Department of Midwifery, Mattu University College of medical and Health Sciences, Mattu, Ethiopia.
Department of Midwifery, Madda Walabu University College of Medicine and Health Sciences, Sheshemene, Ethiopia.
BMC Womens Health. 2023 May 23;23(1):280. doi: 10.1186/s12905-023-02444-7.
Late postpartum depression is the presence of depressive symptoms beyond the early postpartum period and is a significant mental health problem that has a devastating impact on mothers, infants, partners, family members, the healthcare system, and the world's economy. However, there is limited information regarding this problem in Ethiopia.
To assess the prevalence of late postpartum depression and associated factors.
the community-based cross-sectional study was employed among 479 postpartum mothers in Arba Minch town from May 21 to June 21, 2022. The pre-tested face-to-face interviewer administered a structured questionnaire used to collect the data. A bivariate and multivariable analysis was done using a binary logistic regression model to identify factors associated with late postpartum depression. Both crude and adjusted odds ratios with 95% CI were calculated, and a p-value of < 0.05 was used to declare statistically significant factors.
The prevalence of late postpartum depression was 22.98% (95% CI: 19.16, 26.80). Husband Khat use (AOR = 2.64; 95% CI: 1.18, 5.91), partner dissatisfaction with the gender of the baby (AOR = 2.53; 95% CI: 1.22, 5.24), short inter-delivery interval (AOR = 6.80; 95% CI: 3.34, 13.84), difficulty to meet husband sexual need (AOR = 3.21; 95% CI: 1.62, 6.37), postpartum intimate partner violence (AOR = 4.08; 95% CI: 1.95, 8.54), and low social support (AOR = 2.50; 95% CI: 1.25, 4.50) were significantly associated factors at p-value < 0.05.
Overall, 22.98% of mothers suffered from late postpartum depression. Therefore, based on the identified factors, the Ministry of Health, Zonal Health Departments, and other responsible agencies should establish effective strategies to overcome this problem.
产后抑郁症是指在产后早期之后出现的抑郁症状，是一个严重影响母亲、婴儿、伴侣、家庭成员、医疗保健系统和世界经济的重要心理健康问题。然而，在埃塞俄比亚，关于这个问题的信息有限。
评估晚期产后抑郁症的患病率及相关因素。
采用 2022 年 5 月 21 日至 6 月 21 日在阿尔巴明奇镇进行的基于社区的横断面研究，对 479 名产后母亲进行了调查。使用经过预测试的面对面访谈员进行了问卷调查，以收集数据。使用二元逻辑回归模型进行了单变量和多变量分析，以确定与晚期产后抑郁症相关的因素。计算了粗比和调整后的比值比及其 95%置信区间，并使用 p 值 < 0.05 来表示有统计学意义的因素。
晚期产后抑郁症的患病率为 22.98%（95%CI：19.16，26.80）。丈夫使用卡他（AOR=2.64；95%CI：1.18，5.91）、伴侣对婴儿性别的不满（AOR=2.53；95%CI：1.22，5.24）、分娩间隔短（AOR=6.80；95%CI：3.34，13.84）、难以满足丈夫性需求（AOR=3.21；95%CI：1.62，6.37）、产后亲密伴侣暴力（AOR=4.08；95%CI：1.95，8.54）和社会支持低（AOR=2.50；95%CI：1.25，4.50）与 p 值 < 0.05 显著相关。
总体而言，22.98%的母亲患有晚期产后抑郁症。因此，根据确定的因素，卫生部、地区卫生部门和其他相关机构应制定有效的策略来解决这一问题。
