Antepartum depression among women attending antenatal care in the third trimester in Conakry, Guinea: Findings from the MISPOD study
Rattachement africain : be, Guinée, Éthiopie, gb, ph. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
• Pregnant and postpartum women are more vulnerable to poor mental health conditions. • The significant association between symptoms suggestive of antepartum depression and worries about feeding the family underscores the need for context-appropriate and pro-poor interventions to address food insecurity and women’s financial empowerment. • In light of the extremely limited availability of both integrated and specialised mental health services in Guinea, the high prevalence of antepartum depressive symptoms in our study warrants the need for further studies to explore opportunities and approaches for integrating preventive, promotive, and curative mental health services. Depression in pregnancy (antepartum depression) is a common mental health condition associated with multiple adverse outcomes. Despite high prevalence in sub-Saharan African countries, there is a critical evidence gap on its prevalence in Guinea. We aimed to estimate the prevalence of symptoms suggestive of antepartum depression among women seeking antenatal care (ANC) in urban Guinea and to identify factors associated with it. As baseline of a longitudinal mixed methods study, we surveyed 417 pregnant women at ≥28 weeks gestation seeking ANC at 22 selected health facilities in Conakry and screened them using the Edinburgh Postnatal Depression Scale, with a score of 11 or higher indicating symptoms suggestive of depression. We used bivariate and multivariable logistic regression to identify factors associated with symptoms suggestive of antepartum depression. The prevalence of symptoms suggestive of antepartum depression was 34.5 % (95 % CI: 30.1–39.2). Women who worried 'sometimes' (aOR 3.10; 95 % CI: 1.83, 5.29) and 'very often' (aOR 5.69; 95 % CI: 2.72, 11.91) about feeding their family in the last weeks before the survey were more likely to have symptoms suggestive of antepartum depression than those who ‘never’ worried. Women who attended ANC at private health facilities were less likely to have symptoms suggestive of antepartum depression compared with those who attended ANC at public facilities (aOR 0.34; 95 % CI: 0.16, 0.69). The high prevalence of antepartum depressive symptoms in Conakry highlights the need to integrate mental health services into routine maternal healthcare and address socioeconomic determinants of perinatal mental health.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Antepartum depression among women attending antenatal care in the third trimester in Conakry, Guinea: Findings from the MISPOD study
- Date Crossref
- 01/01/2025
- Éditeur
- Elsevier BV
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Instituut voor Tropische Geneeskunde pays non établi dans la noticeOrganisme public
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Vrije Universiteit Brussel pays non établi dans la noticeUniversité ou école supérieure
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Gamal Abdel Nasser University of Conakry Gamal Abdel Nasser University of Conakry, Guinée (code pays fourni par la source)Université ou école supérieure
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Institut de Recherche Agronomique de Guinée Guinée (code pays fourni par la source)Organisme public
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University of Antwerp Department of Family Medicine and Population Health pays non établi dans la noticeUniversité ou école supérieure
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Woldia University Éthiopie (code pays fourni par la source)Université ou école supérieure
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University of Oxford Nuffield Department of Population Health pays non établi dans la noticeUniversité ou école supérieure
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University of Santo Tomas pays non établi dans la noticeUniversité ou école supérieure
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Université Kofi Annan de Guinée Guinée (code pays fourni par la source)Université ou école supérieure
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London School of Hygiene & Tropical Medicine pays non établi dans la noticeUniversité ou école supérieure
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Institute of Tropical Medicine Department of Public Health pays non établi dans la noticeStructure de recherche
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Centre National de Formation et de Recherche en Santé Rurale de Maferinyah Guinée (pays nommé en fin d’affiliation)Institution
Instituut voor Tropische Geneeskunde, Vrije Universiteit Brussel et Gamal Abdel Nasser University of Conakry (Gamal Abdel Nasser University of Conakry, Guinée), avec 9 autres affiliations. Pays d’affiliation : Guinée, Éthiopie.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.