Current Opinion in Behavioral Sciences ( IF 5 ) Pub Date : 2020-09-16 , DOI: 10.1016/j.cobeha.2020.07.013 Helen O Pitchik 1 , Esther O Chung 2, 3 , Lia C H Fernald 4
Of the more than 2 billion children worldwide, 90% live in low- or middle-income countries, and are particularly vulnerable to early life exposures and experiences. A wide range of factors contribute to maternal and child well-being, including maternal depression as well as larger social determinants such as poverty. In this review, we provide a framework for conceptualizing interventions that can benefit vulnerable children and caregivers. We summarize effects of three types of interventions, including those that: target mothers to improve their mental health and may have indirect effects on children; target children directly through early child development programs and may provide indirect benefits to caregivers; and target broader social determinants of health (e.g. poverty, water and sanitation), which then may have indirect benefits for caregivers and children.
中文翻译:
低收入和中等收入国家儿童发展和孕产妇心理健康的跨文化研究
在全球超过 20 亿儿童中,90% 生活在低收入或中等收入国家,特别容易受到早年暴露和经历的影响。影响孕产妇和儿童福祉的因素有很多,包括孕产妇抑郁症以及贫困等更大的社会决定因素。在这篇综述中,我们提供了一个框架,用于概念化可以使弱势儿童和照顾者受益的干预措施。我们总结了三种干预措施的效果,包括:针对母亲以改善她们的心理健康并可能对儿童产生间接影响;通过儿童早期发展计划直接针对儿童,并可能为看护者提供间接利益;并针对更广泛的健康社会决定因素(例如贫困、水和卫生设施),