Prevalence and risk factors of perinatal depression among women in rural Bihar: A community-based cross-sectional study.


Journal

Asian journal of psychiatry
ISSN: 1876-2026
Titre abrégé: Asian J Psychiatr
Pays: Netherlands
ID NLM: 101517820

Informations de publication

Date de publication:
Feb 2021
Historique:
received: 09 11 2020
accepted: 05 01 2021
pubmed: 18 1 2021
medline: 22 6 2021
entrez: 17 1 2021
Statut: ppublish

Résumé

Perinatal depression (PND) is one of the most common mental disorders occurring during the perinatal period among women. Few studies examined prevalence and risk factors of PND from rural settings in India. This study aimed to estimate the prevalence of perinatal depression and identify social risk factors for it among women from rural Bihar. A cross sectional study was conducted in a community setting in rural areas of Bihar. All perinatal women were screened through a door to door survey and recruited after obtaining informed consent. A semi-structured proforma was used to collect sociodemographic characteristics and family related variables. Edinburgh postnatal depression scale (EPDS) was used to screen for perinatal depression. A total of 564 perinatal women were recruited into the study. The estimated prevalence of PND was 23.9 % (95 % CI: 20.6,27.6). Multivariate analysis showed perinatal depression was associated with physical illness in the mother, previous history of abortion, poor financial status and ill-treatment by in-laws. Prevalence of perinatal depression among women is high in rural settings of North India. A multitude of factors ranging from physical, obstetric, economic and family related confer a high risk for PND. Comprehensive interventions are needed to address these risk factors of perinatal depression.

Sections du résumé

BACKGROUND BACKGROUND
Perinatal depression (PND) is one of the most common mental disorders occurring during the perinatal period among women. Few studies examined prevalence and risk factors of PND from rural settings in India. This study aimed to estimate the prevalence of perinatal depression and identify social risk factors for it among women from rural Bihar.
MATERIALS AND METHODS METHODS
A cross sectional study was conducted in a community setting in rural areas of Bihar. All perinatal women were screened through a door to door survey and recruited after obtaining informed consent. A semi-structured proforma was used to collect sociodemographic characteristics and family related variables. Edinburgh postnatal depression scale (EPDS) was used to screen for perinatal depression.
RESULTS RESULTS
A total of 564 perinatal women were recruited into the study. The estimated prevalence of PND was 23.9 % (95 % CI: 20.6,27.6). Multivariate analysis showed perinatal depression was associated with physical illness in the mother, previous history of abortion, poor financial status and ill-treatment by in-laws.
CONCLUSION CONCLUSIONS
Prevalence of perinatal depression among women is high in rural settings of North India. A multitude of factors ranging from physical, obstetric, economic and family related confer a high risk for PND. Comprehensive interventions are needed to address these risk factors of perinatal depression.

Identifiants

pubmed: 33454561
pii: S1876-2018(21)00008-3
doi: 10.1016/j.ajp.2021.102552
pmc: PMC7896100
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

102552

Informations de copyright

Copyright © 2021 The Author(s). Published by Elsevier B.V. All rights reserved.

Références

Br J Psychiatry. 2011 Mar;198(3):237-8
pubmed: 21357883
Front Public Health. 2019 Oct 24;7:295
pubmed: 31709213
Arch Dis Child. 2003 Jan;88(1):34-7
pubmed: 12495957
J Affect Disord. 2020 May 1;268:158-172
pubmed: 32174474
Best Pract Res Clin Obstet Gynaecol. 2014 Jan;28(1):3-12
pubmed: 24140480
Lancet Psychiatry. 2016 Oct;3(10):973-982
pubmed: 27650773
Cardiovasc J Afr. 2016 Mar-Apr;27(2):89-94
pubmed: 27213856
J Affect Disord. 2016 Feb;191:62-77
pubmed: 26650969
Am J Obstet Gynecol. 2010 Jan;202(1):5-14
pubmed: 20096252
Br J Psychiatry. 1987 Jun;150:782-6
pubmed: 3651732
PLoS Med. 2019 Aug 26;16(8):e1002864
pubmed: 31449518
Reprod Health. 2015 Oct 30;12:99
pubmed: 26514827
Curr Psychiatry Rep. 2017 Nov 6;19(12):100
pubmed: 29105008
Ann Epidemiol. 2010 Aug;20(8):575-83
pubmed: 20609336
Best Pract Res Clin Obstet Gynaecol. 2014 Jan;28(1):13-23
pubmed: 24095728
Psychiatry J. 2020 Sep 10;2020:9084894
pubmed: 32964009
Soc Psychiatry Psychiatr Epidemiol. 2017 Jun;52(6):737-748
pubmed: 28393283
J Affect Disord. 2014 Aug;165:1-7
pubmed: 24882170
Indian J Psychiatry. 2015 Apr-Jun;57(2):158-61
pubmed: 26124521
Am J Psychiatry. 2002 Jan;159(1):43-7
pubmed: 11772688
Ind Psychiatry J. 2013 Jan;22(1):37-40
pubmed: 24459372
World Psychiatry. 2004 Jun;3(2):100-1
pubmed: 16633468
J Abnorm Child Psychol. 2014 Jan;42(1):161-71
pubmed: 23748337
J Adv Nurs. 2016 Oct;72(10):2330-45
pubmed: 27255232
Am J Epidemiol. 2018 Sep 1;187(9):2060-2068
pubmed: 29635285
Lancet. 2014 Nov 15;384(9956):1800-19
pubmed: 25455250
Arch Womens Ment Health. 2013 Dec;16(6):521-9
pubmed: 23737011
J Womens Health (Larchmt). 2013 Sep;22(9):760-8
pubmed: 24007380
Int J Ment Health Syst. 2018 Nov 12;12:68
pubmed: 30455730
J Educ Health Promot. 2017 Aug 09;6:60
pubmed: 28852652
J Neurosci Rural Pract. 2015 Jan;6(1):116-9
pubmed: 25552868
PLoS One. 2015 Apr 07;10(4):e0122079
pubmed: 25848761
Genet Psychol Monogr. 1977 Feb;95(1):55-96
pubmed: 849833
Lancet. 2014 Nov 15;384(9956):1775-88
pubmed: 25455248
Ment Health Fam Med. 2010 Dec;7(4):239-47
pubmed: 22477948
J Clin Psychiatry. 2013 Apr;74(4):e321-41
pubmed: 23656857
Bull World Health Organ. 2017 Oct 1;95(10):706-717C
pubmed: 29147043
Indian J Psychol Med. 2018 Jul-Aug;40(4):343-348
pubmed: 30093745
BMC Psychiatry. 2015 Apr 02;15:66
pubmed: 25879965

Auteurs

Vijaya Raghavan (V)

Schizophrenia Research Foundation, R/7A, North Main Road, Anna Nagar West Extension, Chennai, 600101, Tamil Nadu, India. Electronic address: vijayaraghavan@scarfindia.org.

Homam A Khan (HA)

Innovators In Health (India) Nagar Panchayat, Ward 02, Thana: Dalsinghsarai, Distt: Samastipur, Bihar, 848114, India.

Uttara Seshu (U)

Innovators In Health (India) Nagar Panchayat, Ward 02, Thana: Dalsinghsarai, Distt: Samastipur, Bihar, 848114, India.

Surya Prakash Rai (SP)

Innovators In Health (India) Nagar Panchayat, Ward 02, Thana: Dalsinghsarai, Distt: Samastipur, Bihar, 848114, India.

Jothilakshmai Durairaj (J)

Schizophrenia Research Foundation, R/7A, North Main Road, Anna Nagar West Extension, Chennai, 600101, Tamil Nadu, India.

G Aarthi (G)

Schizophrenia Research Foundation, R/7A, North Main Road, Anna Nagar West Extension, Chennai, 600101, Tamil Nadu, India.

C Sangeetha (C)

Schizophrenia Research Foundation, R/7A, North Main Road, Anna Nagar West Extension, Chennai, 600101, Tamil Nadu, India.

Sujit John (S)

Schizophrenia Research Foundation, R/7A, North Main Road, Anna Nagar West Extension, Chennai, 600101, Tamil Nadu, India.

R Thara (R)

Schizophrenia Research Foundation, R/7A, North Main Road, Anna Nagar West Extension, Chennai, 600101, Tamil Nadu, India.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH