期刊
JOURNAL OF AFFECTIVE DISORDERS
卷 209, 期 -, 页码 140-146出版社
ELSEVIER SCIENCE BV
DOI: 10.1016/j.jad.2016.11.031
关键词
Perinatal health; Depression; Pregnancy; Mental health; Epidemiology; LMICs
资金
- Wellcome Trust [095582/z/11/z]
- Brazilian National Research Council (CNPq)
- Coordination for the Improvement of Higher Education Personnel (CAPES)
Background: Antenatal depression (AD) is a major public health issue but evidence regarding its prevalence and associated factors in low and middle-income countries (LMICs) is limited. The aim of the study was to estimate the prevalence and identify risk factors for AD among Brazilian pregnant women. Methods: All women living in the urban area of the city of Pelotas, Southern Brazil, with confirmed pregnancy and estimated delivery date in the year 2015, were invited to take part. Eligible pregnant women were recruited from health services. Symptoms of antenatal depression were assessed using the Edinburgh Postnatal Depression Scale (EPDS) by face-to-face interviews. A cutoff-point of 13 or more was used to define probable AD. Results: EPDS scores were available for 4130 women. The prevalence of AD was 16% (95%CI 14.9-17.1). After adjustment for potential confounders, the factors most strongly associated with higher EPDS scores were a previous history of depression (PR 2.81; 95%CI 2.44-3-25), high parity (PR 1.72; 95%CI 1.38-2.15- >= 2 children vs. 1 child) and maternal education (PR 5.47; 95%CI 4-22-7.09 - 0-4 vs. years of formal education). Limitations: EPDS was administered through face-to-face interviews rather than questionnaires and some women may have felt uncomfortable reporting their symptoms leading to underreporting and consequently underestimation of the prevalence found. Conclusion: AD prevalence is substantially higher in Brazil than in high-income countries (HICs) but similar to other LMICs. Our study identified relevant risk factors that may be potential targets to plan interventions, particularly a history of depression.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据