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南非农村地区怀孕及育有子女的年轻女性中可能患抑郁症的患病率及相关因素:青少年与年轻成年人的比较

Prevalence and associated factors of probable depression amongst pregnant and parenting young females: a comparison of adolescents and young adults in rural South Africa.

作者信息

Seakamela K P, Mashaba R G, Ntimana C B, Mbombi M O, Tlouyamma J, Mphekgwana P, Nemuramba R, Mothapo K, Muthelo L, Mabila L N, Dhau I, Maimela E

机构信息

DIMAMO Population Health Research Centre, University of Limpopo, Polokwane, South Africa.

Department of Nursing Science, University of Limpopo, Polokwane, South Africa.

出版信息

Front Child Adolesc Psychiatry. 2023 Oct 16;2:1200759. doi: 10.3389/frcha.2023.1200759. eCollection 2023.

Abstract

BACKGROUND

Pregnant teenagers have been reported to have an increased likelihood of experiencing depression than their non-pregnant peers. There is little research on the risk factors for depression in rural Black adolescents and young adults, especially after the Covid-19 pandemic. Therefore, the current study aimed to identify the prevalence of probable depression and associated factors amongst pregnant and parenting young females.

METHOD

The study was a cross-sectional design, consisting of 362 pregnant and parenting adolescents and young adults aged 14-22. The study used the Edinburgh Postnatal Depression Scale (EPDS) to measure probable depression. Data were analyzed using Statistical Package for Social Sciences SPSS, version 27.0.

RESULTS

The study found that the overall prevalence of probable depression was 42.8%. The study also found a relationship between alcohol consumption, lack of financial support, unplanned pregnancy, and probable depression in pregnant and parenting adolescents. The prevalence of unplanned pregnancy in the present study was 81.8%.

CONCLUSION

Furthermore, the present study indicated that participants from low socio-economic status families and those who were HIV positive were at a greater risk of depression in both groups. Therefore, we recommend that measures be put in place for early detection and treatment of depression and that social support be given to adolescent mothers.

摘要

背景

据报道,怀孕青少年比未怀孕的同龄人患抑郁症的可能性更高。关于农村黑人青少年和年轻人抑郁症的风险因素研究较少,尤其是在新冠疫情之后。因此,本研究旨在确定怀孕和育有子女的年轻女性中可能患抑郁症的患病率及相关因素。

方法

本研究采用横断面设计,包括362名年龄在14至22岁之间的怀孕和育有子女的青少年及年轻人。该研究使用爱丁堡产后抑郁量表(EPDS)来测量可能的抑郁症。数据使用社会科学统计软件包SPSS 27.0进行分析。

结果

研究发现,可能患抑郁症的总体患病率为42.8%。研究还发现,饮酒、缺乏经济支持、意外怀孕与怀孕和育有子女的青少年可能患抑郁症之间存在关联。本研究中意外怀孕的患病率为81.8%。

结论

此外,本研究表明,来自社会经济地位较低家庭的参与者以及艾滋病毒呈阳性的参与者在两组中患抑郁症的风险更高。因此,我们建议采取措施对抑郁症进行早期检测和治疗,并给予青少年母亲社会支持。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9972/11748796/baaa7189f114/frcha-02-1200759-g001.jpg

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