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Epidemiology of antenatal depression in Africa: a systematic review and meta-analysis
BACKGROUND: Antenatal depression is a serious problem worldwide that has devastating consequences not only for the mother but also for the child and family. The pooled evidence regarding the prevalence and associated factors of antenatal depression is rare in Africa. Hence this review aimed to inves...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7189721/ https://www.ncbi.nlm.nih.gov/pubmed/32345263 http://dx.doi.org/10.1186/s12884-020-02929-5 |
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author | Dadi, Abel Fekadu Wolde, Haileab Fekadu Baraki, Adhanom Gebreegziabher Akalu, Temesgen Yihunie |
author_facet | Dadi, Abel Fekadu Wolde, Haileab Fekadu Baraki, Adhanom Gebreegziabher Akalu, Temesgen Yihunie |
author_sort | Dadi, Abel Fekadu |
collection | PubMed |
description | BACKGROUND: Antenatal depression is a serious problem worldwide that has devastating consequences not only for the mother but also for the child and family. The pooled evidence regarding the prevalence and associated factors of antenatal depression is rare in Africa. Hence this review aimed to investigate the prevalence and associated factors of antenatal depression in Africa. METHODS: We searched CINHAL, MEDLINE, PsycINFO, Psychiatry online, PubMed, SCOPES, and Emcare databases for English written observational studies conducted in Africa from 2007 to 2018.Quality of studies was assessed using the Newcastle Ottawa Scale (NOS), and studies with good quality were included in the final review. Heterogeneity across studies was assessed using the I(2) and Higgins test. Publication bias was checked using Funnel plot symmetry, and Egger’s regression test and adjustment was made by using Duval and Tweedie’s Trim and Fill analysis. A random effect Meta-analysis was employed to determine the pooled estimates with 95% confidence interval (CI). Stata 14 was used for analysis. The review protocol has been registered in PROSPERO number CRD42018106717. RESULT: Of the 175 studies identified, 28 studies with an overall sample size of 17,938 were included. According to the random effect model following trim and fill analysis, the pooled prevalence of antenatal depression in Africa was 26.3% (95%CI: 22.2, 30.4%). Economic difficulties [POR = 1.87;95%CI:1.25,2.78,I(2) = 88.1%], unfavorable marital condition [POR = 4.17;95% CI:1.75, 9.94, I(2) = 81.2%], poor support from relatives [POR = 1.36;95% CI:1.18, 1.56, I(2) = 78.0%], bad obstetric history [POR = 2.30;95% CI:1.81, 2.92), I(2) = 81.7%], and history of mental health problem [POR = 2.97; 95% CI:1.74, 5.06, I(2) = 92.0%]were the factors associated with antenatal depression. CONCLUSION: The prevalence of antenatal depression is high in Africa, which showed that one in four pregnant women had depression. Pregnant mothers who had economic difficulties, bad obstetric history, poor support from relatives, previous mental health problems, and unfavorable marital conditions were at higher risk of antenatal depression. Therefore these factors should be considered while designing mental health care services for pregnant mothers. |
format | Online Article Text |
id | pubmed-7189721 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-71897212020-05-04 Epidemiology of antenatal depression in Africa: a systematic review and meta-analysis Dadi, Abel Fekadu Wolde, Haileab Fekadu Baraki, Adhanom Gebreegziabher Akalu, Temesgen Yihunie BMC Pregnancy Childbirth Research Article BACKGROUND: Antenatal depression is a serious problem worldwide that has devastating consequences not only for the mother but also for the child and family. The pooled evidence regarding the prevalence and associated factors of antenatal depression is rare in Africa. Hence this review aimed to investigate the prevalence and associated factors of antenatal depression in Africa. METHODS: We searched CINHAL, MEDLINE, PsycINFO, Psychiatry online, PubMed, SCOPES, and Emcare databases for English written observational studies conducted in Africa from 2007 to 2018.Quality of studies was assessed using the Newcastle Ottawa Scale (NOS), and studies with good quality were included in the final review. Heterogeneity across studies was assessed using the I(2) and Higgins test. Publication bias was checked using Funnel plot symmetry, and Egger’s regression test and adjustment was made by using Duval and Tweedie’s Trim and Fill analysis. A random effect Meta-analysis was employed to determine the pooled estimates with 95% confidence interval (CI). Stata 14 was used for analysis. The review protocol has been registered in PROSPERO number CRD42018106717. RESULT: Of the 175 studies identified, 28 studies with an overall sample size of 17,938 were included. According to the random effect model following trim and fill analysis, the pooled prevalence of antenatal depression in Africa was 26.3% (95%CI: 22.2, 30.4%). Economic difficulties [POR = 1.87;95%CI:1.25,2.78,I(2) = 88.1%], unfavorable marital condition [POR = 4.17;95% CI:1.75, 9.94, I(2) = 81.2%], poor support from relatives [POR = 1.36;95% CI:1.18, 1.56, I(2) = 78.0%], bad obstetric history [POR = 2.30;95% CI:1.81, 2.92), I(2) = 81.7%], and history of mental health problem [POR = 2.97; 95% CI:1.74, 5.06, I(2) = 92.0%]were the factors associated with antenatal depression. CONCLUSION: The prevalence of antenatal depression is high in Africa, which showed that one in four pregnant women had depression. Pregnant mothers who had economic difficulties, bad obstetric history, poor support from relatives, previous mental health problems, and unfavorable marital conditions were at higher risk of antenatal depression. Therefore these factors should be considered while designing mental health care services for pregnant mothers. BioMed Central 2020-04-28 /pmc/articles/PMC7189721/ /pubmed/32345263 http://dx.doi.org/10.1186/s12884-020-02929-5 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. 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 in a credit line to the data. |
spellingShingle | Research Article Dadi, Abel Fekadu Wolde, Haileab Fekadu Baraki, Adhanom Gebreegziabher Akalu, Temesgen Yihunie Epidemiology of antenatal depression in Africa: a systematic review and meta-analysis |
title | Epidemiology of antenatal depression in Africa: a systematic review and meta-analysis |
title_full | Epidemiology of antenatal depression in Africa: a systematic review and meta-analysis |
title_fullStr | Epidemiology of antenatal depression in Africa: a systematic review and meta-analysis |
title_full_unstemmed | Epidemiology of antenatal depression in Africa: a systematic review and meta-analysis |
title_short | Epidemiology of antenatal depression in Africa: a systematic review and meta-analysis |
title_sort | epidemiology of antenatal depression in africa: a systematic review and meta-analysis |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7189721/ https://www.ncbi.nlm.nih.gov/pubmed/32345263 http://dx.doi.org/10.1186/s12884-020-02929-5 |
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