Perinatal Depression and Associated Factors among Mothers in Southern Ethiopia: Evidence from Arba Minch Zuria Health and Demographic Surveillance Site.

Psychiatry Journal Pub Date : 2018-05-02 eCollection Date: 2018-01-01 DOI:10.1155/2018/7930684
Gebrekiros Gebremichael, Manaye Yihune, Dessalegn Ajema, Desta Haftu, Genet Gedamu
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Abstract

Background. Perinatal depression is a serious mental health problem that can negatively affect the lives of women and children. The adverse consequences of perinatal depression in high-income countries also occur in low-income countries. Objective. To assess the perinatal depression and associated factors among mothers in Southern Ethiopia. Methods. A community based cross-sectional study was conducted among selected 728 study participants in Arba Minch Zuria HDSS. A pretested questionnaire was used to collect the data. Data were analyzed using STATA version 12 software. Descriptive statistical methods were used to summarize the characteristics of the mothers. Bivariate and multivariable logistic regression was used for analysis. Results. The prevalence of perinatal depression among the study period was 26.7%. In the final multivariable logistic regression, monthly income AOR (95% C.I): 4.2 (1.9, 9.3), parity [AOR (95% C.I): 0.14 (0.03, 0.65)], pregnancy complications AOR (95% C.I): 5 (2.5, 10.4), husband smoking status [AOR (95% C.I): 4.12 (1.6, 10.6)], history of previous depression AOR (95% C.I): 2.7 (1.54, 4.8), and family history of psychiatric disorders were the independent factors associated with perinatal depression. Conclusion. The study showed a high prevalence of perinatal depression among pregnant mothers and mothers who have less than a one-year-old child.

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埃塞俄比亚南部母亲的围产期抑郁症及其相关因素:来自 Arba Minch Zuria 健康与人口监测点的证据。
背景。围产期抑郁症是一个严重的心理健康问题,会对妇女和儿童的生活造成负面影响。围产期抑郁症在高收入国家造成的不良后果在低收入国家也同样存在。目的评估埃塞俄比亚南部母亲的围产期抑郁症及其相关因素。方法。在 Arba Minch Zuria HDSS 选定的 728 名研究参与者中开展了一项基于社区的横断面研究。研究采用了一份预先测试过的问卷来收集数据。数据使用 STATA 第 12 版软件进行分析。描述性统计方法用于总结母亲的特征。使用二元和多元逻辑回归进行分析。结果研究期间围产期抑郁症的发病率为 26.7%。在最终的多变量逻辑回归中,月收入 AOR (95% C.I): 4.2 (1.9, 9.3)、胎次 [AOR (95% C.I): 0.14 (0.03, 0.65)]、妊娠并发症 AOR (95% C.I): 5 (2.5, 10.4)、丈夫吸烟状况 [AOR (95% C.I):4.12(1.6,10.6)]、既往抑郁症病史 AOR(95% C.I):2.7(1.54,4.8)和精神病家族史是与围产期抑郁症相关的独立因素。结论研究显示,在孕妇和孩子不足一岁的母亲中,围产期抑郁症的发病率很高。
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