PT  - JOURNAL ARTICLE
AU  - Raquel Siqueira Barcelos
AU  - Iná da Silva dos Santos
AU  - Alicia Matijasevich
AU  - Luciana Anselmi
AU  - Fernando Celso Barros
TI  - Maternal depression is associated with injuries in children aged 2–4 years: the Pelotas 2004 Birth Cohort
AID  - 10.1136/injuryprev-2017-042641
DP  - 2018 Feb 26
TA  - Injury Prevention
PG  - injuryprev-2017-042641
4099  - http://injuryprevention.bmj.com/content/early/2018/02/26/injuryprev-2017-042641.short
4100  - http://injuryprevention.bmj.com/content/early/2018/02/26/injuryprev-2017-042641.full
AB  - Introduction Injuries during childhood, which mostly consist of falls, burns, drowning, poisonings and car crashes, are among the main causes of death among children and young adults in several countries.Objectives To investigate the association between maternal depression and the incidence of injuries during childhood.Methods In 2004, children who were born in the municipality of Pelotas, Brazil, were enrolled in a population-based birth cohort, with evaluations at birth and at 3, 12, 24 and 48 months of age. Maternal depression during pregnancy was evaluated at the time of delivery. At 12 and 24 months post partum, the Edinburgh Postnatal Depression Scale (EPDS) was used. The injuries incidence rates at ages of 24–48 months and the crude and adjusted IRRs were calculated with 95% CI through Poisson’s regression.Results A total of 3533 children were analysed. The incidence of injuries was higher among children whose mothers presented depressive symptoms during pregnancy and at 12 and 24 months compared with those whose mothers did not present any symptoms. In the adjusted analysis, the IRR among girls whose mothers presented depressive symptoms during pregnancy and EPDS ≥13 at 12 and 24 months was 1.31 (1.15–1.50); and, among boys, 1.18 (1.03–1.36).Interpretation Maternal depression is associated with higher incidence of injuries between 24 and 48 months of age, in both sexes.