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- W4316924638 abstract "Background and Aim: Studies report associations between maternal mental health and adverse respiratory outcomes in children; however, the impact of timing and duration of maternal distress remains understudied. We sought to longitudinally examine associations between maternal depression and childhood asthma and wheeze, and explore sex differences. Methods: We assessed 605 mother- child dyads enrolled in the Programming Research in Obesity, Growth, Environment, and Social Stressors birth cohort in Mexico City. Maternal depression was assessed using the Edinburgh Depression Scale questionnaire a) during pregnancy, b) postpartum, and c) at both postpartum and subsequent time points postnatally (recurrent depression). Report of wheeze in the past 12 months (current wheeze), and asthma were obtained using the validated survey at 48 and 72 months. Associations were analyzed using modified Poisson regression adjusted for covariates, and in interaction models. Models were then stratified by child sex to assess effect modification. Results: Prenatal depression was observed in 17%, postpartum depression in 25%, and recurrent depression in 16% of mothers. Current wheeze and asthma at either time point was reported in 14% and 5% of children, respectively. Both postpartum and recurrent depression were associated with higher risk of current wheeze (RR: 1.88, 95% CI: 1.21, 2.92; RR: 2.39, 95% CI: 1.52, 3.78) and asthma at 48 months (RR: 2.79, 95% CI: 1.13, 6.87; RR: 3.14, 95% CI: 1.26, 7.84). Recurrent depression was also associated with higher risk of ever wheeze at 72 months (RR: 1.76, 95% CI: 1.12, 2.77). In interaction analyses, associations were stronger in females than males. Conclusion: Postpartum and recurrent depression were associated with higher risk of wheeze and asthma in children, and associations were stronger in females than males. Our results highlight the importance of maternal depression on respiratory disease. Keywords: respiratory outcomes; maternal stress; asthma; wheeze; children's environmental health; non-chemical stressors" @default.
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- W4316924638 date "2022-09-18" @default.
- W4316924638 modified "2023-10-14" @default.
- W4316924638 title "Longitudinal assessment of maternal depression and later life childhood asthma and wheeze: effect modification by child sex" @default.
- W4316924638 doi "https://doi.org/10.1289/isee.2022.p-1226" @default.
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