Evidence map›Paper›PMID 39681924›Full record

ArticleBMC global and public health2024

Cultural and social factors associated with generalized anxiety disorder among adolescent mothers during the postpartum period in Malawi: a cross-sectional survey.

Chimwemwe Tembo, Linda Portsmouth, Sharyn Burns

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Article in BMC global and public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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4citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Chimwemwe TemboSchool of Population Health, Faculty of Health Sciences, Curtin University, Perth, Australia. chimweptembo@yahoo.co.uk.ORCID http://orcid.org/0000-0003-2817-1111
Linda PortsmouthSchool of Population Health, Faculty of Health Sciences, Curtin University, Perth, Australia.ORCID http://orcid.org/0000-0002-9803-8546
Sharyn BurnsSchool of Population Health, Faculty of Health Sciences, Curtin University, Perth, Australia.ORCID http://orcid.org/0000-0002-1551-2805

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe postnatal period is an important time for adolescent mothers to regain their health as they adjust to life with their infants. However, it is also a time when mothers are vulnerable to mental health problems. Generalized anxiety disorders (GADs) are among the common mental disorders that can impact mothers. Anxiety disorders can have adverse effects on a child's cognitive development. However, there is a scarcity of studies pertaining to anxiety disorders among adolescent mothers in Malawi.

methodsA cross-sectional survey was conducted among adolescent postnatal mothers aged ≤ 19 years to establish the prevalence of probable GAD and identify cultural and social factors that influence anxiety in this population. Adolescent mothers were recruited from the Mitundu Rural Hospital catchment area in Lilongwe district, Malawi. A two-stage random sampling method was employed: clinics were randomly selected, and participants were recruited via systematic random sampling. The Generalized Anxiety Disorder (GAD-7) scale was used to assess anxiety. Data were analyzed using SPSS version 27.

resultsOf the 395 adolescent mothers who participated, 34% were aged 14-17. The prevalence of probable GAD (GAD-7 ≥ 10) was 31.9%. Increased social support decreased the odds of probable GAD (aOR 0.95, 95% CI: 0.91-0.98, p < 0.001). Experiencing intimate partner violence (IPV) increased the likelihood of probable GAD (aOR 4.80, 95% CI: 1.23-18.82, p = 0.02), while those who had contact with a health worker postnatally (aOR 0.38, 95% CI: 0.17-0.83, p = 0.02) and those who were "not prayerful" (aOR, 0.43, 95% CI: 0.21-0.87, p = 0.02) were less likely to report probable GAD.

conclusionsGiven that the prevalence of probable GAD among adolescent mothers in Malawi is higher compared to the global estimates of their peers, policies and guidelines that prioritize the maternal mental health of adolescent mothers in Malawi are required. The findings also highlight the importance of enhancing social support among family and community. Co-designed mental health promotion, prevention, and early interventions to involve health workers and religious leaders are recommended.

Indexed as

Adolescent mothersMaternal mental healthPerinatal anxiety

Identifiers

PMID39681924
PMCPMC11622913

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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.