Alcohol use, partner violence and depression

A cluster randomised controlled trial among urban SA mothers over 3 years

This study explains how pregnant South African women with histories of drinking alcohol, abuse by violent partners, depression and living with HIV are likely to have their post-birth trajectories over 36 months significantly influenced by these risks.

Mothers were assessed in pregnancy and at 18 and 36 months post birth. 80.6% of mothers completed all assessments between 2009 and 2014 and were included in these analyses performed in 2014. Longitudinal structural equation modeling examined alcohol use, partner violence, and depression at the baseline and 18-month interviews as predictors of maternal outcomes at 36 months post birth.

The Philani Maternal, Child Health and Nutrition Project has been addressing child health and nutrition problems in informal settlements around Cape Town since 1979. Ilifa Labantwana supported the evaluation of the study in Khayelitsha, Cape Town. The findings of this research stem from this evaluation.

Written by Mary Jane Rotheram-Borus, PhD, Mark Tomlinson, PhD, Ingrid Le Roux, MD and Judith A. Stein, PhD. Published by Elsevier Inc. in 2015.

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