SynthesisPloS one2022
Social determinants of antenatal depression and anxiety among women in South Asia: A systematic review & meta-analysis.
Synthesis in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 4 of them syntheses that pooled it.
What it found
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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.
The trial behind it
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Who cites it
40 citing papers in PubMed, 4 syntheses or guidelines pooled it, 71 citations in OpenAlex.
- Social determinants of mental health problems among South Asian migrants living in industrialized countries: a systematic review.Journal of public health (Oxford, England) · 2025Pooled it
- Prevalence and Associated Factors of Depression in Nepal: A Systematic Review and Meta-analysis.JNMA; journal of the Nepal Medical Association · 2025Pooled it
- Pooled it
- Perceptions and attitudes around perinatal mental health in Bangladesh, India and Pakistan: a systematic review of qualitative data.BMC pregnancy and childbirth · 2022Pooled it
- A group psychological intervention for postnatal depression in British mothers of South Asian origin - the ROSHNI-2 RCT.Health technology assessment (Winchester, England) · 2025Trial
- Article
- Factors Associated With Maternal Depression, Anxiety and Mother-Infant Bonding in At-Risk Mothers During Pregnancy: A Cross-Sectional Observational Study.Journal of advanced nursing · 2026Observational
- Depression and Anxiety Among Pregnant and Non-Pregnant Women in Bangladesh: A Cross-Sectional Study.Health science reports · 2026Article
- Factors related to prenatal depression among hospitalized high-risk pregnant women in South Korea: a cross-sectional study focused on resilience, pregnancy stress, and marital satisfaction.Child health nursing research · 2026Article
- Feasibility of a Low-Intensity Task-Shared Intervention for Common Mental Disorders in Survivors of Intimate Partner Violence in India: A Mixed Methods Study.Violence against women · 2026Article
- Antenatal depression and its relationship with birth outcomes and postnatal depression in Rural India: A longitudinal study.PloS one · 2026Article
- Factors associated with insomnia, anxiety, and depression among antenatal women in China: A cross-sectional hospital-based study.PloS one · 2026Article
- Mental Health Crisis Among Married Women in Bangladesh: Risk Factors and the Role of Misdiagnosis.Depression and anxiety · 2026Article
- Development and Internal Validation of a Psychosocial Nomogram for Antenatal Depressive Symptoms in Third-Trimester Pregnant Women at a Regional Hospital in Southern Vietnam.International journal of women's health · 2026Article
- Psychological symptoms and associated psychosocial factors among fathers attending a tertiary children's hospital in Nepal.PLOS global public health · 2026Article
- Perinatal anxiety and compromised bond: A qualitative study of cultural scripts, structural barriers and maternal emotional negotiations in Pakistan.Global mental health (Cambridge, England) · 2026Article
- Depression and Anxiety Among Women in Lesotho: A Multilevel Analysis of the 2023-2024 LSDHS.Depression and anxiety · 2026Article
- Use of benzodiazepine receptor agonists in different pregnancy trimesters and risk of maternal and neonatal outcomes: a propensity weighted cohort study in Taiwan.BMC pregnancy and childbirth · 2025Article
- Article
- Development and validation of a predictive nomogram for antenatal depression in China.BMC pregnancy and childbirth · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPregnancy is a time of major psychological changes making pregnant women more susceptible to depression and anxiety. Prevalence is higher among women living in Bangladesh, India and Pakistan, compared to high-income countries, due to poor understanding and lack of mental health integration within antenatal care. Antenatal depression/anxiety is associated with adverse outcomes including postnatal depression, low birth weight and impaired fetal development. Existing systematic reviews provided only limited information on the social determinants of antenatal depression/anxiety in these South Asian countries.
objectiveThis review aimed to identify, synthesise and appraise the evidence on the social determinants associated with antenatal depression and anxiety in women living in Bangladesh, India and Pakistan.
methodsWe searched five databases (MEDLINE, Embase, PsycINFO, Scopus, Web of Science) and PROSPERO. Observational studies published between 1st January 2000 and 4th January 2021 were included if they were in the English language, used validated tools for measuring depression/anxiety in pregnant women and reported statistical associations or raw numbers. Summary estimates were obtained using random-effects model. Heterogeneity and publication bias was measured using the I2 statistic and Egger's test, respectively. This review was registered on PROSPERO (reference: CRD42020167903).
resultsWe included 34 studies (with 27,379 women). Meta-analysis of Adjusted Odds Ratios (AOR) found that Intimate partner violence (AOR 2.48, 95% CI 1.41-4.33), unplanned pregnancy (AOR 1.53, 95% CI 1.28-1.83), male gender preference (AOR 3.06, 95% CI 1.40-6.72) and poor relationship with in-laws (AOR 2.69, 95% CI 1.25-5.80) were significantly associated with antenatal depression/anxiety.
conclusionThe review identified a complex range of social determinants of antenatal depression and anxiety in Bangladesh, India and Pakistan. Screening tools to identify pregnant women at high risk should be integrated within antenatal care to prevent adverse outcomes. Knowledge of these social determinants will inform the development of such screening tools and interventions.
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