University of Gondar Comprehensive Specialized Hospital, Gondar, Ethiopia.
Department of Women and Family Health, School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Pan Afr Med J. 2020 Aug 4;36:239. doi: 10.11604/pamj.2020.36.239.19890. eCollection 2020.
mental health during pregnancy is a very important but neglected problem in most African countries including Ethiopia. In general, there was a scarce of studies on antenatal depression at the community level in Ethiopia. Therefore, this study was aimed at assessing the prevalence and correlates of antenatal depression among postpartum women in Gondar city, Northwest Ethiopia.
a community-based cross-sectional study was conducted in Gondar city among 526 women from July 01 to 30/2018. A cluster sampling technique was employed and an interviewer-administered semi-structured questionnaire was utilized to collect the data. The data were entered into Epi-info version 7.0 and exported to SPSS version 20. Both bivariate and multivariable logistic regression analyses were performed. The level of statistical significance was declared based on the AOR with 95% CI and P-value ≤0.05.
the prevalence of ante partum depression was 24.1% (95% CI: 20.5-27.5) and it was independently predicted by relatives' mental illness (AOR = 2.30; 95% CI: 1.17-4.53), sex preference (AOR = 1.80; 95% CI: 1.07-3.02), lack of relatives' support (AOR = 2.07; 95% CI: 1.12-3.87), unhappy marriage (AOR = 2.94; 95% CI: 1.81-4.76), history of depression (AOR = 5.23; 95% CI: 2.87-9.50) and no or one alive child (AOR = 1.78; 95% CI: 1.13-2.79).
the prevalence of ante partum depression was high and connected to poor psycho-social experiences. Therefore, building-up of family's network, fortifying relatives' support, resolving unhappy spousal relationships, and assuming early screening and intervention would degrade its burden.
在包括埃塞俄比亚在内的大多数非洲国家，孕期心理健康是一个非常重要但被忽视的问题。总的来说，在埃塞俄比亚的社区层面上，针对产前抑郁症的研究很少。因此，本研究旨在评估贡德尔市产后妇女产前抑郁症的患病率及其相关因素。
本研究为 2018 年 7 月 1 日至 30 日在贡德尔市进行的一项基于社区的横断面研究，采用聚类抽样技术，使用访谈者管理的半结构式问卷收集数据。数据输入 Epi-info 版本 7.0 并导出到 SPSS 版本 20。进行了双变量和多变量逻辑回归分析。根据 95%CI 和 P 值≤0.05 的 AOR 来宣布统计学意义水平。
产前抑郁症的患病率为 24.1%（95%CI：20.5-27.5），其独立预测因素为亲属的精神疾病（AOR=2.30；95%CI：1.17-4.53）、性别偏好（AOR=1.80；95%CI：1.07-3.02）、缺乏亲属的支持（AOR=2.07；95%CI：1.12-3.87）、不幸福的婚姻（AOR=2.94；95%CI：1.81-4.76）、抑郁症史（AOR=5.23；95%CI：2.87-9.50）和无子女或仅有一个子女存活（AOR=1.78；95%CI：1.13-2.79）。
产前抑郁症的患病率较高，与较差的心理社会体验有关。因此，建立家庭网络、加强亲属支持、解决不幸福的婚姻关系、以及进行早期筛查和干预可以减轻其负担。
