Cargando…
Sociodemographic and Obstetric Determinants of Antenatal Depression in Jimma Medical Center, Southwest Ethiopia: Facility Based Case–Control Study
BACKGROUND: Worldwide, 10–20% of women experience depression during pregnancy. In sub-Saharan countries, depression during pregnancy is estimated to be 15–57%. Even though there is a high burden of depression during pregnancy, little attention has been given to identify sociodemographic and obstetri...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7394501/ https://www.ncbi.nlm.nih.gov/pubmed/32801933 http://dx.doi.org/10.2147/IJWH.S252385 |
_version_ | 1783565236862713856 |
---|---|
author | Alenko, Arefayne Dejene, Sisay Girma, Shimelis |
author_facet | Alenko, Arefayne Dejene, Sisay Girma, Shimelis |
author_sort | Alenko, Arefayne |
collection | PubMed |
description | BACKGROUND: Worldwide, 10–20% of women experience depression during pregnancy. In sub-Saharan countries, depression during pregnancy is estimated to be 15–57%. Even though there is a high burden of depression during pregnancy, little attention has been given to identify sociodemographic and obstetric determinants in diverse populations like Ethiopia. OBJECTIVE: To identify sociodemographic and obstetric determinants of antenatal depression among women attending an antenatal clinic at Jimma Medical Center, southwest Ethiopia. PATIENTS AND METHODS: A case–control study was conducted among 246 pregnant mothers (82 cases and 164 controls) attending an antenatal clinic in Jimma Medical Center from June 1 to August 30, 2019. Antenatal depression was assessed using the Beck Depression Inventory-II. Epidata 3.1 and SPSS v24 were used for data entry and analysis, respectively. Adjusted odds ratios (AOR) and 95%CIs were estimated using logistic regression models. Statistical significance was set at P<0.05. RESULTS: Married mothers were 67% (AOR=0.33, 95%CI: 0.15–0.75), housewives were 97% (AOR=0.03, 95%CI: 0.01–0.14), private workers were 87% (AOR=0.13, 95%CI: 0.04–0.44), and government employees were 84% (AOR=0.16, 95%CI: 0.05–0.46), less likely to develop antenatal depression. Multigravida were 88% (AOR=0.12, 95%CI: 0.04–0.37) less likely to develop antenatal depression. Third trimester pregnancy was four times (AOR=4.04, 95%CI: 1.51–10.81) more likely to have depression. Mothers who having wanted pregnancy were 83% (AOR=0.17, 95%CI: 0.04–0.81) less likely to develop antenatal depression compared with mothers having unwanted pregnancy. CONCLUSION AND RECOMMENDATION: Being married, multigravida, having wanted pregnancy and occupation status (housewives, private workers and government employees) can protect mothers from developing antenatal depression. Mothers with third trimester pregnancy were four times more likely to have depression. Designing a screening and intervention strategy for antenatal depression must consider the aforementioned protective and risk factors. |
format | Online Article Text |
id | pubmed-7394501 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-73945012020-08-13 Sociodemographic and Obstetric Determinants of Antenatal Depression in Jimma Medical Center, Southwest Ethiopia: Facility Based Case–Control Study Alenko, Arefayne Dejene, Sisay Girma, Shimelis Int J Womens Health Original Research BACKGROUND: Worldwide, 10–20% of women experience depression during pregnancy. In sub-Saharan countries, depression during pregnancy is estimated to be 15–57%. Even though there is a high burden of depression during pregnancy, little attention has been given to identify sociodemographic and obstetric determinants in diverse populations like Ethiopia. OBJECTIVE: To identify sociodemographic and obstetric determinants of antenatal depression among women attending an antenatal clinic at Jimma Medical Center, southwest Ethiopia. PATIENTS AND METHODS: A case–control study was conducted among 246 pregnant mothers (82 cases and 164 controls) attending an antenatal clinic in Jimma Medical Center from June 1 to August 30, 2019. Antenatal depression was assessed using the Beck Depression Inventory-II. Epidata 3.1 and SPSS v24 were used for data entry and analysis, respectively. Adjusted odds ratios (AOR) and 95%CIs were estimated using logistic regression models. Statistical significance was set at P<0.05. RESULTS: Married mothers were 67% (AOR=0.33, 95%CI: 0.15–0.75), housewives were 97% (AOR=0.03, 95%CI: 0.01–0.14), private workers were 87% (AOR=0.13, 95%CI: 0.04–0.44), and government employees were 84% (AOR=0.16, 95%CI: 0.05–0.46), less likely to develop antenatal depression. Multigravida were 88% (AOR=0.12, 95%CI: 0.04–0.37) less likely to develop antenatal depression. Third trimester pregnancy was four times (AOR=4.04, 95%CI: 1.51–10.81) more likely to have depression. Mothers who having wanted pregnancy were 83% (AOR=0.17, 95%CI: 0.04–0.81) less likely to develop antenatal depression compared with mothers having unwanted pregnancy. CONCLUSION AND RECOMMENDATION: Being married, multigravida, having wanted pregnancy and occupation status (housewives, private workers and government employees) can protect mothers from developing antenatal depression. Mothers with third trimester pregnancy were four times more likely to have depression. Designing a screening and intervention strategy for antenatal depression must consider the aforementioned protective and risk factors. Dove 2020-07-27 /pmc/articles/PMC7394501/ /pubmed/32801933 http://dx.doi.org/10.2147/IJWH.S252385 Text en © 2020 Alenko et al. http://creativecommons.org/licenses/by-nc/3.0/ This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
spellingShingle | Original Research Alenko, Arefayne Dejene, Sisay Girma, Shimelis Sociodemographic and Obstetric Determinants of Antenatal Depression in Jimma Medical Center, Southwest Ethiopia: Facility Based Case–Control Study |
title | Sociodemographic and Obstetric Determinants of Antenatal Depression in Jimma Medical Center, Southwest Ethiopia: Facility Based Case–Control Study |
title_full | Sociodemographic and Obstetric Determinants of Antenatal Depression in Jimma Medical Center, Southwest Ethiopia: Facility Based Case–Control Study |
title_fullStr | Sociodemographic and Obstetric Determinants of Antenatal Depression in Jimma Medical Center, Southwest Ethiopia: Facility Based Case–Control Study |
title_full_unstemmed | Sociodemographic and Obstetric Determinants of Antenatal Depression in Jimma Medical Center, Southwest Ethiopia: Facility Based Case–Control Study |
title_short | Sociodemographic and Obstetric Determinants of Antenatal Depression in Jimma Medical Center, Southwest Ethiopia: Facility Based Case–Control Study |
title_sort | sociodemographic and obstetric determinants of antenatal depression in jimma medical center, southwest ethiopia: facility based case–control study |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7394501/ https://www.ncbi.nlm.nih.gov/pubmed/32801933 http://dx.doi.org/10.2147/IJWH.S252385 |
work_keys_str_mv | AT alenkoarefayne sociodemographicandobstetricdeterminantsofantenataldepressioninjimmamedicalcentersouthwestethiopiafacilitybasedcasecontrolstudy AT dejenesisay sociodemographicandobstetricdeterminantsofantenataldepressioninjimmamedicalcentersouthwestethiopiafacilitybasedcasecontrolstudy AT girmashimelis sociodemographicandobstetricdeterminantsofantenataldepressioninjimmamedicalcentersouthwestethiopiafacilitybasedcasecontrolstudy |