Markos Mesfin, Arba Aseb
Wolaita Sodo University College of Medicine and Health Sciences, Department of Midwifery, Wolaita Sodo, Ethiopia.
Wolaita Sodo University College of Medicine and Health Sciences, School of Nursing, Wolaita Sodo, Ethiopia.
Neuropsychiatr Dis Treat. 2020 Oct 7;16:2307-2316. doi: 10.2147/NDT.S273045. eCollection 2020.
Paternal postpartum depression is a serious public health problem which has a significant effect on mortality and morbidity level. Its effect is not limited to the partner, but it also affects the family, the marital relationship and development of the child. Therefore, this study was planned to assess the prevalence and predictors of paternal postpartum depression among accompanying partners in selected public health centers of Wolaita Zone, Ethiopia.
An institution-based cross-sectional study was conducted among 423 male partners. The study was conducted in 25 randomly selected health centers and samples proportionally allocated to each health center. Finally, the study participants were selected by systematic random sampling method. The collected data were entered into EpiData version 4.2.0 and exported to IBM SPSS for further analysis. The Edinburgh postnatal depression scale was considered at a cutoff point ≥10 to detect depression. Descriptive and binary logistic regression analyses were done. Adjusted odds ratio (AOR) and -value results in multivariable logistic regression were used to declare strength and presence of association.
Four hundred and ten partners participated in this study making a response rate of 97%. Seventy (17%) of the participants had paternal postpartum depression. Family income (AOR=3.0; 95%CI: 1.1-8.2), substance use (AOR=4.5; 95%CI: 1.5-13.3), family support (AOR=3.9; 95%CI: 1.3-11.3), marital relation (AOR=4.1; 95%CI: 1.5-11.0), unplanned pregnancy (AOR=3.5; 95%CI: 1.4-8.7) and infant sleeping problems (AOR=10.0; 95%CI: 4.1-24.0) were variables significantly associated with paternal postnatal depression.
产后父亲抑郁是一个严重的公共卫生问题，对死亡率和发病率水平有重大影响。其影响不仅限于伴侣，还会影响家庭、婚姻关系以及孩子的成长。因此，本研究旨在评估埃塞俄比亚沃莱塔地区部分公共卫生中心陪伴伴侣中产后父亲抑郁的患病率及预测因素。
对423名男性伴侣进行了一项基于机构的横断面研究。该研究在25个随机选择的卫生中心进行，样本按比例分配到每个卫生中心。最后，通过系统随机抽样方法选择研究参与者。收集的数据录入EpiData 4.2.0版本，并导出到IBM SPSS进行进一步分析。采用爱丁堡产后抑郁量表，以≥10分为界值来检测抑郁情况。进行了描述性和二元逻辑回归分析。多变量逻辑回归中的调整优势比（AOR）和P值结果用于说明关联的强度和存在情况。
410名伴侣参与了本研究，应答率为97%。70名（17%）参与者患有产后父亲抑郁。家庭收入（AOR=3.0；95%CI：1.1 - 8.2）、物质使用（AOR=4.5；95%CI：1.5 - 13.3）、家庭支持（AOR=3.9；95%CI：1.3 - 11.3）、婚姻关系（AOR=4.1；95%CI：1.5 - 11.0）、意外怀孕（AOR=3.5；95%CI：1.4 - 8.7）和婴儿睡眠问题（AOR=10.0；95%CI：4.1 - 24.0）是与产后父亲抑郁显著相关的变量。
