_96.1.F59.21","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-3156.2006.01708.x"},{"key":"2025090514110921000_96.1.F59.22","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1590\/S0034-89101996000300002","article-title":"Maternal neurotic symptoms and infants' risk of developing persistent diarrhoea","volume":"30","author":"Humphreys","year":"1996","journal-title":"Rev Saude Publica"},{"key":"2025090514110921000_96.1.F59.23","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2005.086579"},{"key":"2025090514110921000_96.1.F59.24","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2214.2002.00239.x"},{"key":"2025090514110921000_96.1.F59.25","first-page":"1","article-title":"Establishing an epidemiological field laboratory in rural areas - potentials for public health research and interventions. 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