Evidence map›Paper›PMID 32410586›Full record

Trial reportBMC pregnancy and childbirth2020

Stigma and utilization of treatment for adolescent perinatal depression in Ibadan Nigeria.

Lola Kola, Ian M Bennett, Amritha Bhat, Olatunde O Ayinde, Bibilola D Oladeji, Dolapo Abiona, Jibril Abdumalik, Neda Faregh, Pamela Y Collins, Oye Gureje

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC pregnancy and childbirth, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.7field-weighted citation impact, top 5% 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

19 citing papers in PubMed, 60 citations in OpenAlex.

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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

10 authors at 2 institutions in 3 countries.

Lola KolaDepartment of Psychiatry, College of Medicine, University of Ibadan, Ibadan, Nigeria. lola_kola2004@yahoo.com.ORCID http://orcid.org/0000-0003-0678-796X
Ian M BennettDepartments of Family Medicine, University of Washington, Seattle, USA.
Amritha BhatDepartments of Family Medicine, University of Washington, Seattle, USA.
Olatunde O AyindeDepartment of Psychiatry, College of Medicine, University of Ibadan, Ibadan, Nigeria.
Bibilola D OladejiDepartment of Psychiatry, College of Medicine, University of Ibadan, Ibadan, Nigeria.
Dolapo AbionaDepartment of Psychiatry, College of Medicine, University of Ibadan, Ibadan, Nigeria.
Jibril AbdumalikDepartment of Psychiatry, College of Medicine, University of Ibadan, Ibadan, Nigeria.
Neda FareghGlobal Health, University of Washington, Seattle, USA.
Pamela Y CollinsPsychiatry and Behavioral Science, University of Washington, Seattle, USA.
Oye GurejeDepartment of Psychiatry, College of Medicine, University of Ibadan, Ibadan, Nigeria.
University of Ibadan · NGUniversity of Washington · US

Funding

Innovating for Maternal and Child Health in Africa/International Research Development Centre 108552-001
6 · The paper itself

Abstract

backgroundDepression is a common and severe disorder among low-income adolescent mothers in low-and middle-income countries where resources for treatment are limited. We wished to identify factors influencing health service utilization for adolescent perinatal depression, in Nigeria to inform new strategies of care delivery.

methodsFocus Group Discussions (FGDs) were conducted among purposively selected low-income young mothers (with medical histories of adolescent perinatal depression), and separately with primary care clinicians treating this condition in Ibadan, Nigeria. Participants from this community-based study were from the database of respondents who participated in a previous randomized control trial (RCT) conducted between 2014 and 2016 in 28 primary health care facilities in the 11 Local government areas in Ibadan. Semi-structured interview guides, framed by themes of the Behavioral Model for Vulnerable Populations, was developed to obtain views of participants on the factors that promote or hinder help-seeking and engagement (see additional files 1 & 2). FGDs were conducted, and saturation of themes was achieved after discussions with six groups. Transcripts were analyzed using content analysis.

resultsA total of 42 participants, 17 mothers (who were adolescents at the time of the RCT), and 25 care providers participated in 6 FGDs. The availability of care for perinatal depression at the primary care level was an important enabling factor in healthcare utilization for the adolescents. Perceived health benefits of treatment received for perinatal depression were strong motivation for service use. Significant stigma and negative stereotypes expressed by care providers towards adolescent pregnancy and perinatal depression were obstacles to care. However, individual patient resilience was a major enabling factor, facilitating service engagement. Providers trained in the management of perinatal depression were perceived to deliver more tolerant and supportive care that adolescent mothers valued.

conclusionsParticipants identified unsupportive and stigmatizing clinic environments towards pregnant and parenting adolescents as significant barriers to accessing available care. Interventions to reduce stigma among healthcare providers may improve services for this vulnerable population.

Indexed as

Primary Health CareSocial StigmaAdolescentDepressionFemaleFocus GroupsHealth Knowledge, Attitudes, PracticeHealth PersonnelHealth Services AccessibilityHumansMiddle AgedMothersNigeriaPatient Acceptance of Health CarePerinatal CarePovertyAdolescentHealth care utilizationLow- and middle-income countryPerinatal depressionPregnancyResilienceStigma

Identifiers

PMID32410586
PMCPMC7226964
OpenAlexW3028251150

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.