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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

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 depre...

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Autores principales: Kebede, Azmeraw Ambachew, Gessesse, Dereje Nibret, Aklil, Mastewal Belayneh, Temesgan, Wubedle Zelalem, Abegaz, Marta Yimam, Anteneh, Tazeb Alemu, Tibebu, Nebiyu Solomon, Alemu, Haymanot Nigatu, Haile, Tsion Tadesse, Seyoum, Asmra Tesfahun, Tiguh, Agumas Eskezia, Yismaw, Ayenew Engida, Mihret, Muhabaw Shumye, Nenko, Goshu, Wondie, Kindu Yinges, Taye, Birhan Tsegaw, Tsega, Nuhamin Tesfa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9604988/
https://www.ncbi.nlm.nih.gov/pubmed/36288375
http://dx.doi.org/10.1371/journal.pone.0276809
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author Kebede, Azmeraw Ambachew
Gessesse, Dereje Nibret
Aklil, Mastewal Belayneh
Temesgan, Wubedle Zelalem
Abegaz, Marta Yimam
Anteneh, Tazeb Alemu
Tibebu, Nebiyu Solomon
Alemu, Haymanot Nigatu
Haile, Tsion Tadesse
Seyoum, Asmra Tesfahun
Tiguh, Agumas Eskezia
Yismaw, Ayenew Engida
Mihret, Muhabaw Shumye
Nenko, Goshu
Wondie, Kindu Yinges
Taye, Birhan Tsegaw
Tsega, Nuhamin Tesfa
author_facet Kebede, Azmeraw Ambachew
Gessesse, Dereje Nibret
Aklil, Mastewal Belayneh
Temesgan, Wubedle Zelalem
Abegaz, Marta Yimam
Anteneh, Tazeb Alemu
Tibebu, Nebiyu Solomon
Alemu, Haymanot Nigatu
Haile, Tsion Tadesse
Seyoum, Asmra Tesfahun
Tiguh, Agumas Eskezia
Yismaw, Ayenew Engida
Mihret, Muhabaw Shumye
Nenko, Goshu
Wondie, Kindu Yinges
Taye, Birhan Tsegaw
Tsega, Nuhamin Tesfa
author_sort Kebede, Azmeraw Ambachew
collection PubMed
description 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 1(st) to 30(th), 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 1/5(th) 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.
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spelling pubmed-96049882022-10-27 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 Kebede, Azmeraw Ambachew Gessesse, Dereje Nibret Aklil, Mastewal Belayneh Temesgan, Wubedle Zelalem Abegaz, Marta Yimam Anteneh, Tazeb Alemu Tibebu, Nebiyu Solomon Alemu, Haymanot Nigatu Haile, Tsion Tadesse Seyoum, Asmra Tesfahun Tiguh, Agumas Eskezia Yismaw, Ayenew Engida Mihret, Muhabaw Shumye Nenko, Goshu Wondie, Kindu Yinges Taye, Birhan Tsegaw Tsega, Nuhamin Tesfa PLoS One Research Article 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 1(st) to 30(th), 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 1/5(th) 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. Public Library of Science 2022-10-26 /pmc/articles/PMC9604988/ /pubmed/36288375 http://dx.doi.org/10.1371/journal.pone.0276809 Text en © 2022 Kebede et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Kebede, Azmeraw Ambachew
Gessesse, Dereje Nibret
Aklil, Mastewal Belayneh
Temesgan, Wubedle Zelalem
Abegaz, Marta Yimam
Anteneh, Tazeb Alemu
Tibebu, Nebiyu Solomon
Alemu, Haymanot Nigatu
Haile, Tsion Tadesse
Seyoum, Asmra Tesfahun
Tiguh, Agumas Eskezia
Yismaw, Ayenew Engida
Mihret, Muhabaw Shumye
Nenko, Goshu
Wondie, Kindu Yinges
Taye, Birhan Tsegaw
Tsega, Nuhamin Tesfa
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
title 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_short 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
title_sort 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
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9604988/
https://www.ncbi.nlm.nih.gov/pubmed/36288375
http://dx.doi.org/10.1371/journal.pone.0276809
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