PDF(Pubmed)
Abstract：
BACKGROUND: Globally, depression is a leading cause of disease-related disability among women. In low-and-middle-income countries (LMICs), the prevalence rate of antepartum depression is estimated to range between 15% and 57% and even higher in adolescent antepartum women. Although a number of studies have shown that depression is common in adolescent pregnancies and has a prevalence rate between 28% and 67% among adolescent mothers, there currently exists no literature on depression among adolescent pregnant women in Ghana. The study aimed to determine the prevalence of antepartum depression and identify the factors associated with it among pregnant adolescent women.
METHODS: A quantitative cross-sectional study design was adopted by randomly recruiting 220 adolescent pregnant women visiting antenatal clinics in five selected health facilities in five communities in the Assin North District of Ghana. Data were collected using the Edinburgh Postnatal Depression Scale (EPDS). Data analysis was performed using Stata version 14. Both descriptive and inferential analyses were performed. A chi-square analysis was conducted to identify the association between independent and dependent variables. A multivariate logistic regression analysis was carried out to identify the independent variables that were significantly associated with the dependent variable. In all analyses, p-values ≤ 0.05 were deemed statistically significant at a 95% confidence interval.
RESULTS: The results indicated prevalence of depression was 38.6% using the EPDS cut-off ≥ 13. Respondents who were cohabiting were less likely to experiencing antepartum depression compared to those who were single (AOR = 0.36, 95% CI: 0.20-0.64, p = 0.001). Also, Respondents who had completed Junior High School had a lower likelihood of experiencing antepartum depression compared to those who had no formal education (AOR = 0.19, 95% CI: 0.05-0.76, p = 0.019). Respondents who perceived pregnancy-related items to be costly had higher odds of experiencing antepartum depression (AOR = 2.05, 95% CI: 1.02-4.12, p = 0.042). Lastly, adolescent pregnant women who reported that pregnancy-related items are costly were likely to experience antepartum depression compared to those who did not report such costs (AOR = 2.12, 95% CI: 1.20-3.75, p < 0.001).
CONCLUSIONS: The results of this study highlight the importance of a multi-pronged strategy for combating antepartum depression in adolescents and improving the overall health and well-being of pregnant adolescents. Considering that adolescence is a transitional period occasioned by several bio-psycho-social challenges, setting up systems to ensure that young girls are motivated and supported to stay in school will enhance their economic prospects and improve their standards of life while providing psycho-social support will benefit their health and general well-being.
METHODS: A quantitative cross-sectional study design was adopted by randomly recruiting 220 adolescent pregnant women visiting antenatal clinics in five selected health facilities in five communities in the Assin North District of Ghana. Data were collected using the Edinburgh Postnatal Depression Scale (EPDS). Data analysis was performed using Stata version 14. Both descriptive and inferential analyses were performed. A chi-square analysis was conducted to identify the association between independent and dependent variables. A multivariate logistic regression analysis was carried out to identify the independent variables that were significantly associated with the dependent variable. In all analyses, p-values ≤ 0.05 were deemed statistically significant at a 95% confidence interval.
RESULTS: The results indicated prevalence of depression was 38.6% using the EPDS cut-off ≥ 13. Respondents who were cohabiting were less likely to experiencing antepartum depression compared to those who were single (AOR = 0.36, 95% CI: 0.20-0.64, p = 0.001). Also, Respondents who had completed Junior High School had a lower likelihood of experiencing antepartum depression compared to those who had no formal education (AOR = 0.19, 95% CI: 0.05-0.76, p = 0.019). Respondents who perceived pregnancy-related items to be costly had higher odds of experiencing antepartum depression (AOR = 2.05, 95% CI: 1.02-4.12, p = 0.042). Lastly, adolescent pregnant women who reported that pregnancy-related items are costly were likely to experience antepartum depression compared to those who did not report such costs (AOR = 2.12, 95% CI: 1.20-3.75, p < 0.001).
CONCLUSIONS: The results of this study highlight the importance of a multi-pronged strategy for combating antepartum depression in adolescents and improving the overall health and well-being of pregnant adolescents. Considering that adolescence is a transitional period occasioned by several bio-psycho-social challenges, setting up systems to ensure that young girls are motivated and supported to stay in school will enhance their economic prospects and improve their standards of life while providing psycho-social support will benefit their health and general well-being.
摘要：
背景：在全球范围内，抑郁症是女性疾病相关残疾的主要原因。在中低收入国家(LMICs)，据估计，产前抑郁症的患病率在15％至57％之间，在青春期产前妇女中甚至更高。虽然多项研究显示抑郁症在青春期怀孕中很常见,在青春期母亲中的患病率在28%至67%之间,目前在加纳没有关于青少年孕妇抑郁症的文献.该研究旨在确定孕妇中产前抑郁症的患病率，并确定与之相关的因素。
方法：采用定量横断面研究设计，在加纳阿辛北区5个社区的5个选定医疗机构中随机招募220名青少年孕妇到产前诊所就诊。使用爱丁堡产后抑郁量表（EPDS）收集数据。使用Stata版本14进行数据分析。进行了描述性和推断性分析。进行卡方分析以确定自变量和因变量之间的关联。进行多变量逻辑回归分析以确定与因变量显着相关的自变量。在所有分析中,在95%置信区间,P值≤0.05被认为具有统计学意义。
结果：结果表明，使用EPDS临界值≥13时，抑郁症的患病率为38.6%。与单身人士相比，同居的受访者患产前抑郁症的可能性较小（AOR=0.36，95％CI：0.20-0.64，p=0.001）。此外，与没有接受过正规教育的受访者相比，初中毕业的受访者患产前抑郁症的可能性较低（AOR=0.19，95％CI：0.05-0.76，p=0.019）。认为妊娠相关项目昂贵的受访者经历产前抑郁的几率更高(AOR=2.05,95%CI:1.02-4.12,p=0.042)。最后,与未报告妊娠相关项目的患者相比,报告妊娠相关项目昂贵的青少年孕妇可能发生产前抑郁(AOR=2.12,95%CI:1.20~3.75,p<0.001).
结论：这项研究的结果强调了采取多管齐下的策略来对抗青少年产前抑郁症和改善怀孕青少年的整体健康和福祉的重要性。考虑到青春期是一个由几个生物心理社会挑战引起的过渡期，建立制度，确保年轻女孩得到动力和支持留在学校将改善她们的经济前景，提高她们的生活水平，同时提供社会心理支持将有利于她们的健康和总体福祉。
方法：采用定量横断面研究设计，在加纳阿辛北区5个社区的5个选定医疗机构中随机招募220名青少年孕妇到产前诊所就诊。使用爱丁堡产后抑郁量表（EPDS）收集数据。使用Stata版本14进行数据分析。进行了描述性和推断性分析。进行卡方分析以确定自变量和因变量之间的关联。进行多变量逻辑回归分析以确定与因变量显着相关的自变量。在所有分析中,在95%置信区间,P值≤0.05被认为具有统计学意义。
结果：结果表明，使用EPDS临界值≥13时，抑郁症的患病率为38.6%。与单身人士相比，同居的受访者患产前抑郁症的可能性较小（AOR=0.36，95％CI：0.20-0.64，p=0.001）。此外，与没有接受过正规教育的受访者相比，初中毕业的受访者患产前抑郁症的可能性较低（AOR=0.19，95％CI：0.05-0.76，p=0.019）。认为妊娠相关项目昂贵的受访者经历产前抑郁的几率更高(AOR=2.05,95%CI:1.02-4.12,p=0.042)。最后,与未报告妊娠相关项目的患者相比,报告妊娠相关项目昂贵的青少年孕妇可能发生产前抑郁(AOR=2.12,95%CI:1.20~3.75,p<0.001).
结论：这项研究的结果强调了采取多管齐下的策略来对抗青少年产前抑郁症和改善怀孕青少年的整体健康和福祉的重要性。考虑到青春期是一个由几个生物心理社会挑战引起的过渡期，建立制度，确保年轻女孩得到动力和支持留在学校将改善她们的经济前景，提高她们的生活水平，同时提供社会心理支持将有利于她们的健康和总体福祉。
