Depressed mood in pregnancy: Prevalence and correlates in two Cape Town peri-urban settlements
Depressed mood in pregnancy: Prevalence and correlates in two Cape Town peri-urban settlements
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DOI：
10.1186/1742-4755-8-9
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发表时间：
2011-01-01
影响因子：
3.4
通讯作者：
Rotheram-Borus, Mary Jane
中科院分区：
文献类型：
--
作者：
Hartley, Mary;Tomlinson, Mark;Rotheram-Borus, Mary Jane
背景：与抑郁症相关的残疾及其对孕产妇和儿童健康的影响对公共卫生政策具有重要影响。虽然产后抑郁症的患病率很高，但南非没有产前抑郁症患病率的数据。本研究的目的是确定开普敦城郊居民区妊娠期抑郁情绪的患病率及其相关性。 方法：本研究报告了从 Philani Mentor Mothers Project (PMMP) 收集的基线数据，该项目是南非开普敦郊区的一项基于社区的整群随机对照试验。 PMMP 旨在评估家庭干预措施对于预防和管理与孕妇及其婴儿的艾滋病毒、结核病、饮酒和营养不良相关的疾病的有效性。参与者是来自开普敦 Khayelitsha 和 Mfuleni 的 1062 名孕妇。衡量标准包括爱丁堡产后抑郁量表（EPDS）、衍生 AUDIT-C、伴侣和父母的社会支持指数，以及有关社会人口统计、亲密伴侣暴力和当前怀孕的问题。使用双变量分析和逻辑回归对数据进行分析。结果：39% 的母亲报告怀孕期间情绪低落。抑郁情绪的最强预测因素是缺乏伴侣支持、亲密伴侣暴力、家庭每月收入低于 2000 兰特以及年龄较小。 结论：妊娠期抑郁情绪的患病率很高，因此需要在初级卫生保健和产前环境中对抑郁症进行早期筛查和干预。必须为城郊居住区的孕妇制定针对孕产妇抑郁症的社区干预措施的有效性和可扩展性。
Background: The disability associated with depression and its impact on maternal and child health has important implications for public health policy. While the prevalence of postnatal depression is high, there are no prevalence data on antenatal depression in South Africa. The purpose of this study was to determine the prevalence and correlates of depressed mood in pregnancy in Cape Town peri-urban settlements.Methods: This study reports on baseline data collected from the Philani Mentor Mothers Project (PMMP), a community-based, cluster-randomized controlled trial on the outskirts of Cape Town, South Africa. The PMMP aims to evaluate the effectiveness of a home-based intervention for preventing and managing illnesses related to HIV, TB, alcohol use and malnutrition in pregnant mothers and their infants. Participants were 1062 pregnant women from Khayelitsha and Mfuleni, Cape Town. Measures included the Edinburgh Postnatal Depression Scale (EPDS), the Derived AUDIT-C, indices for social support with regards to partner and parents, and questions concerning sociodemographics, intimate partner violence, and the current pregnancy. Data were analysed using bivariate analyses followed by logistic regression.Results: Depressed mood in pregnancy was reported by 39% of mothers. The strongest predictors of depressed mood were lack of partner support, intimate partner violence, having a household income below R2000 per month, and younger age.Conclusions: The high prevalence of depressed mood in pregnancy necessitates early screening and intervention in primary health care and antenatal settings for depression. The effectiveness and scalability of community-based interventions for maternal depression must be developed for pregnant women in peri-urban settlements.