ArticleSocial psychiatry and psychiatric epidemiology2020
The association between social support through contacts with Accredited Social Health Activists (ASHAs) and antenatal anxiety among women in Mysore, India: a cross-sectional study.
Article in Social psychiatry and psychiatric epidemiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.
- Prevalence of Perinatal Anxiety and Related Disorders in Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis.JAMA network open · 2023Pooled it
- A cross-sectional study on the prevalence and determinants of antenatal anxiety among pregnant women in the second and third trimesters.BMC pregnancy and childbirth · 2026Article
- Exploring sources of social support during pregnancy- a qualitative study in rural southern India.BMC pregnancy and childbirth · 2026Article
- Evaluating the moderating role of accredited social health activists on adverse birth outcomes in rural India.Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives · 2022Article
- Intimate partner violence during pregnancy and maternal and child health outcomes: a scoping review of the literature from low-and-middle income countries from 2016 - 2021.BMC pregnancy and childbirth · 2022Article
- Referral care for high-risk pregnant women in rural Rajasthan, India: a qualitative analysis of barriers and facilitators.BMC pregnancy and childbirth · 2022Article
- Use of Data to Understand the Social Determinants of Depression in Two Middle-Income Countries: the 3-D Commission.Journal of urban health : bulletin of the New York Academy of Medicine · 2021Review
- Association of Stress-Related Factors With Anxiety Among Chinese Pregnant Participants in an Online Crisis Intervention During COVID-19 Epidemic.Frontiers in psychology · 2021Article
- An Integrated Approach to Improve Maternal Mental Health and Well-Being During the COVID-19 Crisis.Frontiers in psychiatry · 2020Article
- Antenatal depression and anxiety in Indian women: A systematic review.Industrial psychiatry journalReview
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Authors and funding
9 authors at 5 institutions in 2 countries.
Funding
Abstract
purposeIn India, antenatal anxiety prevalence estimates range from 6 to 48%. Social support is strongly associated with mental wellbeing, yet most studies have examined the impact of support from partners and family members rather than peers, community members, or health care providers. This study explores the supportive role of Accredited Social Health Activists (ASHA) contacts for antenatal anxiety.
methodsData were analyzed from the Saving Children, Improving Lives project, a quasi-experimental study conducted among rural, pregnant women in India. Regression models were used to estimate adjusted prevalence ratios (aPRs) and 95% confidence intervals for the relationship frequency of ASHA contacts and antenatal anxiety. Antenatal anxiety was measured using a subscale of the Edinburgh Postnatal Depression Scale.
resultsThe sample consisted of 480 pregnant women. Reported antenatal anxiety prevalence was 27% (95% CI 23%, 31%). Participants who were more frequently visited by ASHAs at home (aPR: 0.90; 95% CI 0.76, 0.98) and more frequently accompanied by ASHAs to their antenatal care visits (aPR: 0.86, 95% CI 0.78, 0.95) were less likely to report antenatal anxiety. ASHA home visits were protective for the most vulnerable women (primigravida and those experiencing domestic violence) and ASHA accompaniment to antenatal care visits was equally protective for all women.
conclusionsASHAs are valued for their contribution towards maternal health education and linking women of reproductive age to healthcare services. Our findings additionally suggest the important role ASHAs play in providing social support to pregnant women, particularly those who are most vulnerable to experiencing antenatal anxiety.
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