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埃塞俄比亚阿姆哈拉州北谢瓦地区新冠疫情期间孕妇产前抑郁症患病率及相关因素

Prevalence of antenatal depression and associated factors among pregnant women during COVID-19 pandemic in North Shewa zone, Amhara region, Ethiopia.

作者信息

Sewnet Amare Nakachew, Nibret Gessesse Dereje, Solomon Kinfu Yerukneh, Melesew Mekuriyaw Abebayehu, Amera Tizazu Michael, Mossie Menalu Mulat, Tsegaw Taye Birhan, Gonie Mekonnen Alemayehu

机构信息

School of Nursing and Midwifery, Asrat Woldeyes Health Science Campus, Debre Berhan University, Debre Berhan, Ethiopia.

School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

出版信息

Int J Afr Nurs Sci. 2022;17:100459. doi: 10.1016/j.ijans.2022.100459. Epub 2022 Jul 14.

Abstract

BACKGROUND

Antenatal depression is a form of depression that occurs during pregnancy. This problem may worsen during the COVID-19 epidemic and may result in serious consequences for pregnant women, including depression and other multiple psychosocial problems. However, the prevalence of depression during the COVID-19 pandemic in pregnant women and its associated factors has not been studied in the study area, even in Ethiopia.

METHODS

An institution-based cross-sectional study was conducted among 422 pregnant women who were attending antenatal care in public health institutions in the North Shewa Zone, Ethiopia. The data were collected from May 1- June 30, 2021. A logistic regression model with adjusted odds ratio (AOR) and P-value < 0.05 at the 95% confidence interval was used to determine significantly associated factors.

RESULTS

The prevalence of antenatal depression among pregnant women during the COVID-19 pandemic was 34.1% (95% CI: 29.6-38.9). Divorced marital status (AOR = 7.52, CI: 2.707-20.911), husband's educational status "cannot read and write" (AOR = 4.05, CI: 1.834-8.962) and "can read and write without formal education" (AOR = 2.39, CI: 1.107-5.154) are statistically significant variables associated with depression among pregnant women during the COVID-19 pandemic.

CONCLUSIONS

In this study, the prevalence of antenatal depression in pregnant women during the novel coronavirus pandemic was high. To reduce the level of depression in pregnant women, strategies have to be designed for the early detection of divorced pregnant women with inadequate social support and address enough information for pregnant women and their husbands about depression and COVID-19 during the pandemic.

摘要

背景

产前抑郁症是孕期出现的一种抑郁症形式。在新冠疫情期间,这个问题可能会恶化,并可能给孕妇带来严重后果,包括抑郁和其他多种心理社会问题。然而,即使在埃塞俄比亚,研究地区也尚未对新冠疫情期间孕妇抑郁症的患病率及其相关因素进行研究。

方法

在埃塞俄比亚北谢瓦州公共卫生机构接受产前护理的422名孕妇中进行了一项基于机构的横断面研究。数据收集于2021年5月1日至6月30日。使用调整比值比(AOR)和95%置信区间的P值<0.05的逻辑回归模型来确定显著相关因素。

结果

新冠疫情期间孕妇产前抑郁症的患病率为34.1%(95%CI:29.6 - 38.9)。离婚的婚姻状况(AOR = 7.52,CI:2.707 - 20.911)、丈夫的教育程度“不识字”(AOR = 4.05,CI:1.834 - 8.962)以及“能读写但未接受正规教育”(AOR = 2.39,CI:1.107 - 5.154)是与新冠疫情期间孕妇抑郁症相关的具有统计学意义的变量。

结论

在本研究中,新型冠状病毒大流行期间孕妇产前抑郁症的患病率很高。为降低孕妇的抑郁水平,必须制定策略,以便早期发现社会支持不足的离婚孕妇,并在疫情期间为孕妇及其丈夫提供足够的关于抑郁症和新冠疫情的信息。

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