在埃塞俄比亚东北部阿法尔地区产后抑郁症和相关因素
Yisahak Mulugeta1, Ahmed Adem Mohammed2, Ibrahim Mohammed Ibrahim3
1Semera Health Science College, Samara Afar, Ethiopia.
Heliyon
|October 9, 2023
概括
产后抑郁症 (PPD) 影响了埃塞俄比亚阿法尔地区37.4%的母亲,较高的比例与家庭精神疾病史,婴儿养问题和亲密伴侣暴力有关.
科学领域:
- 生殖健康 生殖健康
- 心理健康 心理健康
- 公共卫生 公共卫生
背景情况:
- 产后抑郁症 (PPD) 是一个重大的公共卫生挑战,特别是在服务不足的地区.
- 了解埃塞俄比亚阿法尔地区的PPD患病率和相关因素对于有针对性的干预至关重要.
- 之前没有任何研究专门研究埃塞俄比亚牧民社区的PPD.
研究的目的:
- 确定阿法尔地区产后妇女中产后抑郁症 (PPD) 的患病率.
- 在这个人群中确定与PPD相关的社会人口统计学,产科,卫生服务和心理社会因素.
主要方法:
- 在2021年6月至7月期间,在阿法尔地区的Awsi Rasu区进行了一项基于机构的横截面研究.
- 采用系统的随机抽样方法,招募了302名参加扩展免疫计划 (EPI) 诊所的产后母亲.
- 产后抑郁症使用爱丁堡产后抑郁量表 (EPDS) 进行评估,并使用多变量二元逻辑回归进行分析.
主要成果:
- 后发性病的总体患病率为37.4% (95% CI: 32.0% 43.0%).
- 高中教育与较低的PPD几率相关 (AOR=0.31).
- 与PPD积极相关的因素包括家庭精神疾病史 (AOR=2.34),婴儿养困难 (AOR=4.26) 和亲密伴侣暴力 (AOR=3.09).
结论:
- 阿法尔地区的PPD患病率明显高于国家和全球平均水平.
- 针对性干预对于面临诸如食困难和亲密伴侣暴力等挑战的牧养产后妇女至关重要.
- 解决PPD需要采取多方面的方法,考虑教育,家庭和心理社会因素.
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