关键词: Domestic violence Education Family support Mental health Pregnancy cohort Unwanted pregnancy

来  源:   DOI:10.1016/j.mjafi.2022.05.008   PDF(Pubmed)

Abstract:
UNASSIGNED: Psychological morbidities are one of the emerging global health problems. It affects a considerable number of ante-natal women leading to consequences during the postnatal period as well. We conducted this research to study the magnitude and determinants of psychological morbidities during pregnancy.
UNASSIGNED: In this study, we included 650 pregnant women from an established cohort of 2500 pregnant women and assessed the psychological morbidities among them using the GMHAT/PC tool.
UNASSIGNED: The overall prevalence of psychological morbidities during pregnancy was 14.6%, with anxiety and depression being the leading ones. Low education levels, lower socio-economic status, unintended pregnancy, complicated previous pregnancy, lack of family and social support, and domestic violence increased the odds of psychological morbidity. On Multivariate logistic regression, Low education levels increased the odds to more than twice [illiterate/primary schooling OR: 4.00, p = 0.026; secondary schooling OR: 2.64, p = 0.034; high school OR: 2.60, p = 0.033] unintended pregnancy [OR: 1.91, p = 0.043] and lack of family support [OR: 7.19, p < 0.001] increased the odds of psychological morbidity among pregnant women.
UNASSIGNED: Bringing these issues to the mainstream and addressing them by developing interventions to address them during the lifecycle of a female will help to prevent episodes of psychological stress and morbidity among pregnant females.
摘要:
心理疾病是一个新兴的全球健康问题。它影响到相当多的产前妇女,也导致产后期间的后果。我们进行了这项研究,以研究怀孕期间心理发病率的大小和决定因素。
在这项研究中,我们纳入了由2500名孕妇组成的既定队列中的650名孕妇,并使用GMHAT/PC工具评估了其中的心理发病率.
怀孕期间心理疾病的总体患病率为14.6%,焦虑和抑郁是最主要的。教育水平低,社会经济地位较低,意外怀孕,复杂的先前怀孕,缺乏家庭和社会支持,家庭暴力增加了心理发病率的几率。在多元逻辑回归中,低教育水平将几率提高到两倍以上[文盲/小学OR:4.00,p=0.026;中学OR:2.64,p=0.034;高中OR:2.60,p=0.033]意外怀孕[OR:1.91,p=0.043]和缺乏家庭支持[OR:7.19,p<0.001]增加了孕妇心理发病率的几率。
将这些问题纳入主流,并通过在女性生命周期中制定干预措施来解决这些问题,将有助于防止怀孕女性的心理压力和发病。
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