Evidence map›Paper›PMID 30219050›Full record

ArticleBMC pregnancy and childbirth2018

The role of nutrition, intimate partner violence and social support in prenatal depressive symptoms in rural Ethiopia: community based birth cohort study.

Yitbarek Kidane Woldetensay, Tefera Belachew, Hans Konrad Biesalski, Shibani Ghosh, Maria Elena Lacruz, Veronika Scherbaum, Eva Johanna Kantelhardt

Open access · goldAbstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 6 pooled it
7.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 6 syntheses or guidelines pooled it, 62 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Observational
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 3 countries.

Yitbarek Kidane WoldetensayInstitute of Biological Chemistry and Nutrition (140a), University of Hohenheim, Stuttgart, Germany. yitbarek.woldetensay@gmail.com.ORCID http://orcid.org/0000-0001-7697-4918
Tefera BelachewDepartment of Population and Family Health, College of Health Sciences, Jimma University, Jimma, Ethiopia.
Hans Konrad BiesalskiInstitute of Biological Chemistry and Nutrition (140a), University of Hohenheim, Stuttgart, Germany.
Shibani GhoshTufts University, Freidman School of Nutrition Science and Policy, Boston, USA.
Maria Elena LacruzInstitute of Medical Epidemiology, Biostatistics, and Informatics, Faculty of Medicine, Martin-Luther University, Halle, Germany.
Veronika ScherbaumInstitute of Biological Chemistry and Nutrition (140a), University of Hohenheim, Stuttgart, Germany.
Eva Johanna KantelhardtDepartment of Gynecology, Faculty of Medicine, Martin-Luther University, Halle, Germany.
University of Hohenheim · DEMartin Luther University Halle-Wittenberg · DEJimma University · ETTufts University · US

Funding

United States Agency for International Development AID-663-A-11-00017
6 · The paper itself

Abstract

backgroundDepression during pregnancy has far-reaching adverse consequences on mothers, children and the whole family. The magnitude and determinants of prenatal depressive symptoms in low-resource countries are not well established. This study aims to describe the prevalence of prenatal depressive symptoms and whether it is associated with maternal nutrition, intimate partner violence and social support among pregnant women in rural Ethiopia.

methodsThis study is based on the baseline data from a large prospective, community-based, birth cohort study conducted in the South Western part of Ethiopia from March 2014 to March 2016. A total of 4680 pregnant women were recruited between 12 and 32 weeks of gestation. Depressed mood was assessed using the Patient Health Questionnaire (PHQ-9) scale and a cut off of ≥8 was taken to define prenatal depressive symptoms. Data collection was conducted electronically on handheld tablets and submitted to a secured server via an internet connection. Bivariate and multivariate logistic regression analyses were computed using IBM SPSS version 20 software.

resultThe community based prevalence of depressive symptoms during pregnancy was 10.8% (95%Confidence Interval (CI): 9.92-11.70). Adjusting for confounding variables, moderate household food insecurity (OR 1.74; 95% CI: 1.31-2.32), severe household food insecurity (OR 7.90; 95% CI: 5.87-10.62), anaemia (OR = 1.30; 95% CI: 1.04-1.61) and intimate partner violence (OR 3.08; 95% CI: 2.23-4.25) were significantly associated with prenatal depressive symptoms. On the other hand, good social support from friends, families and husband reduced the risk of prenatal depressive symptoms by 39% (OR 0.61; 95% CI: 0.50-0.76).

conclusionPrenatal depressive symptomatology is rather common during pregnancy in rural Ethiopia. In this community based study, household food insecurity, anaemia and intimate partner violence were significantly associated with prenatal depressive symptoms. Good maternal social support from friends, families and spouse was rather protective. The study highlights the need for targeted screening for depression and intimate partner violence during pregnancy. Policies aimed at reducing household food insecurity, maternal anaemia and intimate partner violence during pregnancy may possibly reduce depression.

Indexed as

Social SupportAdultDepressionEthiopiaFemaleFood SupplyHumansIntimate Partner ViolenceMaternal Nutritional Physiological PhenomenaNon-Randomized Controlled Trials as TopicNutritional StatusPregnancyPregnancy ComplicationsPregnant PeoplePrevalenceProspective StudiesAnaemiaEthiopiaHousehold food insecurityIntimate partner violencePHQ-9Prenatal depressionSocial support

Identifiers

PMID30219050
PMCPMC6139168
OpenAlexW2890968703

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.