Common perinatal mental disorders in northern Viet Nam: community prevalence and health care useстатья из журнала
Аннотация: Viet Nam has well-developed public and primary health care systems: most women (88%) have a skilled attendant at birth, and infant immunization coverage is > 90%. 15 Iron deficiency anaemia associated with hookworm infection and low meat consumption are prevalent in pregnant women (54%) and those who have recently given birth (62%), especially in rural provinces. 16With the introduction of a national iodized salt Une traduction en français de ce résumé figure à la fin de l'article.Al final del artículo se facilita una traducción al español. املقالة. لهذه الكامل النص نهاية يف الخالصة لهذه العربية الرتجمةObjective To establish the prevalence of common perinatal mental disorders their determinants, and their association with preventive health care use among women in one rural and one urban province in northern Viet Nam.Methods We conducted a cross-sectional survey of cohorts of pregnant women and mothers of infants recruited systematically in 10 randomly-selected communes.The women participated in psychiatrist-administered structured clinical interviews and separate structured interviews to assess sociodemographic factors, reproductive health, the intimate partner relationship, family violence and the use of preventive and psychiatric health care.Associations between these variables and perinatal mental disorders were explored through univariate analyses and multivariable logistic regression.Findings Among women eligible for the study (392), 364 (93%) were recruited.Of these, 29.9% (95% confidence interval, CI: 25.20-34.70)were diagnosed with a common perinatal mental disorder (CPMD).The frequency of such disorders during pregnancy and in the postpartum period was the same.Their prevalence was higher among women in rural provinces (odds ratio, OR: 2.17; 95% CI: 1.19-3.93);exposed to intimate partner violence (OR: 2.11; 95% CI: 1.12-3.96);fearful of other family members (OR: 3.36; 95% CI: 1.05-10.71)or exposed to coincidental life adversity (OR: 4.40; 95% CI: 2.44-7.93).Fewer women with a CPMD used iron supplements than women without a CPMD, but the results were not statistically significant (P = 0.05).None of the women studied had ever received mental health care.Conclusion Perinatal depression and anxiety are prevalent in women in northern Viet Nam.These conditions are predominantly determined by social factors, including rural residence, poverty and exposure to family violence.At present the needs of women with common perinatal mental disorders are unrecognized and not attended to and their participation in essential antenatal preventive care appears to be compromised.
Год издания: 2010
Авторы: Jane Fisher, Thach Tran, Buoi thi La, Kelsi Kriitmaa, Doreen Rosenthal, Tuan Tran
Издательство: World Health Organization
Источник: Bulletin of the World Health Organization
Ключевые слова: Maternal Mental Health During Pregnancy and Postpartum, Global Maternal and Child Health, Child Abuse and Trauma
Другие ссылки: Bulletin of the World Health Organization (HTML)
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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)
Открытый доступ: bronze
Том: 88
Выпуск: 10
Страницы: 737–745