Cohort profile: maternal and child health and parenting practices during the COVID-19 pandemic in Ceará, Brazil: birth cohort study (Iracema-COVID)

Purpose Maternal and child health and parenting practices during the COVID-19 pandemic in Ceará (Iracema-COVID) is a longitudinal, prospective population-based birth cohort designed to understand the effects of the pandemic and social withdrawal in maternal mental health, child development and paren...

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Main Authors: Marcia C Castro, Márcia Maria Tavares Machado, Simone Farías-Antúnez, David Augusto Batista Sá Araújo, Ana Luiza Penna, Francisco Ariclene Oliveira, Camila Machado de Aquino, Antônio Silva Lima Neto, Geziel dos Santos de Sousa
Format: Article
Language:English
Published: BMJ Publishing Group 2022-06-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/12/6/e060824.full
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author Marcia C Castro
Márcia Maria Tavares Machado
Simone Farías-Antúnez
David Augusto Batista Sá Araújo
Ana Luiza Penna
Francisco Ariclene Oliveira
Camila Machado de Aquino
Antônio Silva Lima Neto
Geziel dos Santos de Sousa
author_facet Marcia C Castro
Márcia Maria Tavares Machado
Simone Farías-Antúnez
David Augusto Batista Sá Araújo
Ana Luiza Penna
Francisco Ariclene Oliveira
Camila Machado de Aquino
Antônio Silva Lima Neto
Geziel dos Santos de Sousa
author_sort Marcia C Castro
collection DOAJ
description Purpose Maternal and child health and parenting practices during the COVID-19 pandemic in Ceará (Iracema-COVID) is a longitudinal, prospective population-based birth cohort designed to understand the effects of the pandemic and social withdrawal in maternal mental health, child development and parenting practices of mothers and families.Participants A sample of mothers who gave birth in July and August 2020 (n=351) was enrolled in the study in January 2021. Interviews were conducted by telephone. Data were collected through standardised questionnaires that, in addition to sociodemographic and economic data, collected information on breast feeding, mental health status and COVID-19.Findings to date Results from the first wave show that the majority of participants have 9–11 years of schooling (54.4%; 95% CI 61.0 to 70.9) and are of mixed race (71.5%; 95% CI 66.5 to 76.0). At the time of the survey, 27.9% of the participants were out of the labor force (95% CI 23.5 to 32.9) and 78.6% reported a decrease in family income after restrictions imposed due to the pandemic (95% CI 74.0 to 82.6). The prevalence of maternal common mental disorder symptoms was 32.5% (95% CI 27.8 to 37.6).Future plans Follow-up visits are planned to occur every 6 months for the next five years (2021–2025). Additional topics will be included in future waves (eg, food insecurity and parenting practices). Communication strategies for bonding, such as picture cards, pictures of mothers with their children and phone calls to the participants, will be used to minimise attrition. Results of this prospective cohort will generate novel knowledge on the impact of the COVID-19 pandemic on maternal and child health and parenting practices in a population of women and children living in fifth largest city of Brazil.
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spelling doaj-art-4dfc5cbcfc5b44c0bf521011a8962cb42025-02-01T09:55:09ZengBMJ Publishing GroupBMJ Open2044-60552022-06-0112610.1136/bmjopen-2022-060824Cohort profile: maternal and child health and parenting practices during the COVID-19 pandemic in Ceará, Brazil: birth cohort study (Iracema-COVID)Marcia C Castro0Márcia Maria Tavares Machado1Simone Farías-Antúnez2David Augusto Batista Sá Araújo3Ana Luiza Penna4Francisco Ariclene Oliveira5Camila Machado de Aquino6Antônio Silva Lima Neto7Geziel dos Santos de Sousa8Global Health and Population, Harvard School of Public Health, Boston, Massachusetts, USADepartment of Community Health, Federal University of Ceara, Fortaleza, Ceara, BrazilDepartment of Community Health, Federal University of Ceara, Fortaleza, Ceara, BrazilDepartment of Community Health, Federal University of Ceara, Fortaleza, Ceara, BrazilDepartment of Global Health and Population, Harvard University T H Chan School of Public Health, Boston, Massachusetts, USADepartment of Community Health, Federal University of Ceara, Fortaleza, Ceara, BrazilDepartment of Maternal and Child Health, Faculty of Medicine, Federal University of Ceará, Fortaleza, CE, BrazilFortaleza Municipal Health Secretariat, Fortaleza, Ceará, BrazilFortaleza Municipal Health Secretariat, Fortaleza, Ceará, BrazilPurpose Maternal and child health and parenting practices during the COVID-19 pandemic in Ceará (Iracema-COVID) is a longitudinal, prospective population-based birth cohort designed to understand the effects of the pandemic and social withdrawal in maternal mental health, child development and parenting practices of mothers and families.Participants A sample of mothers who gave birth in July and August 2020 (n=351) was enrolled in the study in January 2021. Interviews were conducted by telephone. Data were collected through standardised questionnaires that, in addition to sociodemographic and economic data, collected information on breast feeding, mental health status and COVID-19.Findings to date Results from the first wave show that the majority of participants have 9–11 years of schooling (54.4%; 95% CI 61.0 to 70.9) and are of mixed race (71.5%; 95% CI 66.5 to 76.0). At the time of the survey, 27.9% of the participants were out of the labor force (95% CI 23.5 to 32.9) and 78.6% reported a decrease in family income after restrictions imposed due to the pandemic (95% CI 74.0 to 82.6). The prevalence of maternal common mental disorder symptoms was 32.5% (95% CI 27.8 to 37.6).Future plans Follow-up visits are planned to occur every 6 months for the next five years (2021–2025). Additional topics will be included in future waves (eg, food insecurity and parenting practices). Communication strategies for bonding, such as picture cards, pictures of mothers with their children and phone calls to the participants, will be used to minimise attrition. Results of this prospective cohort will generate novel knowledge on the impact of the COVID-19 pandemic on maternal and child health and parenting practices in a population of women and children living in fifth largest city of Brazil.https://bmjopen.bmj.com/content/12/6/e060824.full
spellingShingle Marcia C Castro
Márcia Maria Tavares Machado
Simone Farías-Antúnez
David Augusto Batista Sá Araújo
Ana Luiza Penna
Francisco Ariclene Oliveira
Camila Machado de Aquino
Antônio Silva Lima Neto
Geziel dos Santos de Sousa
Cohort profile: maternal and child health and parenting practices during the COVID-19 pandemic in Ceará, Brazil: birth cohort study (Iracema-COVID)
BMJ Open
title Cohort profile: maternal and child health and parenting practices during the COVID-19 pandemic in Ceará, Brazil: birth cohort study (Iracema-COVID)
title_full Cohort profile: maternal and child health and parenting practices during the COVID-19 pandemic in Ceará, Brazil: birth cohort study (Iracema-COVID)
title_fullStr Cohort profile: maternal and child health and parenting practices during the COVID-19 pandemic in Ceará, Brazil: birth cohort study (Iracema-COVID)
title_full_unstemmed Cohort profile: maternal and child health and parenting practices during the COVID-19 pandemic in Ceará, Brazil: birth cohort study (Iracema-COVID)
title_short Cohort profile: maternal and child health and parenting practices during the COVID-19 pandemic in Ceará, Brazil: birth cohort study (Iracema-COVID)
title_sort cohort profile maternal and child health and parenting practices during the covid 19 pandemic in ceara brazil birth cohort study iracema covid
url https://bmjopen.bmj.com/content/12/6/e060824.full
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