Burden of mental health problems among pregnant and postpartum women in sub-Saharan Africa: systematic review and meta-analysis protocol.
Burden of mental health problems among pregnant and postpartum women in sub-Saharan Africa: systematic review and meta-analysis protocol.
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DOI：
10.1136/bmjopen-2022-069545
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发表时间：
2023-06-07
期刊：
影响因子：
2.9
通讯作者：
中科院分区：
文献类型：
--
作者：
妊娠和产后相关的心理健康问题对社会构成严重的公共卫生威胁，但令人担忧的是，在撒哈拉以南非洲（SSA）被忽视。本次审查将评估撒哈拉以南非洲产妇心理健康（MMH）问题的负担和分布，目的是为实施对环境敏感的干预措施和政策提供信息。将检索所有相关数据库、灰色文献和非数据库来源。PubMed、LILAC、CINAHL、SCOPUS和PsycINFO、Google Scholar、African Index Medicus、HINARI、African Journals Online和IMSEAR将从开始到2023年5月31日进行检索，无语言限制。将对文章的参考文献列表进行审查，并联系专家了解我们检索遗漏的其他研究。研究选择、数据提取和偏倚风险评估将由至少两名审查员独立完成，任何差异将通过审查员之间的讨论解决。MMH问题的二元结局（患病率和发生率）将使用汇总比例、OR或风险比和连续结局的平均差进行评估;所有结果均将显示其95% CI。将以图形方式研究异质性的重叠CI，并使用I2统计量进行统计学研究，必要时将进行亚组分析。当异质性明显时，将进行随机效应模型荟萃分析，否则将使用固定效应模型。将使用建议评估、制定和评价分级来评估总体证据水平。虽然系统性审查不需要伦理审查或豁免，但本审查是一项关于孕产妇精神健康的大型研究的一部分，该研究已获得加纳卫生服务伦理审查委员会的伦理审查（GHS-ERC 012/03/20）。这项研究的结果将通过利益攸关方论坛、会议和同行审查出版物传播。CRD 42021269528。
Pregnancy and postpartum-related mental health problems pose serious public health threat to the society, but worryingly, neglected in sub-Saharan Africa (SSA). This review will assess the burden and distribution of maternal mental health (MMH) problems in SSA, with the aim to inform the implementation of context sensitive interventions and policies. All relevant databases, grey literature and non-database sources will be searched. PubMed, LILAC, CINAHL, SCOPUS and PsycINFO, Google Scholar, African Index Medicus, HINARI, African Journals Online and IMSEAR will be searched from inception to 31 May 2023, without language restriction. The reference lists of articles will be reviewed, and experts contacted for additional studies missed by our searches. Study selection, data extraction and risk of bias assessment will be done independently by at least two reviewers and any discrepancies will be resolved through discussion between the reviewers. Binary outcomes (prevalence and incidence) of MMH problems will be assessed using pooled proportions, OR or risk ratio and mean difference for continuous outcomes; all will be presented with their 95% CIs. Heterogeneity will be investigated graphically for overlapping CIs and statistically using the I2 statistic and where necessary subgroup analyses will be performed. Random-effects model meta-analysis will be conducted when heterogeneity is appreciable, otherwise fixed-effect model will be used. The overall level of evidence will be assessed using Grading of Recommendations Assessment, Development and Evaluation. Although no ethical clearance or exemption is needed for a systematic review, this review is part of a larger study on maternal mental health which has received ethical clearance from the Ethics Review Committee of the Ghana Health Service (GHS-ERC 012/03/20). Findings of this study will be disseminated through stakeholder forums, conferences and peer review publications. CRD42021269528.
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DOI：
10.1136/bmj.b2535
发表时间：
2009-07-21
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
Moher D;Liberati A;Tetzlaff J;Altman DG;PRISMA Group
通讯作者：
PRISMA Group
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影响因子：
3.1
作者：
Garthus-Niegel S;von Soest T;Knoph C;Simonsen TB;Torgersen L;Eberhard-Gran M
通讯作者：
Eberhard-Gran M
影响因子：
--
作者：
Getinet W;Amare T;Boru B;Shumet S;Worku W;Azale T
通讯作者：
Azale T
影响因子：
0.6
作者：
Koh, Minseon;Ahn, Sukhee;Oh, Jiwon
通讯作者：
Oh, Jiwon
低收入和中等收入国家的孕产妇抑郁，危险因素和儿童结局的流行病学。
影响因子：
64.3
作者：
Gelaye, Bizu;Rondon, Marta B.;Araya, Ricardo;Williams, Michelle A.
通讯作者：
Williams, Michelle A.