关键词: Adolescent mothers India adolescent pregnancy depression mental health

来  源:   DOI:10.4103/indianjpsychiatry.indianjpsychiatry_176_23   PDF(Pubmed)

Abstract:
UNASSIGNED: Depression is a major public health concern among Indian adolescents. Pre- and post-natal depression can often alter fetal development and have negative consequences on the physical and mental health of the mother. This paper aims to draw attention to the prevalence of depression and its correlates among currently married, ever-pregnant adolescents from two Indian States, i.e. Uttar Pradesh and Bihar.
UNASSIGNED: This study utilizes data from a subsample (n = 3116) of the prospective cohort study Understanding the Lives of Adolescents and Young Adults (UDAYA) among 10 to 19 year-old adolescents. Bivariate analysis was performed to assess the prevalence of depression by sociodemographic and behavioral characteristics. To further access the predictors associated with depression a logistic regression model was applied.
UNASSIGNED: Around one-tenth (9%) of pregnant adolescents had depression. Regression analysis indicated that substance use, religion, autonomy, considering attempting suicide, premarital relationship, violence, dowry, adverse pregnancy outcome, menstrual problem, and parental pressure for the child immediately after marriage were significantly associated with depression.
UNASSIGNED: This study confirms the pre-existing annotation that teen pregnancy is linked with depression. Findings indicate that Adolescent mothers experiencing violence, and a history of adverse pregnancy outcomes are at increased risk of developing depression. These study findings call for an urgent need to address depression among adolescent mothers.
摘要:
抑郁症是印度青少年的主要公共卫生问题。产前和产后抑郁症通常会改变胎儿的发育,并对母亲的身心健康产生负面影响。本文旨在引起人们对目前已婚患者抑郁症患病率及其相关性的关注,来自两个印度州的怀孕青少年,即北方邦和比哈尔邦。
本研究利用来自10至19岁青少年的前瞻性队列研究(UDAYA)的子样本(n=3116)的数据。通过社会人口统计学和行为特征进行双变量分析以评估抑郁症的患病率。为了进一步获取与抑郁症相关的预测因子,应用了逻辑回归模型。
大约十分之一(9%)的怀孕青少年患有抑郁症。回归分析表明,物质使用,宗教,自主性,考虑到试图自杀,婚前关系,暴力,嫁妆,不良妊娠结局,月经问题,婚后父母对孩子的压力与抑郁显著相关。
这项研究证实了先前存在的注释,即青少年怀孕与抑郁症有关。调查结果表明,青少年母亲遭受暴力,不良妊娠结局的病史增加了患抑郁症的风险。这些研究结果要求迫切需要解决青春期母亲的抑郁症。
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