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- Genre: Doctoral Dissertation
Description
Postpartum depression affects approximately 15% of the childbearing population in the United States and has been linked to a number of negative maternal and infant outcomes. Mothers who rate low in areas of confidence and self-efficacy tend to have lower satisfaction and view their infants as having more negative temperaments. Infants of depressed mothers have been found to have delays in social and emotional growth which can impair their health and future developmental outcomes. The purpose of this study was to determine if there is any evidence to support the hypothesis that maternal depression is associated with infant social and emotional development and maternal role satisfaction among low-income women in rural Arizona. This study employed a repeated measures correlational descriptive prospective longitudinal design using chart reviews analyzing existing clinical data. Purposive sampling was used to select charts of women who participated in the Verde Valley Medical Center branch of the Arizona Healthy Families program. Chart reviews were used to identify charts that met the inclusion criteria of mothers and their infants who completed at least 18 months of the Arizona Healthy Families Program.
Findings of this study indicated evidence of a relationship between depression, infant social and emotional development, and maternal role satisfaction. Mothers who had infants that scored higher, with higher being indicative of concern, on the Ages & Stages Questionnaire: Social-Emotional Edition 2 (ASQ:SE 2) had lower role satisfaction scores on the Healthy Families Parenting Inventory (HFPI) and mothers who indicated dissatisfaction at 6 months postpartum were more likely to continue to indicate lower maternal satisfaction at 12 and 18 months postpartum when infant ASQ:SE 2 scores were higher.
Investigating the role of the visiting service providers, such as Healthy Families, and their impact on young families for risk identification and resource support will provide information to policy and lawmakers to aid in decisions for funding and help support young families with the goal of growing strong, healthy families in healthcare deserts like rural Arizona. Keywords: Postpartum depression, maternal depression, infant social and emotional development, maternal role, maternal role satisfaction
ContributorsArgent, Autumn Leif (Author) / Reifsnider, Elizabeth (Thesis advisor) / Hinde, Katie (Committee member) / Todd, Michael (Committee member) / Whisner, Corrie (Committee member) / Arizona State University (Publisher)
Created2024
Description
Fruit and vegetable consumption among school children falls short of current recommendations. The development of Public-Private Partnerships (PPP), which combine the resources of government entities with the resources of private entities, such as businesses or not-for-profit agencies, has been suggested as an effective approach to address a number of public health concerns, including inadequate fruit and vegetable consumption. The United States Department of Agriculture's (USDA) Fresh Fruit and Vegetable Program (FFVP) provides fruits and vegetables as snacks at least twice per week in low-income elementary schools. In addition to increasing fruit and vegetable consumption behaviors at school, children participating in the FFVP have been found to make more requests for fruits and vegetables in grocery stores and at home, suggesting the impact of the program extends beyond school settings. The purpose of this multicase study was to describe key stakeholders' perceptions about creating PPPs between schools and nearby retailers to cross-promote fruits and vegetables in low-income communities, using the FFVP. Semi-structured interviews were conducted with participants from three cases groups: grocery store/produce managers (n=10), district FFVP personnel (n=5) and school FFVP personnel (n=12). Data were analyzed using a directed content analysis approach using constructs from the Health Belief Model, including benefits, barriers, strategies, and motivation. While findings varied by case group, key benefits of creating a PPP included the potential to increase store sales, to enhance public relations with the community, and to extend the impact of the FFVP to settings outside of schools. Barriers included offering expensive produce through the FFVP, time/labor-associated costs, and needing approval from authorities and supervisors. Strategies for developing a PPP included using seasonal produce and having clear instructions for teachers and staff. Stakeholders reported being motivated to create a PPP by the potential to improve health outcomes in children and by wanting to help the community. Both objective and subjective measures were suggested to measure the success of such a partnership. Finally, the educational component of the USDA's Supplemental Nutrition Assistance Program (SNAP-Ed) has the potential to serve as a catalyst for organizing a PPP between FFVP-participating schools and nearby grocery stores.
ContributorsGruner, Jessie (Author) / Ohri-Vachaspati, Punam (Thesis advisor) / Evans, Browynne (Committee member) / Bruening, Meg (Committee member) / Tasevska, Natasha (Committee member) / Hekler, Eric (Committee member) / Arizona State University (Publisher)
Created2017
Description
Exposure to social and ecological adversity during sensitive windows of development often leadto disadvantageous outcomes in adulthood such as reduced social connectedness and shorter lifespan. Consequences of early life adversity can persist across generations. The mother is a crucial component of the early life environment for mammals and plays an important role in shaping offspring development. The mechanisms underlying the associations between early life adversity, adult outcomes, and transgenerational effects are not well established, and the complexities of how early life environments shape the ways offspring prioritize different dimensions of development are only beginning to be understood. This dissertation leverages longitudinal data, detailed behavioral observations, fecal hormone sampling, and noninvasive estimates of infant body size to assess how early life experiences shape development and adult outcomes in a wild population of olive baboons (Papio anubis) in Laikipia, Kenya. Four dissertation papers address: 1) the relationship between a mother’s early life adversity and her maternal effort, physiology, and offspring survival; 2) how the maternal environment shapes the ways developing offspring allocate resources among play, behavioral independence, and growth; 3) the role of interaction style in mediating the relationship between early life adversity and adult female sociability; and 4) the relative importance of female competition over food, mates, and male caretakers. Results of these papers show early life adversity can have lasting consequences on maternal effort and physiology, which in turn shape offspring developmental trajectories. Females who experienced early life adversity were less likely to develop an interaction style that was associated with sociability. Finally, the energetic costs of lactation were the primary driver of female competition, and in light of findings in chacma and yellow baboons, this indicates evolution has finely tuned female baboons’ responses to the social and ecological pressures of their local environments. To better understand the complexities of early life experiences and developmental trajectories, it is important to leverage longitudinal data and create comprehensive models of the maternal environment and infant development.
ContributorsPatterson, Sam K (Author) / Silk, Joan (Thesis advisor) / Hinde, Katie (Committee member) / Langergraber, Kevin (Committee member) / Arizona State University (Publisher)
Created2021