Prevalence and Associated Factors of Antenatal Depression among Women Attending Antenatal Care Service at Gondar University Hospital, Northwest Ethiopia
Prevalence and Associated Factors of Antenatal Depression among Women Attending Antenatal Care Service at Gondar University Hospital, Northwest Ethiopia
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DOI：
10.1371/journal.pone.0155125
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发表时间：
2016-05-06
期刊：
影响因子：
3.7
通讯作者：
Fekadu, Abel
中科院分区：
文献类型：
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作者：
Ayele, Tadesse Awoke;Azale, Telake;Fekadu, Abel
背景抑郁症是妊娠期最常见的精神疾病，与社会心理和临床产科因素有关。抑郁症不仅在世界各地的女性中常见且慢性，而且也是残疾的主要根源。信息匮乏和对问题的关注有限可能会加剧问题的后果并限制采取的干预措施。因此，本研究旨在确定产前抑郁症的患病率并确定相关因素。方法以机构为基础的横断面研究对来自贡德尔大学医院接受 ANC 服务的 388 名孕妇进行了抽样调查。采用系统随机抽样技术来招募研究参与者。使用结构化、预测试和访谈问卷来收集相关信息，同时使用贝克抑郁量表（BDI）来评估个人的抑郁状况。确定了具有高灵敏度和特异性的截止点，并检查了工具的内部一致性（Cronbach α = 0.82）。 Ep Info V. 2002 和 STATA 12 分别用于数据输入和分析。采用调整优势比及其95%置信区间来说明各因素的统计显着性。结果发现孕妇抑郁率为23%（95%置信区间：18.48%、26.86%）。与抑郁症显着相关的因素有：女性年龄（20至29岁，AOR = 0.18，95% CI：0.07，0.49），职业（家庭主妇，AOR = 2.57，95% CI：1.21，5.46，商人和日工，AOR = 3.44（1.38，8.58），既往怀孕（否，AOR = 4.74,95% CI:1.58,14.17) 和之前的 ANC 随访模式（不规则，AOR = 11.43,95% CI:3.68,35.49），无随访，AOR = 11.98, 95% CI:4.73,30.33）。结论 抑郁症状在研究地区的怀孕母亲中很常见，解决上述因素的干预措施将有利于解决进一步的并发症。
BackgroundDepression is the most prevalent psychiatric disorder during pregnancy and is associated with psychosocial and clinical obstetric factors. Depressive disorders are not only common and chronic among women throughout the world but also principal sources of disability. The scarce information and limited attention to the problem might aggravate the consequence of the problem and can limit the intervention to be taken. Therefore, the current study was conducted to determine the prevalence and identify associated factors for antenatal depression.MethodsInstitutional based cross-sectional study was conducted by taking a sample of 388 pregnant women coming for ANC service at Gondar University Hospital. Systematic random sampling technique was employed to recruit the study participants. Structured, pretested and interview administered questionnaire was used to collect related information while Beck Depression Inventory (BDI) was used to assess individuals depression condition. A cut off point with high sensitivity and specificity was determined and internal consistency of the tool was checked (Cronbach alpha = 0.82). Ep Info V. 2002 and STATA 12 were used for data entry and analyses, respectively. Adjusted Odds Ratio with its 95% CI was used to declare the statistical significance of the factors.ResultsDepression among pregnant women was found to be 23%(95% CI: 18.48%, 26.86%). Factors significantly associated with depression were: woman's age (20 to 29, AOR = 0.18,95% CI:0.07,0.49), occupation (housewife, AOR = 2.57,95% CI:1.21,5.46, merchant and daily laborers, AOR = 3.44 (1.38,8.58), previous pregnancy (No, AOR = 4.74,95% CI:1.58,14.17) and previous ANC follow up pattern (irregular, AOR = 11.43,95% CI:3.68,35.49), no follow up, AOR = 11.98, 95% CI:4.73,30.33).ConclusionDepression symptoms are common in pregnant mothers in the study area and interventions that would address the aforementioned factors would benefit to tackle further complications.