Low husband involvement in maternal and child health services and intimate partner violence increases the odds of postpartum depression in northwest Ethiopia: A community-based study.
Journal
PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081
Informations de publication
Date de publication:
2022
2022
Historique:
received:
04
11
2021
accepted:
13
10
2022
entrez:
26
10
2022
pubmed:
27
10
2022
medline:
29
10
2022
Statut:
epublish
Résumé
Depression is the most common mental health problem that affects women during pregnancy and after child-birth. Postpartum depression, in particular, has both short and long-term effects on the lives of mothers and children. Women's health is a current global concern, but postpartum depression is a neglected issue in the maternal continuum of care and is rarely addressed. Therefore, this study aimed to assess postpartum depression and associated factors in Gondar city, northwest Ethiopia. A community-based cross-sectional study was conducted from August 1st to 30th, 2021 in Gondar city. A cluster sampling technique was employed to select 794 postpartum women. Data were entered by EPI DATA version 4.6 and exported to SPSS version 25 for further analysis. The multivariable logistic regression analysis was carried out to identify factors associated with postpartum depression. The adjusted odds ratio with its 95% confidence interval at a p-value of ≤ 0.05 was used to declare the level of significance. A total of 794 women were included in the analysis, giving a response rate of 98.5%. The prevalence of postpartum depression was 17.25% (95% CI: 14.5, 20.2). Younger maternal age (AOR = 2.72, 95% CI: 1.23, 5.85), low average monthly income (AOR = 2.71, 95% CI: 1.24, 5.91), low decision-making power (AOR = 2.04, 95%CI: 1.31, 3.18), low husband/partner involvement in MNCH care service (AOR = 2.34, 95%CI: 1.44, 3.81), unplanned pregnancy (AOR = 3.16 95% CI: 1.77, 5.62), and experience of intimate partner violence (AOR = 3.13; 95% CI: 1.96, 4.99) were significantly associated with increased odds of postpartum depression. In this study, nearly 1/5th of the study participants had postpartum depression. Thus, it is important to integrate maternal mental health services with the existing maternal health care services. It is also crucial to advocate the need for husband's involvement in MNCH care services and ensure women's decision-making power in the household. Moreover, community-based sexual and reproductive health education would be better to reduce risk factors of postpartum depression.
Sections du résumé
BACKGROUND
Depression is the most common mental health problem that affects women during pregnancy and after child-birth. Postpartum depression, in particular, has both short and long-term effects on the lives of mothers and children. Women's health is a current global concern, but postpartum depression is a neglected issue in the maternal continuum of care and is rarely addressed. Therefore, this study aimed to assess postpartum depression and associated factors in Gondar city, northwest Ethiopia.
METHODS
A community-based cross-sectional study was conducted from August 1st to 30th, 2021 in Gondar city. A cluster sampling technique was employed to select 794 postpartum women. Data were entered by EPI DATA version 4.6 and exported to SPSS version 25 for further analysis. The multivariable logistic regression analysis was carried out to identify factors associated with postpartum depression. The adjusted odds ratio with its 95% confidence interval at a p-value of ≤ 0.05 was used to declare the level of significance.
RESULTS
A total of 794 women were included in the analysis, giving a response rate of 98.5%. The prevalence of postpartum depression was 17.25% (95% CI: 14.5, 20.2). Younger maternal age (AOR = 2.72, 95% CI: 1.23, 5.85), low average monthly income (AOR = 2.71, 95% CI: 1.24, 5.91), low decision-making power (AOR = 2.04, 95%CI: 1.31, 3.18), low husband/partner involvement in MNCH care service (AOR = 2.34, 95%CI: 1.44, 3.81), unplanned pregnancy (AOR = 3.16 95% CI: 1.77, 5.62), and experience of intimate partner violence (AOR = 3.13; 95% CI: 1.96, 4.99) were significantly associated with increased odds of postpartum depression.
CONCLUSION
In this study, nearly 1/5th of the study participants had postpartum depression. Thus, it is important to integrate maternal mental health services with the existing maternal health care services. It is also crucial to advocate the need for husband's involvement in MNCH care services and ensure women's decision-making power in the household. Moreover, community-based sexual and reproductive health education would be better to reduce risk factors of postpartum depression.
Identifiants
pubmed: 36288375
doi: 10.1371/journal.pone.0276809
pii: PONE-D-21-35177
pmc: PMC9604988
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e0276809Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
PLoS One. 2021 Mar 10;16(3):e0248331
pubmed: 33690693
PLoS One. 2019 May 2;14(5):e0215735
pubmed: 31048832
Afr Health Sci. 2020 Dec;20(4):1943-1954
pubmed: 34394261
Psychiatry J. 2020 Jan 21;2020:9565678
pubmed: 32411780
Depress Res Treat. 2020 Jan 21;2020:5364521
pubmed: 32411457
BMC Pregnancy Childbirth. 2017 Jan 26;17(1):44
pubmed: 28122585
BMC Pregnancy Childbirth. 2015 Jul 24;15:153
pubmed: 26205379
J Epidemiol Community Health. 2015 Jun;69(6):604-12
pubmed: 25700533
BMC Pregnancy Childbirth. 2018 Nov 14;18(1):442
pubmed: 30428843
PLoS One. 2019 Nov 13;14(11):e0224792
pubmed: 31721808
BMC Res Notes. 2018 Aug 29;11(1):623
pubmed: 30157909
Br Med Bull. 2012;101:57-79
pubmed: 22130907
J Affect Disord. 2021 Jan 15;279:737-748
pubmed: 33234282
Nurs Res. 2012 Mar-Apr;61(2):103-10
pubmed: 22307142
BMJ Open. 2016 Mar 10;6(3):e009443
pubmed: 26966055
Arch Womens Ment Health. 2003 Nov;6(4):263-74
pubmed: 14628179
Psychosom Med. 2021 May 1;83(4):345-350
pubmed: 33337594
Reprod Health. 2015 Oct 30;12:99
pubmed: 26514827
BMC Public Health. 2014 Jul 25;14:751
pubmed: 25059423
J Womens Health (Larchmt). 2013 Oct;22(10):844-52
pubmed: 23931153
Ann Epidemiol. 2010 Aug;20(8):575-83
pubmed: 20609336
BMC Public Health. 2020 Oct 27;20(1):1614
pubmed: 33109137
Best Pract Res Clin Obstet Gynaecol. 2014 Jan;28(1):113-33
pubmed: 24054170
BMC Pregnancy Childbirth. 2021 Feb 8;21(1):113
pubmed: 33557766
BMC Pregnancy Childbirth. 2020 Mar 30;20(1):189
pubmed: 32228500
Psychiatry Res. 2013 Dec 15;210(2):653-61
pubmed: 23972787
BMC Psychiatry. 2022 Apr 5;22(1):242
pubmed: 35382788
J Affect Disord. 2011 Dec;135(1-3):77-81
pubmed: 21835474
J Nepal Health Res Counc. 2019 Aug 04;17(2):200-205
pubmed: 31455934
East Mediterr Health J. 2021 Apr 27;27(4):344-352
pubmed: 33955530
BMC Public Health. 2022 Feb 11;22(1):284
pubmed: 35148725
Ann Gen Psychiatry. 2019 Sep 10;18:19
pubmed: 31523264
SAGE Open Med. 2022 May 21;10:20503121221100136
pubmed: 35646358
J Interpers Violence. 2012 Nov;27(16):3236-51
pubmed: 22550141
BMC Pregnancy Childbirth. 2015 May 03;15:108
pubmed: 25935726
BMC Res Notes. 2016 Dec 8;9(1):506
pubmed: 27931248
BMC Pregnancy Childbirth. 2014 Apr 07;14:132
pubmed: 24708777
BMC Pregnancy Childbirth. 2017 May 2;17(1):133
pubmed: 28464884
BMC Psychiatry. 2016 Jun 10;16:196
pubmed: 27287387
MMWR Morb Mortal Wkly Rep. 2008 Apr 11;57(14):361-6
pubmed: 18401329
WMJ. 2004;103(6):56-63
pubmed: 15622821
SAGE Open Med. 2021 Jan 23;9:2050312121989493
pubmed: 33552514
Int J Womens Health. 2016 Jun 07;8:191-202
pubmed: 27354830
PLoS One. 2016 Dec 19;11(12):e0168103
pubmed: 27992478
J Womens Health (Larchmt). 2013 May;22(5):412-6
pubmed: 23488527
PLoS One. 2017 Jan 17;12(1):e0169907
pubmed: 28095461
BMC Pregnancy Childbirth. 2019 Nov 21;19(1):435
pubmed: 31752760
Am J Epidemiol. 2013 Nov 1;178(9):1394-402
pubmed: 24013202
BMC Pregnancy Childbirth. 2020 Oct 21;20(1):643
pubmed: 33087076
PLoS One. 2021 Sep 27;16(9):e0255021
pubmed: 34570781