Department of Social Policy, London School of Economics, United Kingdom.
Health Place. 2012 Sep;18(5):1188-97. doi: 10.1016/j.healthplace.2012.05.004. Epub 2012 May 30.
This study systematically maps, assesses and aggregates research relating to postnatal depression (PND) and poverty in low and lower middle income countries (LLMICs). Our search of 12 databases yielded 2202 articles, of which 47 items from 17 countries were included in our mapping. We highlight mechanisms for the relationships between poverty and PND in LLMICs. The research base on the relationships between poverty and PND in LLMIC is limited, but has recently expanded. It is dominated by studies that consider whether poverty is a risk factor for PND. Income, socio-economic status and education are all inconsistent risk factors for PND. Clues to better ways of framing and capturing economic stress in PND research is found in the qualitative studies included in our mapping. Evidence focuses overwhelmingly on individual-level analyses. To understand the scale and implications of PND in LLMICs, research has to take account of neighbourhoods, communities, and localities.
本研究系统地绘制、评估和汇总了有关中低收入国家(LMICs)产后抑郁症(PND)和贫困的研究。我们对 12 个数据库进行了搜索,共获得了 2202 篇文章,其中来自 17 个国家的 47 项研究被纳入了我们的图谱。我们强调了中低收入国家贫困与 PND 之间关系的机制。关于中低收入国家贫困与 PND 之间关系的研究基础有限,但最近有所扩大。它主要由考虑贫困是否是 PND 风险因素的研究组成。收入、社会经济地位和教育都是 PND 的不一致风险因素。在我们的图谱中包括的定性研究中,找到了更好地构建和捕捉 PND 研究中经济压力的方法的线索。证据主要集中在个体层面的分析上。为了了解 PND 在 LLMICs 中的规模和影响,研究必须考虑到邻里、社区和地区。