Social Determinants and Prevalence of Antenatal Depression among Women in Rural Bangladesh: A Cross-Sectional Study.
Social Determinants and Prevalence of Antenatal Depression among Women in Rural Bangladesh: A Cross-Sectional Study.
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DOI：
10.3390/ijerph20032364
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发表时间：
2023-01-29
影响因子：
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通讯作者：
Rankin, Judith
中科院分区：
文献类型：
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作者：
Insan, Nafisa;Forrest, Simon;Jaigirdar, Aqil;Islam, Reduanul;Rankin, Judith
孟加拉国产前抑郁症的患病率为 18% 至 33%。产前抑郁症会对母亲和孩子产生负面影响，例如自杀念头、低出生体重和胎儿发育受损。这项横断面研究旨在确定孟加拉国锡尔赫特农村地区产前抑郁症的患病率和社会决定因素。数据收集自 2021 年 3 月至 11 月期间的 235 名孕妇。经过验证的孟加拉爱丁堡产后抑郁量表用于测量产前抑郁症状 (ADS)。使用结构化调查问卷收集背景信息，包括杜克社会支持和压力量表、怀孕选择和世界卫生组织亲密伴侣暴力问题。产前抑郁症的点患病率为 56%。怀孕前的亲密伴侣暴力（IPV）（调整后的比值比（AOR）10.4 [95% 置信区间（CI）2.7-39.7]）和感知丈夫的男性性别偏好（AOR 9.9 [95% CI 1.6-59.6]）与孕妇 ADS 的几率增加显着相关。增加家庭支持是 ADS 的重要保护因素（AOR 0.94 [95% CI 0.91–0.97]）。产前抑郁症常见于孟加拉国锡尔赫特农村地区，这突出表明需要在这些环境中改进筛查和管理。研究结果表明，需要对家庭支持不足和遭受亲密伴侣暴力的妇女采取基于社区的干预措施，并制定教育计划和性别政策来解决性别不平等问题。
The prevalence of antenatal depression in Bangladesh ranges from 18 to 33%. Antenatal depression has negative impacts on the mother and child such as suicidal ideations, low birth weight, and impaired fetal development. This cross-sectional study aims to determine the prevalence and social determinants of antenatal depression in rural Sylhet, Bangladesh. Data were collected from 235 pregnant women between March and November 2021. The validated Bangla Edinburgh Postnatal Depression Scale was used to measure antenatal depressive symptoms (ADS). Background information was collected using a structured questionnaire including the Duke Social Support and Stress Scale, pregnancy choices, and WHO Intimate Partner Violence questions. Point-prevalence of antenatal depression was 56%. Intimate partner violence (IPV) before pregnancy (adjusted odds ratio (AOR) 10.4 [95% confidence interval (CI) 2.7–39.7]) and perceived husband’s male gender preference (AOR 9.9 [95% CI 1.6–59.6]) were significantly associated with increased odds of ADS among pregnant women. Increased family support was a significant protective factor for ADS (AOR 0.94 [95% CI 0.91–0.97]). Antenatal depression commonly occurs in rural Sylhet, Bangladesh, highlighting the need for improved screening and management within these settings. The findings suggest the need for community-based interventions for women with low family support and experiencing intimate partner violence, and educational programs and gender policies to tackle gender inequalities.