Ex Junior Resident, Department of Community Medicine, Jawaharlal Nehru Medial College, AMU, Aligarh, Uttar Pradesh, India.
Associate Professor, Department of Community Medicine, Jawaharlal Nehru Medial College, AMU, Aligarh, Uttar Pradesh, India.
Indian J Public Health. 2021 Jan-Mar;65(1):16-21. doi: 10.4103/ijph.IJPH_193_20.
Maternal mental health problems are one of the major public health challenges. Globally, depression and anxiety cause immense suffering and disability among mothers who later contribute to compromise parenting practices and increased unmet needs of their newborn and young children.
The aim of this study is to determine the prevalence and determinants of maternal common mental disorders (CMDs) among the study population.
A community-based cross-sectional study was conducted in Aligarh, Uttar Pradesh, India, from July 2016 to June 2017, among 415 women of child-bearing age who had one or more children in the age group of 0-23 months. A World Health Organization prequalified questionnaire Self-Reporting Questionnaire 20 was used to assess the CMD of mothers. Binary logistic regression was used for finding out predictors of mental disorders.
Overall prevalence of maternal CMDs was 38.8%. The prevalence of maternal CMD was significantly higher among mothers in a higher age group, belonging to low socioeconomic class, nuclear type of family, living in the urban locality, having lower or no education, being single mothers, housewives, and having higher parity.
Substantially, high prevalence of CMD among mothers suggests for further research to explore the factors affecting the mental health of mothers. Measures for the early identification, treatment, and prevention of maternal mental disorders should be taken.
孕产妇心理健康问题是主要的公共卫生挑战之一。在全球范围内,抑郁和焦虑给产妇带来了极大的痛苦和残疾,进而影响了她们的育儿实践,并增加了新生儿和幼儿未满足的需求。
本研究旨在确定研究人群中孕产妇常见精神障碍(CMDs)的患病率和决定因素。
2016 年 7 月至 2017 年 6 月,在印度北方邦阿利加尔地区进行了一项基于社区的横断面研究,共纳入 415 名年龄在 0-23 个月之间有 1 个或多个孩子的育龄妇女。使用世界卫生组织预认证问卷自我报告问卷 20 评估母亲的 CMD。采用二元逻辑回归分析寻找精神障碍的预测因素。
孕产妇 CMD 的总体患病率为 38.8%。年龄较大、社会经济地位较低、核心家庭类型、居住在城市地区、教育程度较低或无教育、单亲母亲、家庭主妇、多胎的母亲中,患有 CMD 的比例显著更高。
母亲中 CMD 的高患病率表明需要进一步研究,以探讨影响母亲心理健康的因素。应采取措施早期识别、治疗和预防孕产妇精神障碍。