| Texto completo | |
| Autor(es): |
Biagio, Leonardo Domingos
;
Devakumar, Delanjathan
;
Da Silva, Paula Louro
;
Mendoza Lopez, Rossana Veronica
;
Argentato, Perla Pizzi
;
Luzia, Liania Alves
;
Carvalho Rondo, Patricia Helen
Número total de Autores: 7
|
| Tipo de documento: | Artigo Científico |
| Fonte: | PUBLIC HEALTH NUTRITION; v. 28, n. 1, p. 11-pg., 2024-11-26. |
| Resumo | |
Objective: To investigate the relationship between violence and the nutritional status of pregnant women, and whether mental health could be a mediator in this relationship.Design: Cross-sectional study. Violence and mental health status were investigated using the following questionnaires: WHO-Violence Against Women (WHO-VAW), Abuse Assessment Screen (AAS), Patient Health Questionnaire (PHQ-9) and General Health Questionnaire (GHQ). Demographic, socio-economic, obstetric and lifestyle factors (smoking/alcohol consumption) were also investigated. The nutritional status of the women was assessed by the BMI.Setting: Data were collected from February 2021 to August 2022 in Araraquara city, Brazil.Participants: Four hundred pregnant women recruited at thirty-four health units and the municipal maternity hospital.Results: Experience of violence was reported by 52<middle dot>2 % of the women, and psychological violence in the last 12 months was the most prevalent type of domestic violence (19<middle dot>5 %). Approximately 43 % of the women showed mental health changes and 59<middle dot>7 % had a risk of major depression. Women with mental health changes had an increased risk (OR = 2<middle dot>34) of obesity. Psychological violence in the last 12 months was associated with obesity (P = 0<middle dot>01) when mediated by mental health changes. The mediation effect was significant (beta = 0<middle dot>708; 95 % bias-corrected and accelerated (BCa) CI = 0<middle dot>004, 1<middle dot>460), with mental health changes mediating 46<middle dot>1 % of the relationship between psychological violence and obesity.Conclusions: The relationship between psychological violence and obesity during pregnancy was mediated by changes in mental health. This original study shows that nutritional status is not limited to biological factors and highlights the importance of social, mental and psychological factors. (AU) | |
| Processo FAPESP: | 15/03333-6 - Relação entre adiposidade materna e adiposidade do concepto nos períodos fetal, neonatal e no primeiro ano de vida: estudo prospectivo de base populacional |
| Beneficiário: | Patricia Helen de Carvalho Rondó |
| Modalidade de apoio: | Auxílio à Pesquisa - Temático |
| Processo FAPESP: | 18/17824-0 - Perfil da metilação do DNA do binômio mãe-concepto no contexto da Obesidade materna e adiposidade fetal e neonatal |
| Beneficiário: | Perla Pizzi Argentato |
| Modalidade de apoio: | Bolsas no Brasil - Doutorado |