Cargando…

The role of nutrition, intimate partner violence and social support in prenatal depressive symptoms in rural Ethiopia: community based birth cohort study

BACKGROUND: Depression during pregnancy has far-reaching adverse consequences on mothers, children and the whole family. The magnitude and determinants of prenatal depressive symptoms in low-resource countries are not well established. This study aims to describe the prevalence of prenatal depressiv...

Descripción completa

Detalles Bibliográficos
Autores principales: Woldetensay, Yitbarek Kidane, Belachew, Tefera, Biesalski, Hans Konrad, Ghosh, Shibani, Lacruz, Maria Elena, Scherbaum, Veronika, Kantelhardt, Eva Johanna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6139168/
https://www.ncbi.nlm.nih.gov/pubmed/30219050
http://dx.doi.org/10.1186/s12884-018-2009-5
_version_ 1783355466279026688
author Woldetensay, Yitbarek Kidane
Belachew, Tefera
Biesalski, Hans Konrad
Ghosh, Shibani
Lacruz, Maria Elena
Scherbaum, Veronika
Kantelhardt, Eva Johanna
author_facet Woldetensay, Yitbarek Kidane
Belachew, Tefera
Biesalski, Hans Konrad
Ghosh, Shibani
Lacruz, Maria Elena
Scherbaum, Veronika
Kantelhardt, Eva Johanna
author_sort Woldetensay, Yitbarek Kidane
collection PubMed
description BACKGROUND: Depression during pregnancy has far-reaching adverse consequences on mothers, children and the whole family. The magnitude and determinants of prenatal depressive symptoms in low-resource countries are not well established. This study aims to describe the prevalence of prenatal depressive symptoms and whether it is associated with maternal nutrition, intimate partner violence and social support among pregnant women in rural Ethiopia. METHODS: This study is based on the baseline data from a large prospective, community-based, birth cohort study conducted in the South Western part of Ethiopia from March 2014 to March 2016. A total of 4680 pregnant women were recruited between 12 and 32 weeks of gestation. Depressed mood was assessed using the Patient Health Questionnaire (PHQ-9) scale and a cut off of ≥8 was taken to define prenatal depressive symptoms. Data collection was conducted electronically on handheld tablets and submitted to a secured server via an internet connection. Bivariate and multivariate logistic regression analyses were computed using IBM SPSS version 20 software. RESULT: The community based prevalence of depressive symptoms during pregnancy was 10.8% (95%Confidence Interval (CI): 9.92–11.70). Adjusting for confounding variables, moderate household food insecurity (OR 1.74; 95% CI: 1.31–2.32), severe household food insecurity (OR 7.90; 95% CI: 5.87–10.62), anaemia (OR = 1.30; 95% CI: 1.04–1.61) and intimate partner violence (OR 3.08; 95% CI: 2.23–4.25) were significantly associated with prenatal depressive symptoms. On the other hand, good social support from friends, families and husband reduced the risk of prenatal depressive symptoms by 39% (OR 0.61; 95% CI: 0.50–0.76). CONCLUSION: Prenatal depressive symptomatology is rather common during pregnancy in rural Ethiopia. In this community based study, household food insecurity, anaemia and intimate partner violence were significantly associated with prenatal depressive symptoms. Good maternal social support from friends, families and spouse was rather protective. The study highlights the need for targeted screening for depression and intimate partner violence during pregnancy. Policies aimed at reducing household food insecurity, maternal anaemia and intimate partner violence during pregnancy may possibly reduce depression.
format Online
Article
Text
id pubmed-6139168
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-61391682018-09-20 The role of nutrition, intimate partner violence and social support in prenatal depressive symptoms in rural Ethiopia: community based birth cohort study Woldetensay, Yitbarek Kidane Belachew, Tefera Biesalski, Hans Konrad Ghosh, Shibani Lacruz, Maria Elena Scherbaum, Veronika Kantelhardt, Eva Johanna BMC Pregnancy Childbirth Research Article BACKGROUND: Depression during pregnancy has far-reaching adverse consequences on mothers, children and the whole family. The magnitude and determinants of prenatal depressive symptoms in low-resource countries are not well established. This study aims to describe the prevalence of prenatal depressive symptoms and whether it is associated with maternal nutrition, intimate partner violence and social support among pregnant women in rural Ethiopia. METHODS: This study is based on the baseline data from a large prospective, community-based, birth cohort study conducted in the South Western part of Ethiopia from March 2014 to March 2016. A total of 4680 pregnant women were recruited between 12 and 32 weeks of gestation. Depressed mood was assessed using the Patient Health Questionnaire (PHQ-9) scale and a cut off of ≥8 was taken to define prenatal depressive symptoms. Data collection was conducted electronically on handheld tablets and submitted to a secured server via an internet connection. Bivariate and multivariate logistic regression analyses were computed using IBM SPSS version 20 software. RESULT: The community based prevalence of depressive symptoms during pregnancy was 10.8% (95%Confidence Interval (CI): 9.92–11.70). Adjusting for confounding variables, moderate household food insecurity (OR 1.74; 95% CI: 1.31–2.32), severe household food insecurity (OR 7.90; 95% CI: 5.87–10.62), anaemia (OR = 1.30; 95% CI: 1.04–1.61) and intimate partner violence (OR 3.08; 95% CI: 2.23–4.25) were significantly associated with prenatal depressive symptoms. On the other hand, good social support from friends, families and husband reduced the risk of prenatal depressive symptoms by 39% (OR 0.61; 95% CI: 0.50–0.76). CONCLUSION: Prenatal depressive symptomatology is rather common during pregnancy in rural Ethiopia. In this community based study, household food insecurity, anaemia and intimate partner violence were significantly associated with prenatal depressive symptoms. Good maternal social support from friends, families and spouse was rather protective. The study highlights the need for targeted screening for depression and intimate partner violence during pregnancy. Policies aimed at reducing household food insecurity, maternal anaemia and intimate partner violence during pregnancy may possibly reduce depression. BioMed Central 2018-09-15 /pmc/articles/PMC6139168/ /pubmed/30219050 http://dx.doi.org/10.1186/s12884-018-2009-5 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Woldetensay, Yitbarek Kidane
Belachew, Tefera
Biesalski, Hans Konrad
Ghosh, Shibani
Lacruz, Maria Elena
Scherbaum, Veronika
Kantelhardt, Eva Johanna
The role of nutrition, intimate partner violence and social support in prenatal depressive symptoms in rural Ethiopia: community based birth cohort study
title The role of nutrition, intimate partner violence and social support in prenatal depressive symptoms in rural Ethiopia: community based birth cohort study
title_full The role of nutrition, intimate partner violence and social support in prenatal depressive symptoms in rural Ethiopia: community based birth cohort study
title_fullStr The role of nutrition, intimate partner violence and social support in prenatal depressive symptoms in rural Ethiopia: community based birth cohort study
title_full_unstemmed The role of nutrition, intimate partner violence and social support in prenatal depressive symptoms in rural Ethiopia: community based birth cohort study
title_short The role of nutrition, intimate partner violence and social support in prenatal depressive symptoms in rural Ethiopia: community based birth cohort study
title_sort role of nutrition, intimate partner violence and social support in prenatal depressive symptoms in rural ethiopia: community based birth cohort study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6139168/
https://www.ncbi.nlm.nih.gov/pubmed/30219050
http://dx.doi.org/10.1186/s12884-018-2009-5
work_keys_str_mv AT woldetensayyitbarekkidane theroleofnutritionintimatepartnerviolenceandsocialsupportinprenataldepressivesymptomsinruralethiopiacommunitybasedbirthcohortstudy
AT belachewtefera theroleofnutritionintimatepartnerviolenceandsocialsupportinprenataldepressivesymptomsinruralethiopiacommunitybasedbirthcohortstudy
AT biesalskihanskonrad theroleofnutritionintimatepartnerviolenceandsocialsupportinprenataldepressivesymptomsinruralethiopiacommunitybasedbirthcohortstudy
AT ghoshshibani theroleofnutritionintimatepartnerviolenceandsocialsupportinprenataldepressivesymptomsinruralethiopiacommunitybasedbirthcohortstudy
AT lacruzmariaelena theroleofnutritionintimatepartnerviolenceandsocialsupportinprenataldepressivesymptomsinruralethiopiacommunitybasedbirthcohortstudy
AT scherbaumveronika theroleofnutritionintimatepartnerviolenceandsocialsupportinprenataldepressivesymptomsinruralethiopiacommunitybasedbirthcohortstudy
AT kantelhardtevajohanna theroleofnutritionintimatepartnerviolenceandsocialsupportinprenataldepressivesymptomsinruralethiopiacommunitybasedbirthcohortstudy
AT woldetensayyitbarekkidane roleofnutritionintimatepartnerviolenceandsocialsupportinprenataldepressivesymptomsinruralethiopiacommunitybasedbirthcohortstudy
AT belachewtefera roleofnutritionintimatepartnerviolenceandsocialsupportinprenataldepressivesymptomsinruralethiopiacommunitybasedbirthcohortstudy
AT biesalskihanskonrad roleofnutritionintimatepartnerviolenceandsocialsupportinprenataldepressivesymptomsinruralethiopiacommunitybasedbirthcohortstudy
AT ghoshshibani roleofnutritionintimatepartnerviolenceandsocialsupportinprenataldepressivesymptomsinruralethiopiacommunitybasedbirthcohortstudy
AT lacruzmariaelena roleofnutritionintimatepartnerviolenceandsocialsupportinprenataldepressivesymptomsinruralethiopiacommunitybasedbirthcohortstudy
AT scherbaumveronika roleofnutritionintimatepartnerviolenceandsocialsupportinprenataldepressivesymptomsinruralethiopiacommunitybasedbirthcohortstudy
AT kantelhardtevajohanna roleofnutritionintimatepartnerviolenceandsocialsupportinprenataldepressivesymptomsinruralethiopiacommunitybasedbirthcohortstudy