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Prevalence anddeterminants ofcommon perinatalmental disorders inwomen in low- andlower-middle-incomecountries: asystematic review Jane FisherMeena Cabral de MelloVikram Patel2011 год

Prevalence and determinants of common perinatal mental disorders in women in low- and lower-middle-income countries: a systematic review

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Аннотация: Objective To review the evidence about the prevalence and determinants of non-psychotic common perinatal mental disorders (CPMDs) in World Bank categorized low-and lower-middle-income countries.Methods Major databases were searched systematically for English-language publications on the prevalence of non-psychotic CPMDs and on their risk factors and determinants.All study designs were included.Findings Thirteen papers covering 17 low-and lower-middle-income countries provided findings for pregnant women, and 34, for women who had just given birth.Data on disorders in the antenatal period were available for 9 (8%) countries, and on disorders in the postnatal period, for 17 (15%).Weighted mean prevalence was 15.6% (95% confidence interval, CI: 15.4-15.9)antenatally and 19.8% (19.5-20.0)postnatally.Risk factors were: socioeconomic disadvantage (odds ratio [OR] range: 2.1-13.2);unintended pregnancy (1.6-8.8);being younger (2.1-5.4);being unmarried (3.4-5.8);lacking intimate partner empathy and support (2.0-9.4);having hostile in-laws (2.1-4.4);experiencing intimate partner violence (2.11-6.75);having insufficient emotional and practical support (2.8-6.1); in some settings, giving birth to a female (1.8-2.6), and having a history of mental health problems (5.1-5.6).Protective factors were: having more education (relative risk: 0.5; P = 0.03); having a permanent job (OR: 0.64; 95% CI: 0.4-1.0);being of the ethnic majority (OR: 0.2; 95% CI: 0.1-0.8)and having a kind, trustworthy intimate partner (OR: 0.52; 95% CI: 0.3-0.9).Conclusion CPMDs are more prevalent in low-and lower-middle-income countries, particularly among poorer women with gender-based risks or a psychiatric history.
Год издания: 2011
Авторы: Jane Fisher, Meena Cabral de Mello, Vikram Patel, Atıf Rahman, Thach Tran, Sara Holton, Wendy Holmes
Издательство: World Health Organization
Источник: Bulletin of the World Health Organization
Ключевые слова: Maternal Mental Health During Pregnancy and Postpartum, Child and Adolescent Psychosocial and Emotional Development, Infant Development and Preterm Care
Другие ссылки: Bulletin of the World Health Organization (HTML)
Deakin Research Online (Deakin University) (PDF)
Deakin Research Online (Deakin University) (HTML)
Europe PMC (PubMed Central) (PDF)
Europe PMC (PubMed Central) (HTML)
PubMed Central (HTML)
LSHTM Research Online (London School of Hygiene and Tropical Medicine) (HTML)
PubMed (HTML)