ArticleInternational journal of mental health systems2018
Postpartum depressive symptoms in the context of high social adversity and reproductive health threats: a population-based study.
Article in International journal of mental health systems, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.
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Who cites it
25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 53 citations in OpenAlex.
- Evaluating cognitive behavioral therapy as a solution for postnatal depression in economically disadvantaged regions.Archives of women's mental health · 2024Pooled it
- Prevalence and associated factors of post-partum depression in Ethiopia. A systematic review and meta-analysis.PloS one · 2021Pooled it
- The epidemiology of postnatal depression in Ethiopia: a systematic review and meta-analysis.Reproductive health · 2020Pooled it
- Prevalence, risk and protective factors of postpartum depression and anxiety symptoms in the Allada district, Benin.Social psychiatry and psychiatric epidemiology · 2026Article
- Brief problem-solving therapy (PST) for women experiencing antenatal depressive symptoms: a randomised, controlled feasibility trial in (an) antenatal care setting in rural Ethiopia.Pilot and feasibility studies · 2025Article
- Article
- Nexus between postpartum depression and exclusive breastfeeding practices among lactating mothers in Assosa Town, West Ethiopia.Frontiers in nutrition · 2024Article
- Article
- Postpartum depression: The prevalence and associated factors among women attending postnatal clinics in the Bawku municipality, Upper East Region of Ghana.PCN reports : psychiatry and clinical neurosciences · 2023Article
- Predicting postnatal depressive symptoms in a prospective cohort study in Rwanda: the impact of poor maternal social support.Frontiers in global women's health · 2023Article
- Longitudinal patterns of the relation between anxiety, depression and posttraumatic stress disorder among postpartum women with and without maternal morbidities in Northwest Ethiopia: a cross-lagged autoregressive structural equation modelling.Archives of public health = Archives belges de sante publique · 2022Article
- Adapting an intervention of brief problem-solving therapy to improve the health of women with antenatal depressive symptoms in primary healthcare in rural Ethiopia.Pilot and feasibility studies · 2022Article
- "I Found Out I was Pregnant, and I Started Feeling Stressed": A Longitudinal Qualitative Perspective of Mental Health Experiences Among Perinatal Women Living with HIV.AIDS and behavior · 2021Article
- "We do not know how to screen and provide treatment": a qualitative study of barriers and enablers of implementing perinatal depression health services in Ethiopia.International journal of mental health systems · 2021Article
- Brief problem-solving therapy for antenatal depressive symptoms in primary care in rural Ethiopia: protocol for a randomised, controlled feasibility trial.Pilot and feasibility studies · 2021Article
- Preeclampsia and Its Complications Exacerbate Development of Postpartum Depression: A Retrospective Cohort Study.BioMed research international · 2021Article
- The role of intimate partner violence victimization during pregnancy on maternal postpartum depression in Eastern Ethiopia.SAGE open medicine · 2021Article
- Article
- Causal mechanisms of postnatal depression among women in Gondar town, Ethiopia: application of a stress-process model with generalized structural equation modeling.Reproductive health · 2020Article
- Identifying and treating maternal mental health difficulties in Afghanistan: A feasibility study.International journal of mental health systems · 2020Article
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
Abstract
backgroundPostpartum depression is an important but neglected public health issue in low- and middle-income countries. The aim of this study was to assess postpartum depressive (PPD) symptoms and associated factors in a rural Ethiopian setting characterized by high social adversity and reproductive health threats. We hypothesized that infant gender preference would be associated with PPD symptoms.
methodsA cross-sectional, population-based study was conducted in Sodo district, southern Ethiopia, between March and June 2014. A total of 3147 postpartum women (one to 12 months after delivery) were recruited and interviewed in their homes. The questionnaire included demographic, reproductive health and psychosocial factors in addition to a culturally validated measure of depressive symptoms, the Patient Health Questionnaire. Scores of 5 or more were indicative of high levels of PPD symptoms.
resultsThe prevalence of high PPD symptoms was 12.2%, with 95% confidence interval (CI) between 11.1 and 13.4. Of these, 12.0% of the study participants had suicidal ideation. Preference of the husband for a boy baby was associated with PPD symptoms in univariate analysis (crude odds ratio 1.43: 95% CI 1.04, 1.91) but became non-significant after adjusting for confounders. In the final multivariable analysis, rural residence [adjusted odds ratio (aOR) 2.56: 95% CI 2.56, 4.19], grand multiparity (aOR 2.00: 1.22, 3.26), perinatal complications (aOR: 2.55: 1.89, 3.44), a past history of abortion (aOR 1.50: 1.07, 2.11), experiencing hunger in the preceding 1 month (aOR 2.38: 1.75, 3.23), lower perceived wealth (aOR 2.11: 1.19, 3.76), poor marital relationship (aOR 2.47: 1.79, 3.42), and one or more stressful events in the preceding 6 months (aOR 2.36: 1.82, 3.06) were associated significantly with high PPD symptoms.
conclusionPPD symptoms affected more than one in 10 women in this Ethiopian community setting. Social adversity and reproductive health threats were associated with poorer mental health. Interventions focusing on poor rural women with low access to care are necessary. This research can serve as an entry point for the adaptation of a psychosocial intervention.
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