A survey on depression among infertile women in Ghana

A survey on depression among infertile women in Ghana
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DOI:
10.1186/1472-6874-14-42
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发表时间:
2014-03-10
期刊:
影响因子:
2.5
通讯作者:
Muntaka, Sirina
Muntaka, Sirina
中科院分区:
医学3区
文献类型:
--
作者:
Alhassan, Abass;Ziblim, Abdul Razak;Muntaka, Sirina

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背景:许多年轻女性成为父母的愿望可能受到社会对孩子的重视的影响。在非洲,由于社会、文化和经济原因,儿童受到高度重视。非洲不孕不育、无子女的妇女因此面临一系列社会歧视和污名化,可能导致焦虑、抑郁等心理障碍。尽管对加纳不孕症的患病率进行了一些研究,但人们对不孕妇女不育的心理影响知之甚少。本研究旨在调查加纳不孕妇女中抑郁症的患病率和严重程度与年龄、不孕类型和不孕持续时间的关系。方法:2012 年 12 月至 2013 年 4 月,在加纳塔马利教学医院,使用贝克抑郁量表问卷对 100 名符合选择标准并同意参加研究的不孕妇女进行了访谈。记录受访者的年龄、月收入、不孕持续时间、婚姻状况、受教育程度、受孕次数、生育次数、宗教信仰、职业等社会人口特征数据。结果:女性抑郁症患病率为62.0%,抑郁程度与女性年龄、不孕持续时间呈显着正相关。受教育程度低或没有受过正规教育的受试者以及失业者的抑郁程度明显更高。 BDI测量的原发性不孕女性抑郁评分也较高。结论:综上所述,不孕女性抑郁患病率较高,特别是26岁及以上不孕女性、文化程度较低的女性、原发性不孕女性以及诊断不孕3年以上的不孕女性中。应考虑采取干预措施来减少和预防这些患者出现严重抑郁症。
Background: The desire of many young women to become parents may be influenced by the premium placed on children by society. In Africa, children are highly valued for social, cultural and economic reasons. Infertile and childless women in Africa are therefore confronted with a series of societal discrimination and stigmatization which may lead to psychological disorders such as anxiety and depression. Even though some research has been done on the prevalence of infertility in Ghana, very little is known about the psychological impact of childlessness among infertile women. The present study aimed to examine prevalence and severity of depression in relation to age, type of infertility and duration of infertility in Ghanaian infertile women.Methods: A total of 100 infertile women who met the selection criteria and had agreed to participate in the study were interviewed using the Beck Depression Inventory questionnaire from December 2012 to April 2013 at the Tamale Teaching Hospital, Tamale/Ghana. Data concerning socio-demographic characteristics such as age, monthly income, duration of infertility, marital status, educational level, number of previous conception, number of previous children, religion, as well as occupation of the respondents were recorded.Results: The prevalence of depression among the women was 62.0% with the level of depression showing a significant positive correlation with age of the women and the duration of infertility. The level of depression was significantly higher among subjects with low or no formal education and among the unemployed. Women with primary infertility also presented with high depression scores as measured by BDI.Conclusions: In conclusion, the prevalence of depression among the infertile women is high, especially among infertile women age 26 and above, those who are less educated, those with primary infertility, as well as those who have been diagnosed as infertile for more than 3 years. Interventions to decrease and prevent the development of severe depression among these patients should be considered.