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dc.contributor.authorHagaman, A
dc.contributor.authorGallis, J
dc.contributor.authorBhalotra, S
dc.contributor.authorBaranov, V
dc.contributor.authorTurner, E
dc.contributor.authorSikander, S
dc.contributor.authorMaselko, J
dc.date.accessioned2020-10-12T23:02:33Z
dc.date.available2020-10-12T23:02:33Z
dc.date.issued2019
dc.identifierpii: PONE-D-19-02072
dc.identifier.citationHagaman, A., Gallis, J., Bhalotra, S., Baranov, V., Turner, E., Sikander, S. & Maselko, J. (2019). Psychosocial determinants of sustained maternal functional impairment: Longitudinal findings from a pregnancy-birth cohort study in rural Pakistan. PLoS One, 14 (11), https://doi.org/10.1371/journal.pone.0225163.
dc.identifier.issn1932-6203
dc.identifier.urihttp://hdl.handle.net/11343/246951
dc.description.abstractFunction is an important marker of health throughout the life course, however, in low-and-middle-income-countries, little is known about the burden of functional impairment as women transition from pregnancy to the first year post-partum. Leveraging longitudinal data from 960 women participating in the Share Child Cohort in Pakistan, this study sought to (1) characterize functional trajectories over time among women in their perinatal period and (2) assess predictors of chronic poor functioning following childbirth. We used a group-based trajectory modeling approach to examine maternal patterns of function from the third trimester of pregnancy through 12 months post-partum. Three trajectory groups were found: persistently well-functioning (51% of women), poor functioning with recovery (39% of women), and chronically poor functioning (10% of women). When compared to mothers in the highest functioning group, psychosocial characteristics (e.g., depression, stress, and serious life events) were significantly associated with sustained poor functioning one-year following child-birth. Mothers living in nuclear households were more likely to experience chronic poor functioning. Higher education independently predicted maternal function recovery, even when controlling for psychosocial characteristics. Education, above and beyond socio-economic assets, appears to play an important protective role in maternal functional trajectories following childbirth. Public health implications related to maternal function and perinatal mental health are discussed.
dc.languageEnglish
dc.publisherPublic Library of Science (PLoS)
dc.titlePsychosocial determinants of sustained maternal functional impairment: Longitudinal findings from a pregnancy-birth cohort study in rural Pakistan
dc.typeJournal Article
dc.identifier.doi10.1371/journal.pone.0225163
melbourne.affiliation.departmentEconomics
melbourne.source.titlePLoS One
melbourne.source.volume14
melbourne.source.issue11
dc.rights.licenseCC BY
melbourne.elementsid1422235
melbourne.contributor.authorBaranov, Victoria
dc.identifier.eissn1932-6203
pubs.acceptance.date2019-10-30
melbourne.accessrightsOpen Access


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