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埃塞俄比亚亚的斯亚贝巴公立卫生中心产后母亲自杀行为的程度及其相关因素。

Magnitude and associated factors of suicidal behavior among postpartum mothers attending public health centers of Addis Ababa, Ethiopia.

机构信息

Addis Ababa University, Tikur Anbesa Specialized Hospital, NICU, Addis Ababa, Ethiopia.

Department of Psychiatry, Addis Ababa University, College of Health Science, School of Nursing And Midwifery, Addis Ababa, Ethiopia.

出版信息

BMC Psychiatry. 2022 Jul 13;22(1):465. doi: 10.1186/s12888-022-04090-z.

Abstract

BACKGROUND

In low-income nations, suicidal conduct increases within the first year following delivery, ranging from 4 to 17.6%, with a three-fold cause of maternal death. Suicidal behavior was also reported to be 14% among postpartum women in Ethiopia.

OBJECTIVE

To assess the magnitude and associated factors of suicidal behavior among postpartum mothers attending public health centers in Addis Ababa, Ethiopia, 2021.

METHODS

A cross-sectional study was conducted in ten public health facilities of Addis Ababa, Ethiopia with a total sample size of 615 women. The data were entered into Epi data 4.6 and exported to SPSS version 25 for statistical analysis. A logistic regression model with adjusted odds ratio (AOR), 95% confidence interval (CI) and p-value of ≤0.05 was used to identify predictors of the outcome variable.

RESULTS

The magnitude of suicidal behavior among postnatal mothers attending public health centers in Addis Ababa was 41.46% with 95%CI (35.2-44.5%). Being mother's literate (adjusted odds ratio (AOR) = 0.64, 95% CI: 0.42-0.97), verbal abuses (AOR = 2.18, 95% CI: 1.38-3.44), history of rape (AOR = 3.03, 95% CI 1.14 -8.05), history of depression (AOR = 4.12, 95% CI 1.21-14.03), women's having sexually unfaithful husband (AOR = 1.42, 95% CI 1.14-6.23) and khat chewing (AOR = 8.48, 95% CI 2.52-28.50) were significantly associated with suicidal behavior.

CONCLUSION

The magnitude of suicidal behavior among postnatal mothers attending public health centers in Addis Ababa was 41.46% and it was found to be associated with being literate, rape, verbal abuse, having a history of depression, having a sexually unfaithful husband and chewing khat. As a result, women should be screened for suicidal behavior during antenatal and postnatal services for early detection and management.

摘要

背景

在低收入国家,产后第一年的自杀行为发生率为 4%至 17.6%,是导致产妇死亡的三倍因素。埃塞俄比亚的产后妇女也有 14%报告有自杀行为。

目的

评估 2021 年在埃塞俄比亚亚的斯亚贝巴公立卫生中心就诊的产后母亲自杀行为的发生情况及其相关因素。

方法

在埃塞俄比亚亚的斯亚贝巴的 10 家公立卫生设施中进行了一项横断面研究,总样本量为 615 名妇女。数据输入 Epi data 4.6 并导出到 SPSS 版本 25 进行统计分析。采用具有调整后的优势比 (AOR)、95%置信区间 (CI) 和≤0.05 的 p 值的逻辑回归模型来确定结果变量的预测因素。

结果

在亚的斯亚贝巴公立卫生中心就诊的产后母亲中,自杀行为的发生率为 41.46%,95%CI(35.2-44.5%)。母亲识字(调整后的优势比 (AOR)=0.64,95%CI:0.42-0.97)、言语虐待(AOR=2.18,95%CI:1.38-3.44)、强奸史(AOR=3.03,95%CI 1.14-8.05)、抑郁症史(AOR=4.12,95%CI 1.21-14.03)、女性不忠的丈夫(AOR=1.42,95%CI 1.14-6.23)和咀嚼恰特草(AOR=8.48,95%CI 2.52-28.50)与自杀行为显著相关。

结论

在亚的斯亚贝巴公立卫生中心就诊的产后母亲中,自杀行为的发生率为 41.46%,与识字、强奸、言语虐待、抑郁症史、不忠的丈夫和咀嚼恰特草有关。因此,应在产前和产后服务期间对女性进行自杀行为筛查,以便早期发现和管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1769/9277903/ee3f0d6517b0/12888_2022_4090_Fig1_HTML.jpg

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