Patel Priyanka, Bhattacharyya Krittika, Singh Mayank, Jha Ravi Prakash, Dhamnetiya Deepak, Shri Neha
Department of Development Studies, International Institute for Population Sciences (IIPS), Mumbai, Maharashtra, India.
Department of Statistics, University of Calcutta, Kolkata, West Bengal, India.
Indian J Psychiatry. 2024 Feb;66(2):148-156. doi: 10.4103/indianjpsychiatry.indianjpsychiatry_176_23. Epub 2024 Feb 12.
Depression is a major public health concern among Indian adolescents. Pre- and post-natal depression can often alter fetal development and have negative consequences on the physical and mental health of the mother. This paper aims to draw attention to the prevalence of depression and its correlates among currently married, ever-pregnant adolescents from two Indian States, i.e. Uttar Pradesh and Bihar.
This study utilizes data from a subsample ( = 3116) of the prospective cohort study Understanding the Lives of Adolescents and Young Adults (UDAYA) among 10 to 19 year-old adolescents. Bivariate analysis was performed to assess the prevalence of depression by sociodemographic and behavioral characteristics. To further access the predictors associated with depression a logistic regression model was applied.
Around one-tenth (9%) of pregnant adolescents had depression. Regression analysis indicated that substance use, religion, autonomy, considering attempting suicide, premarital relationship, violence, dowry, adverse pregnancy outcome, menstrual problem, and parental pressure for the child immediately after marriage were significantly associated with depression.
This study confirms the pre-existing annotation that teen pregnancy is linked with depression. Findings indicate that Adolescent mothers experiencing violence, and a history of adverse pregnancy outcomes are at increased risk of developing depression. These study findings call for an urgent need to address depression among adolescent mothers.
抑郁症是印度青少年中一个主要的公共卫生问题。产前和产后抑郁症常常会改变胎儿发育，并对母亲的身心健康产生负面影响。本文旨在引起人们对印度北方邦和比哈尔邦两个邦目前已婚且曾经怀孕的青少年中抑郁症患病率及其相关因素的关注。
本研究利用了一项针对10至19岁青少年的前瞻性队列研究“了解青少年和青年的生活”（UDAYA）子样本（n = 3116）的数据。进行了双变量分析，以按社会人口学和行为特征评估抑郁症的患病率。为了进一步确定与抑郁症相关的预测因素，应用了逻辑回归模型。
约十分之一（9%）的怀孕青少年患有抑郁症。回归分析表明，物质使用、宗教、自主性、考虑自杀未遂、婚前关系、暴力、嫁妆、不良妊娠结局、月经问题以及婚后父母对孩子的迫切要求与抑郁症显著相关。
本研究证实了先前关于青少年怀孕与抑郁症有关的论断。研究结果表明，遭受暴力的青少年母亲以及有不良妊娠结局史的母亲患抑郁症的风险增加。这些研究结果呼吁迫切需要解决青少年母亲中的抑郁症问题。
