Common perinatal mental disorders in northern Viet Nam: community prevalence and health care use
Common perinatal mental disorders in northern Viet Nam: community prevalence and health care use
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DOI：
10.2471/blt.09.067066
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发表时间：
2010-10-01
期刊：
影响因子：
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通讯作者：
Tran, Tuan
中科院分区：
文献类型：
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作者：
Fisher, Jane;Tran, Thach;Tran, Tuan
目的了解越南北部一个农村省和一个城市省妇女常见围产期精神障碍的患病率、决定因素及其与预防性保健使用的关系。方法：我们对在10个随机选择的社区系统招募的孕妇和婴儿母亲进行了横断面调查。这些妇女参加了由精神科医生管理的结构化临床访谈和单独的结构化访谈，以评估社会人口因素、生殖健康、亲密伴侣关系、家庭暴力以及预防和精神保健的使用情况。协会。在这些变量和围产期之间。通过单因素分析和多因素逻辑回归探讨精神障碍。在符合研究条件的女性中（392），364（93%）。被招募。其中，29.9%（95%置信区间，CI: 25.20-34.70）被诊断为常见的围产期精神障碍（CPMD）。这些疾病在怀孕期间和产后出现的频率是相同的。农村妇女的患病率较高（优势比OR: 2.17; 95% CI: 1.19- 3.93）；暴露于亲密伴侣暴力（OR）。2.11;95% ci: 1.12-3.96)；害怕其他家庭成员（OR: 3.36, 95% CI: 1.05-10.71）或暴露于偶然的生活逆境(OR。4.40, 95% CI: 2.44- 7.93)有CPMD的女性比没有CPMD的女性更少使用铁补充剂，但结果没有统计学意义（P=0.05）。被研究的女性中没有一个曾经接受过心理健康护理。结论越南北部妇女围产期抑郁和焦虑普遍存在。这些情况主要是由社会因素决定的，包括农村居住、贫困和遭受家庭暴力。目前，患有常见围产期精神障碍的妇女的需要未得到承认和照顾，她们参加基本的产前预防保健似乎受到影响。
Objective To establish the prevalence of common perinatal mental disorders their determinants, and their association with preventive health care use among women in one rural and one urban province in northern Viet Nam.Methods We conducted a cross-sectional survey of cohorts of pregnant women and mothers of infants recruited systematically in 10 randomly-selected communes. The women participated in psychiatrist-administered structured clinical interviews and separate structured interviews to assess sociodemographic factors, reproductive health, the intimate partner relationship, family violence and the use of preventive and psychiatric health care. Association. between these variables and perinatal. mental disorders were explored through univariate analyses and multivariable logistic regression.Findings Among women eligible for the study (392), 364 (93%). were recruited. Of these, 29 9% (95% confidence interval, CI: 25.20-34.70) were diagnosed with a common perinatal mental disorder (CPMD). The frequency of such disorders during pregnancy and in the postpartum period was the same. Their prevalence was higher among women in rural provinces (odds ratio, OR: 2.17; 95% CI: 1.19-3 93); exposed to intimate partner violence (OR. 2.11; 95% CI: 1.12-3.96); fearful of other family members (OR: 3.36, 95% CI: 1.05-10.71) or exposed to coincidental life-adversity (OR. 4.40, 95% CI: 2.44-7 93) Fewer women with a CPMD used iron supplements than women without a CPMD, but the results were not statistically significant (P=0.05). None of the women studied had ever received mental health care.Conclusion Perinatal depression and anxiety are prevalent in women in northern Viet Nam. These conditions are predominantly determined by social factors, including rural residence, poverty and exposure to family violence. At present the needs of women with common perinatal mental disorders are unrecognized and not attended to and their participation in essential antenatal preventive care appears to be compromised.