陳怡樺Pairote Chakranon2026-05-072026-05-072022-06-29https://handle.ncl.edu.tw/11296/7bk2pqhttps://203.71.86.71/handle/123456789/10841口試委員：曾頌惠 Tseng, Sung-Hui ;陳娟瑜 Chen, Chuan-Yu ;陳怡樺 Chen, Yi-Hua 網際網路,開放日期為2022-07-25Abstracts Introduction: “The first 1,000 days of life” is defined as the conception through the second birthdate of children. This period is known as “The golden window period” because higher chances for promotion of early childhood health outcomes have been documented. Young child’s body systems developed mainly during this period. Many factors could impact children’s health significantly during this golden period. For example, children who were promoted for having more healthy lifestyles were found to experience better-developed milestones. In addition, mothers are highly attached to their children, resulting in considerable influences on their children’s healthy lifestyles. Nevertheless, almost none of the previous studies investigated effects of multiple aspects of maternal mental health on children’s healthy lifestyles. This study thus aimed at examining the association between maternal mental health and children’s healthy lifestyles at age 2. Method: Mother-child dyads (n=287) were examined using a prospective cohort named the Longitudinal Examination of Prenatal and Postpartum Health in Taiwan (LEAPP-HIT) project from 2011 to 2022. Maternal variables were collected at one year postpartum, while children’s healthy lifestyles were assessed when they were two years old. Self-reported data were analyzed using bivariate analysis and multiple regression to examine the association between aspects of maternal mental health and children’s healthy lifestyles. Results: We found that compared to the lower one, higher maternal anxiety was associated with worse levels of children’s eating habits [adjusted beta (aβ) = -0.59 95% confidence interval [CI] = -1.15,-0.02]. Moreover, children with higher maternal depression, compared to those who lived with the lower ones, were found to associate with lower levels of physical activities and eating habits [aβ = -0.67 95% CI = -1.25,-0.08, and aβ = -1.17 95% CI = -1.86,-0.46, respectively]. Children whose mothers had higher depression level were more likely to exceed recommended time for screen device usage, compared to those whose mothers had lower levels of depression [adjusted odd ratio (aOR) = 2.93 95% CI = 1.12,6.69]. In contrast, children who lived with higher maternal positive affect were found to associate with better levels of physical activities and eating habits, compared to those who had mothers with lower positive affect [aβ = 0.52 95% CI = 0.12,0.92, and aβ = 0.54 95% CI = 0.05,1.02, respectively]. Furthermore, for child's poor sleep habit, maternal higher life evaluations were associated with lower risks of their child's poorer sleep habit [aOR = 0.43, 95% CI = 0.22 - 0.83]. Conclusion: Poor maternal mental health, especially depression, was found to associate with unhealthy child behaviors (e.g. physical activities, eating habits and excessive screen time). Child eating habits were affected by maternal anxiety and negative affect. Positive maternal mental health, especially affect, may help boost children's activity and eating habits. Child sleep problems were lower among those with maternal higher life evaluation. Prompt intervention (e.g., integrating mental health assessments/programs into primary care) for at-risk mothers is suggested to help children to promote early childhood health beyond social-emotional and developmental issues系所名稱：公共衛生學系碩士班thesis