Prenatal depression and birth mode sequentially mediate maternal education's influence on infant sleep duration

被引：14

作者：

Matenchuk, Brittany A. ^{[1
]}

Tamana, Sukhpreet K. ^{[1
]}

Lou, Wendy Y. W. ^{[2
]}

Lefebvre, Diana L. ^{[3
]}

Sears, Malcolm R. ^{[3
]}

Becker, Allan B. ^{[4
]}

Azad, Meghan B. ^{[4
]}

Moraes, Theo J. ^{[5
]}

Turvey, Stuart E. ^{[6
]}

Subbarao, Padmaja ^{[5
]}

Kozyrskyj, Anita L. ^{[1
]}

Mandhane, Piush J. ^{[1
]}

Subbarao, P. ^{[7
,8
]}

Turvey, S. E. ^{[9
]}

Anand, S. S. ^{[10
]}

Azad, M. B. ^{[11
]}

Becker, A. B. ^{[11
]}

Befus, A. D. ^{[12
]}

Brauer, M. ^{[9
]}

Brook, J. R. ^{[8
]}

Chen, E. ^{[13
]}

Cyr, M. M. ^{[10
]}

Daley, D. ^{[9
]}

Dell, S. D. ^{[7
,8
]}

Denburg, J. A. ^{[10
]}

Duan, Q. L. ^{[14
]}

Eiwegger, T. ^{[7
,8
]}

Grasemann, H. ^{[7
,8
]}

HayGlass, K. ^{[11
]}

Hegele, R. G. ^{[7
,8
]}

Holness, D. L. ^{[8
]}

Hystad, P. ^{[15
]}

Kobor, M. ^{[9
]}

Kollmann, T. R. ^{[9
]}

Kozyrskyj, A. L. ^{[12
]}

Laprise, C. ^{[16
]}

Lou, W. Y. W. ^{[8
]}

Macri, J. ^{[10
]}

Mandhane, P. J. ^{[12
]}

Miller, G. ^{[13
]}

Moraes, T. J. ^{[7
,8
]}

Pare, P. ^{[9
]}

Ramsey, C. ^{[11
]}

Ratjen, F. ^{[7
,8
]}

Sandford, A. ^{[9
]}

Scott, J. A. ^{[8
]}

Scott, J. ^{[8
]}

Sears, M. R. ^{[10
]}

Silverman, F. ^{[8
]}

Simons, E. ^{[11
]}

机构：

[1] Univ Alberta, Dept Pediat, 4-468 Edmonton Clin Hlth Acad,11405-87th Ave, Edmonton, AB T6G 1C9, Canada

[2] Univ Toronto, Dalla Lana Sch Publ Hlth, Toronto, ON, Canada

[3] McMaster Univ, Dept Med, Hamilton, ON, Canada

[4] Univ Manitoba, Childrens Hosp, Res Inst Manitoba, Dept Pediat & Child Hlth, Winnipeg, MB, Canada

[5] Univ Toronto, Hosp Sick Children, Dept Pediat, Toronto, ON, Canada

[6] Univ British Columbia, BC Childrens Hosp, Child & Family Res Inst, Dept Pediat, Vancouver, BC, Canada

[7] Hosp Sick Children, Toronto, ON, Canada

[8] Univ Toronto, Toronto, ON, Canada

[9] Univ British Columbia, Vancouver, BC, Canada

[10] McMaster Univ, Hamilton, ON, Canada

[11] Univ Manitoba, Winnipeg, MB, Canada

[12] Univ Alberta, Edmonton, AB, Canada

[13] Northwestern Univ, Chicago, IL 60611 USA

[14] Queens Univ, Kingston, ON, Canada

[15] Oregon State Univ, Corvallis, OR 97331 USA

[16] Univ Quebec Chicoutimi, Chicoutimi, PQ, Canada

[17] Simon Fraser Univ, Burnaby, BC, Canada

来源：

SLEEP MEDICINE | 2019年 / 59卷

基金：

加拿大健康研究院;

关键词：

Pediatric sleep; Maternal education; Prenatal depression; Birth mode; Emergency caesarean section; SOCIOECONOMIC-STATUS; BEHAVIORAL-PROBLEMS; CESAREAN-SECTION; PREGNANCY; OXYTOCIN; OUTCOMES; LIFE; PATTERNS; HEALTH; ASTHMA;

D O I：

10.1016/j.sleep.2019.01.015

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Rationale: Sleep duration is critical to growth, learning, and immune function development in infancy. Strategies to ensure that national recommendations for sleep duration in infants are met require knowledge of perinatal factors that affect infant sleep. Objectives: To investigate the mechanistic pathways linking maternal education and infant sleep. Methods: An observational study was conducted on 619 infants whose mothers were enrolled at the Edmonton site of the CHILD birth cohort. Infant sleep duration at three months was assessed using the Brief Infant Sleep Questionnaire. Maternal education was collected via maternal report. Prenatal and postnatal depression scores were obtained from the 20-item Center for Epidemiologic Studies Depression Scale (CES-D). Birth records and maternal report were the source of covariate measures. Mediation analysis (PROCESS v3.0) was used to examine the indirect effects of maternal education on infant sleep duration mediated through prenatal depression and birth mode. Measurements and main results: At three months of age, infants slept on average 14.1 h. Lower maternal education and prenatal depression were associated with significantly shorter infant sleep duration. Emergency cesarean section birth was associated with 1-hour shorter sleep duration at three months compared to vaginal birth [without intrapartum antibiotic prophylaxis] (beta -0.99 h; 95% CI: -1.51, -0.48). Thirty percent of the effect of lower maternal education on infant total sleep duration was mediated sequentially through prenatal depression and birth mode (Total Indirect Effects: -0.12, 95% CI: -0.22, -0.03, p < 0.05). Conclusions: Prenatal depression and birth mode sequentially mediate the effect of maternal education on infant sleep duration. (C) 2019 Elsevier B.V. All rights reserved.

引用

页码：24 / 32

页数：9

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