{"title":"Maternal perceived self-efficacy, perceived vulnerability and child health outcome in Ibadan, South-West Nigeria","authors":"Tosin Yinka Akintunde","doi":"10.1016/j.glohj.2023.04.002","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><p>The problems associated with child health continue to constitute a global concern, and child morbidity and mortality remain problematic in Sub-Sahara Africa (SSA). Utilizing a community-based survey conducted in Ibadan North Local government, Southwest Nigeria the study examined the influences of maternal perceived self-efficacy (MPSE) and maternal perceived vulnerability (MPV) on child health outcomes (CHO).</p></div><div><h3>Methods</h3><p>The study appraised data from 683 nursing mothers aged 15‒45 obtained from 20 major primary healthcare centers in the region undergoing routine health checks for their children. Three regression models were fitted to examine the effects of MPV, MPSE, and confounding variables of maternal preventive actions such as insecticide-treated nets (ITN) usage and child immunization, among other maternal and child sociodemographic attributes on CHO.</p></div><div><h3>Results</h3><p>The study finds that MPV has no correlation with CHO and MPSE but positively correlates with maternal age (<em>r</em> = 0.123, <em>P</em> < 0.05). However, CHO has a negative correlation with MPSE (<em>r</em> = −0.200, <em>P</em> < 0.05) while positively correlated with child age (<em>r</em> = 0.134, <em>P</em> < 0.05). MPSE has a unique effect on CHO (<em>β</em> = −0.203, <em>P</em> < 0.05), maternal preventive action of ITN usage show a positive association with CHO in the study Model 2 (<em>β</em> = −0.163, <em>P</em> < 0.05), while in Model 3, child's age has a positive association with CHO (<em>β</em> = 0.180, <em>P</em> < 0.05). The net effect of the study models accounted for approximately 10% of the variance in CHO reported among the children.</p></div><div><h3>Conclusion</h3><p>Overall, MPSE and ITN usage are essential factors for understanding and reducing the potential adverse CHO. Global effort must continue to improve maternal education to support child health and preventive care practices in SSA.</p></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"7 2","pages":"Pages 94-100"},"PeriodicalIF":0.0000,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Global health journal (Amsterdam, Netherlands)","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2414644723000507","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Objective
The problems associated with child health continue to constitute a global concern, and child morbidity and mortality remain problematic in Sub-Sahara Africa (SSA). Utilizing a community-based survey conducted in Ibadan North Local government, Southwest Nigeria the study examined the influences of maternal perceived self-efficacy (MPSE) and maternal perceived vulnerability (MPV) on child health outcomes (CHO).
Methods
The study appraised data from 683 nursing mothers aged 15‒45 obtained from 20 major primary healthcare centers in the region undergoing routine health checks for their children. Three regression models were fitted to examine the effects of MPV, MPSE, and confounding variables of maternal preventive actions such as insecticide-treated nets (ITN) usage and child immunization, among other maternal and child sociodemographic attributes on CHO.
Results
The study finds that MPV has no correlation with CHO and MPSE but positively correlates with maternal age (r = 0.123, P < 0.05). However, CHO has a negative correlation with MPSE (r = −0.200, P < 0.05) while positively correlated with child age (r = 0.134, P < 0.05). MPSE has a unique effect on CHO (β = −0.203, P < 0.05), maternal preventive action of ITN usage show a positive association with CHO in the study Model 2 (β = −0.163, P < 0.05), while in Model 3, child's age has a positive association with CHO (β = 0.180, P < 0.05). The net effect of the study models accounted for approximately 10% of the variance in CHO reported among the children.
Conclusion
Overall, MPSE and ITN usage are essential factors for understanding and reducing the potential adverse CHO. Global effort must continue to improve maternal education to support child health and preventive care practices in SSA.
与儿童健康有关的问题仍然是全球关注的问题,撒哈拉以南非洲的儿童发病率和死亡率仍然存在问题。利用在尼日利亚西南部伊巴丹北部地方政府进行的一项基于社区的调查,该研究检查了产妇感知自我效能(MPSE)和产妇感知脆弱性(MPV)对儿童健康结果(CHO)的影响。方法对该地区20个主要初级卫生保健中心对其子女进行常规健康检查的683名15-45岁哺乳母亲的数据进行评价。我们拟合了三个回归模型,以检验MPV、MPSE和孕产妇预防措施(如使用杀虫剂处理过的蚊帐(ITN)和儿童免疫接种)以及其他孕产妇和儿童社会人口统计学属性等混杂变量对CHO的影响。结果MPV与CHO、MPSE无相关性,但与产妇年龄呈正相关(r = 0.123, P <0.05)。然而,CHO与MPSE呈负相关(r = - 0.200, P <0.05),与儿童年龄正相关(r = 0.134, P <0.05)。MPSE对CHO有独特的影响(β = - 0.203, P <在研究模型2中,母体使用ITN的预防作用与CHO呈正相关(β = - 0.163, P <0.05),而在模型3中,儿童年龄与CHO呈正相关(β = 0.180, P <0.05)。研究模型的净效应约占儿童报告的CHO差异的10%。结论总的来说,MPSE和ITN的使用是了解和减少潜在不良CHO的重要因素。全球必须继续努力改善孕产妇教育,以支持南南非地区的儿童保健和预防性保健做法。