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尼日利亚西南部农村社区育龄期妇女的心理健康问题。

Mental health problems of reproductive age group women in a rural community of south west Nigeria.

机构信息

Department of Community Medicine, University College Hospital, Ibadan, Nigeria, and.

Department of Community Medicine, College of Medicine, University of Ibadan, Ibadan, Nigeria.

出版信息

J Ment Health. 2020 Feb;29(1):45-51. doi: 10.1080/09638237.2018.1487533. Epub 2018 Oct 25.

Abstract

: Mental health is a component of reproductive health which is generally not given priority in low and middle income countries. Efforts to improve women's health have focused majorly on issues associated with reproduction such as family planning and child-bearing while women's mental health has been relatively neglected.: This study was conducted to determine prevalence and factors influencing mental health problems in non-pregnant reproductive age women in a rural community of south west Nigeria.: A community-based cross-sectional survey was conducted using a cluster sampling technique to select the study population. Mental health was assessed based on respondents' experience of any symptoms of depression and anxiety. Data were analysed using descriptive statistics, Chi-square and multivariate logistic regression model at  < 0.05.: The mean age of the respondents was 25.6 ± 7.8 years. The prevalence of depression and anxiety was 28.9% each while 19.8% experienced both. Gynecological conditions were a predictor of anxiety (OR 2.7; 95% CI 1.3-5.6) while previous history of miscarriage was a predictor of depression (OR 10.5; 95% CI 1.0-108.8).: Our study demonstrated that mental health problems were quite prevalent in women of reproductive age group. We recommend that mental health be integrated into reproductive health policies.

摘要

心理健康是生殖健康的一个组成部分,在中低收入国家通常没有得到优先重视。改善妇女健康的努力主要集中在与生殖相关的问题上,如计划生育和生育,而妇女的心理健康则相对被忽视。

本研究旨在确定尼日利亚西南部一个农村社区中处于生育年龄的非孕妇女性心理健康问题的流行情况和影响因素。

采用整群抽样技术进行了一项基于社区的横断面调查,以选择研究人群。根据受访者是否有任何抑郁和焦虑症状来评估心理健康。使用描述性统计、卡方检验和多元逻辑回归模型进行数据分析,p 值<0.05。

受访者的平均年龄为 25.6±7.8 岁。抑郁和焦虑的患病率均为 28.9%,而同时患有两者的比例为 19.8%。妇科疾病是焦虑的预测因素(OR 2.7;95%CI 1.3-5.6),而先前流产史是抑郁的预测因素(OR 10.5;95%CI 1.0-108.8)。

我们的研究表明,生育年龄组的妇女中存在相当普遍的心理健康问题。我们建议将心理健康纳入生殖健康政策。

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