Women's mental health in Mozambique: is maternity a protective factor?
Women's mental health in Mozambique: is maternity a protective factor?
复制标题
DOI：
10.1017/gmh.2022.1
复制
发表时间：
2022
期刊：
影响因子：
--
通讯作者：
Duarte, Cristiane S.
中科院分区：
文献类型：
--
作者：
Khan, Saida;Scorza, Pamela;Lovero, Kathryn L.;dos Santos, Palmira;Fumo, Wilza;Camara, Barbara;Oquendo, Maria A.;Wainberg, Milton L.;Fejo, Marcelo;Duarte, Cristiane S.
在全球范围内，妇女已被证明患有常见精神障碍（CMD）的比例很高。在低收入和中等收入国家，妇女面临与孕产有关的重大挑战。然而，没有研究对低收入国家孕妇/产后妇女、无子女育龄妇女和有子女妇女的心理健康问题进行比较。我们试图比较的频率CMD和自杀风险的样本中的妇女介绍或陪同患者在初级保健在两个莫桑比克半城市设置。我们对853名妇女进行了MINI国际神经精神访谈，其中220名（25.8%）为妊娠/产后妇女，177名（20.8%）为非妊娠和无子女妇女，456名（53.5%）为非妊娠和有1岁以上子女的妇女。Logistic回归模型比较了各组精神疾病的可能性，调整了社会人口统计学和慢性病协变量。我们发现，在这个低收入背景下的样本中，所有女性的CMD和自杀风险频率都很高。在调整后的模型中，各组之间没有观察到抑郁、焦虑或惊恐障碍的发生率差异。然而，没有子女的妇女的自杀风险高于怀孕/产后妇女。在我们的研究中，育龄妇女中CMD的频率高于高收入国家和其他低收入国家的记录率。此外，我们发现，母亲是没有保护性的，怀孕和产后期不是大多数疾病风险增加的阶段。这突出表明，不仅需要扩大对围产期妇女的心理健康服务，而且需要扩大对处于这种情况和可能类似情况下的所有育龄妇女的心理健康服务。
Globally, women have been shown to have high rates of common mental disorders (CMDs). In low and middle-income countries (LMICs), women face significant challenges related to maternity. However, no study has compared mental health problems among pregnant/post-partum women, childless women of childbearing age, and women with children in a low-income country. We sought to compare the frequency of CMD and suicide risk in a sample of women presenting or accompanying patients in primary care in two Mozambican semi-urban settings. We administered the MINI International Neuropsychiatric Interview to 853 women, of whom 220 (25.8%) were pregnant/post-partum, 177 (20.8%) were non-pregnant and childless, and 456 (53.5%) were non-pregnant and with children more than 1-year-old. Logistic regression models compared the likelihood of a psychiatric disorder across groups, adjusting for sociodemographic and chronic-illness covariates. We found a high frequency of CMD and suicide risk among all women in this low-income context sample. In adjusted models, no differences in rates of depression, anxiety, or panic disorder were observed among groups. However, suicide risk was higher in women without children than pregnant/post-partum women. The frequency of CMD among women of childbearing age in our study was higher than documented rates in high-income countries and other LMIC. Additionally, we found that motherhood was not protective and that pregnancy and the postpartum period were not stages of increased risk for most disorders. This highlights the need to expand mental health services not only for perinatal women but all women of childbearing age in this and possibly similar settings.
登录
查看更多内容
影响因子：
3.6
作者：
Dos Santos PF;Wainberg ML;Caldas-de-Almeida JM;Saraceno B;Mari Jde J
通讯作者：
Mari Jde J
影响因子：
6
作者：
Betancourt TS;Abrams EJ;McBain R;Fawzi MC
通讯作者：
Fawzi MC
DOI：
10.4102/phcfm.v7i1.874
发表时间：
2015-01-01
影响因子：
2
作者：
Stellenberg, Ethelwynn L.;Abrahams, Johanna M.
通讯作者：
Abrahams, Johanna M.
影响因子：
4.8
作者：
Luis, Antonio dos Anjos;Cabral, Pedro
通讯作者：
Cabral, Pedro
影响因子：
5.3
作者：
Sheehan, DV;Lecrubier, Y;Dunbar, GC
通讯作者：
Dunbar, GC