背景:怀孕期间的抑郁症是一个重要的健康问题,可能导致母亲的各种短期和长期并发症。不幸的是,目前缺乏有关埃塞俄比亚东部农村地区产前抑郁症患病率和预测因素的信息.这项研究评估了在Babile地区公共卫生设施就诊的孕妇的产前抑郁和相关因素。埃塞俄比亚东部。
方法:对2021年11月1日至12月30日在Babile区公共卫生机构就诊的329名孕妇进行了一项基于机构的横断面研究。使用双变量和多变量逻辑回归来确定与产前抑郁相关的因素。使用具有95%置信区间的调整比值比(AOR)报告关联。并且在p值<0.05时声明显著性。
结果:产前抑郁的患病率为33.1%(95%CI=28.0%,38.2%)。收入较低(AOR=3.85,95%CI=2.08,7.13),避孕药具的使用(AOR=0.53,95%CI=0.28,0.98),意外妊娠(AOR=2.24,95%CI=1.27,3.98),抑郁症病史(AOR=5.09,95%CI=2.77,9.35),社会支持差(AOR=5.08,95%CI=2.15,11.99),不满意婚姻(AOR=2.37,95%CI=1.30,4.33)是孕妇产前抑郁增加的相关因素。
结论:埃塞俄比亚东部农村地区每3名孕妇中就有1名患有产前抑郁症。月收入,使用避孕药,怀孕意向,抑郁症史,社会支持,和婚姻满意度是产前抑郁的决定因素。通过鼓励妇女使用现代避孕方法来预防意外怀孕对于减轻和控制产前抑郁症的风险和负担及其负面影响至关重要。
BACKGROUND: Depression during pregnancy is a significant health concern that can lead to a variety of short and long-term complications for mothers. Unfortunately, there is a lack of information available on the prevalence and predictors of prenatal depression in rural eastern Ethiopia. This study assessed prenatal depression and associated factors among pregnant women attending public health facilities in the Babile district, Eastern Ethiopia.
METHODS: An institution-based cross-sectional study was conducted among 329 pregnant women attending Babile District Public Health Facilities from November 1 to December 30, 2021. Bivariable and multivariable logistic regression were used to identify factors associated with prenatal depression. The adjusted odds ratio (AOR) with a 95% confidence interval was used to report the association, and the significance was declared at a p-value < 0.05.
RESULTS: The prevalence of prenatal depression was 33.1% (95% CI = 28.0%, 38.2%). A lower income (AOR = 3.85, 95% CI = 2.08, 7.13), contraceptive use (AOR = 0.53, 95% CI = 0.28, 0.98), unintended pregnancy (AOR = 2.24, 95% CI = 1.27, 3.98), history of depression (AOR = 5.09, 95% CI = 2.77, 9.35), poor social support (AOR = 5.08, 95% CI = 2.15, 11.99), and dissatisfied marriage (AOR = 2.37, 95% CI = 1.30, 4.33) were the factors associated with increased prenatal depression among pregnant women.
CONCLUSIONS: One in every three pregnant women in rural eastern Ethiopia had prenatal depression. Monthly income, contraceptive use, pregnancy intention, history of depression, social support, and marriage satisfaction status were the determinants of prenatal depression. Preventing unintended pregnancies by encouraging women to utilize modern contraceptive methods is essential for mitigating and controlling the risks and burdens of prenatal depression and its negative consequences.