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Abstract：
BACKGROUND: Approximately one in five pregnant women experience antenatal depression globally. The purpose of the present study was to estimate the prevalence of antenatal depression and explore its relationship between various demographic variables, recent sexual engagement, and recent adverse life events among pregnant Afghan women.
METHODS: A cross-sectional survey study was carried out between January, 2023 and April 2023 among 460 women aged 15-45 years who were recruited using convenience sampling from Herat province (Afghanistan). Logistic regression models were utilized to explore the relationship between antenatal depression and socio-demographic characteristics among the participants.
RESULTS: The prevalence of antenatal depression symptoms was 78.5%. Multiple regression analysis indicated that antenatal depression was significantly associated with (i) being aged 30-45 years (AOR: 4.216, 95% CI: 1.868-9.515, p = .001), (ii) being of low economic status (AOR:2.102, 95% CI: 1.051-4.202, p = .036), (iii) not being employed (AOR: 2.445, 95% CI:1.189-5.025, p = .015), (iv) not having had sex during the past seven days (AOR: 2.335, 95% CI: 1.427-3.822, p = .001), and (v) not experiencing a traumatic event during the past month (AOR:0.263, 95% CI: 0.139-0.495, p < .001).
CONCLUSIONS: The present study provides insight into the factors associated with the high prevalence of antenatal depression among pregnant Afghan women (e.g., demographic variables, recent adverse life events, and recent sexual engagement). It highlights the urgency of addressing antenatal depression in Afghanistan and provides a foundation for future research and interventions aimed at improving the mental health and well-being of pregnant women in the Afghan context.
METHODS: A cross-sectional survey study was carried out between January, 2023 and April 2023 among 460 women aged 15-45 years who were recruited using convenience sampling from Herat province (Afghanistan). Logistic regression models were utilized to explore the relationship between antenatal depression and socio-demographic characteristics among the participants.
RESULTS: The prevalence of antenatal depression symptoms was 78.5%. Multiple regression analysis indicated that antenatal depression was significantly associated with (i) being aged 30-45 years (AOR: 4.216, 95% CI: 1.868-9.515, p = .001), (ii) being of low economic status (AOR:2.102, 95% CI: 1.051-4.202, p = .036), (iii) not being employed (AOR: 2.445, 95% CI:1.189-5.025, p = .015), (iv) not having had sex during the past seven days (AOR: 2.335, 95% CI: 1.427-3.822, p = .001), and (v) not experiencing a traumatic event during the past month (AOR:0.263, 95% CI: 0.139-0.495, p < .001).
CONCLUSIONS: The present study provides insight into the factors associated with the high prevalence of antenatal depression among pregnant Afghan women (e.g., demographic variables, recent adverse life events, and recent sexual engagement). It highlights the urgency of addressing antenatal depression in Afghanistan and provides a foundation for future research and interventions aimed at improving the mental health and well-being of pregnant women in the Afghan context.
摘要：
背景：全球约五分之一的孕妇经历产前抑郁症。本研究的目的是估计产前抑郁症的患病率，并探讨其与各种人口统计学变量之间的关系。最近的性行为,以及最近阿富汗孕妇的不良生活事件。
方法：在1月之间进行了横断面调查研究，2023年和2023年4月，在赫拉特省（阿富汗）使用便利抽样招募的460名15-45岁女性中。使用Logistic回归模型来探讨参与者的产前抑郁与社会人口学特征之间的关系。
结果：产前抑郁症状的患病率为78.5%。多元回归分析表明，产前抑郁与（i）年龄30-45岁（AOR：4.216，95％CI：1.868-9.515，p=.001）显着相关，（ii）经济地位较低（AOR：2.102，95%CI：1.051-4.202，p=0.036），（iii）未受雇（AOR：2.445，95%CI：1.189-5.025，p=.015），（iv）在过去七天内没有发生过性行为（AOR：2.335，95％CI：1.427-3.822，p=.001），（v）过去一个月未发生创伤性事件（AOR：0.263，95%CI：0.139-0.495，p<.001）。
结论：本研究提供了与怀孕的阿富汗妇女产前抑郁症高患病率相关的因素（例如，人口统计学变量，近期不良生活事件，和最近的性接触)。它强调了解决阿富汗产前抑郁症的紧迫性，并为未来旨在改善阿富汗孕妇心理健康和福祉的研究和干预措施奠定了基础。
方法：在1月之间进行了横断面调查研究，2023年和2023年4月，在赫拉特省（阿富汗）使用便利抽样招募的460名15-45岁女性中。使用Logistic回归模型来探讨参与者的产前抑郁与社会人口学特征之间的关系。
结果：产前抑郁症状的患病率为78.5%。多元回归分析表明，产前抑郁与（i）年龄30-45岁（AOR：4.216，95％CI：1.868-9.515，p=.001）显着相关，（ii）经济地位较低（AOR：2.102，95%CI：1.051-4.202，p=0.036），（iii）未受雇（AOR：2.445，95%CI：1.189-5.025，p=.015），（iv）在过去七天内没有发生过性行为（AOR：2.335，95％CI：1.427-3.822，p=.001），（v）过去一个月未发生创伤性事件（AOR：0.263，95%CI：0.139-0.495，p<.001）。
结论：本研究提供了与怀孕的阿富汗妇女产前抑郁症高患病率相关的因素（例如，人口统计学变量，近期不良生活事件，和最近的性接触)。它强调了解决阿富汗产前抑郁症的紧迫性，并为未来旨在改善阿富汗孕妇心理健康和福祉的研究和干预措施奠定了基础。
