Prevalence of and factors influencing postnatal depression in a rural community in South Africa
Prevalence of and factors influencing postnatal depression in a rural community in South Africa
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DOI：
10.4102/phcfm.v7i1.874
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发表时间：
2015-01-01
影响因子：
2
通讯作者：
Abrahams, Johanna M.
中科院分区：
文献类型：
--
作者：
Stellenberg, Ethelwynn L.;Abrahams, Johanna M.
背景资料：知识产后抑郁症（PND）和相关的危险因素，影响PND的发展是至关重要的早期发现，干预和prevention.Setting：这项研究是在初级卫生保健诊所（PHC）在Witzenberg分区，在南非的农村community.Objectives：本研究的目的是确定PND的患病率，并确定与PND相关的危险因素。方法：采用描述性横断面研究设计和定量方法。目标人群是18岁及以上的母亲。一个方便的抽样方法被用来选择一个样本的159（10%）从人口的1605活产。采用爱丁堡产后抑郁量表（EPDS）和贝克抑郁量表（BDI），两个有效的自评问卷，包括一个问卷的基础上的人口学，社会心理和产科数据，应用。数据进行了分析，使用各种统计检验，以确定变量之间的统计关联，使用95%的置信区间。结果：PND是一个严重的健康问题，50.3%的母亲患有PND。一项BDI分析显示，在患有PND的参与者中，28.8%为重度，48.8%为中度，22.5%为轻度。影响PND发展的因素包括大多数参与者（63.5%）未婚，61.3%失业，大多数（53.8%）有精神病史。PND与计划外和不受欢迎的婴儿（p < 0.01）;伴侣关系（p < 0.01）之间存在显著相关性。结论：预防、早期发现、适当转诊和治疗PND是管理孕产妇、儿童和家庭福祉的关键。
Background: Knowledge about postnatal depression (PND) and associated risk factors which influence the development of PND is vital for early detection, intervention and prevention.Setting: The study was conducted in primary health care clinics (PHC) in the Witzenberg subdistrict, a rural community in South Africa.Objectives: Objectives of this study were to determine the prevalence of PND and to identify the contributing risk factors associated with PND. Methods: A descriptive cross sectional research design with a quantitative approach was applied. The target population was mothers, 18 years and older. A convenience sampling method was used to select a sample of 159 (10%) from a population of 1605 live births. The Edinburgh Postnatal Depression Scale (EPDS) and Beck Depression Inventory (BDI), two validated self-rating questionnaires, including a questionnaire based on demographical, psychosocial and obstetrical data, were applied. The data was analysed using various statistical tests to determine statistical associations between variables using a 95% confidence interval.Results: PND was a serious health problem with 50.3% of the mothers who suffered from PND. A BDI analysis showed that of the participants who had PND, 28.8% was severe, 48.8% moderate and 22.5% mild. Factors influencing the development of PND included most participants (63.5%) were unmarried, 61.3% were unemployed and the majority (53.8%) had a history of a psychiatric illness. Significant associations between PND and unplanned and unwelcome babies (p < 0.01); partner relationship (p < 0.01); were identified.Conclusion: Prevention, early detection, appropriate referral and treatment of PND are critical in managing maternal, child and family well-being.