Exploring the burden of postpartum depression in urban Bangladesh: Prevalence and its associations with pregnancy-related factors from a cross-sectional study.

Autor: Al-Mamun F; CHINTA Research Bangladesh, Savar Dhaka Bangladesh.; Department of Public Health and Informatics Jahangirnagar University, Savar Dhaka Bangladesh.; Department of Public Health University of South Asia Dhaka Bangladesh., Sultana MS; CHINTA Research Bangladesh, Savar Dhaka Bangladesh.; Dhaka Central International Medical College and Hospital Dhaka Bangladesh., Momo MA; UCD School of Public Health University College Dublin Dublin Ireland., Malakar J; Department of Maternal and Child Health National Institute of Preventive and Social Medicine Dhaka Bangladesh., Bahar SB; CHINTA Research Bangladesh, Savar Dhaka Bangladesh.; Department of Public Health University of South Asia Dhaka Bangladesh.; BGC Trust Medical College University of Chittagong Chattogram Bangladesh., Uddin I; CHINTA Research Bangladesh, Savar Dhaka Bangladesh.; Department of Sociology University of Chittagong Chattogram Bangladesh., Murshida M; CHINTA Research Bangladesh, Savar Dhaka Bangladesh.; Department of Public Health and Informatics Jahangirnagar University, Savar Dhaka Bangladesh., Akter MM; CHINTA Research Bangladesh, Savar Dhaka Bangladesh.; Department of Anthropology Jagannath University Dhaka Bangladesh., Begum MM; International Centre for Diarrhoeal Disease Research, Bangladesh Dhaka Bangladesh., Nodi TS; CHINTA Research Bangladesh, Savar Dhaka Bangladesh.; Department of Public Health and Informatics Jahangirnagar University, Savar Dhaka Bangladesh., Al Habib A; CHINTA Research Bangladesh, Savar Dhaka Bangladesh.; Department of Government and Politics Jahangirnagar University, Savar Dhaka Bangladesh., Kaggwa MM; Department of Psychiatry Mbarara University of Science and Technology Mbarara Uganda.; Department of Psychiatry and Behavioral Neurosciences McMaster University Hamilton Ontario Canada., Roy N; Department of Biochemistry and Food Analysis Patuakhali Science and Technology University Patuakhali Bangladesh., Mamun MA; CHINTA Research Bangladesh, Savar Dhaka Bangladesh.; Department of Public Health and Informatics Jahangirnagar University, Savar Dhaka Bangladesh.; Department of Public Health University of South Asia Dhaka Bangladesh.
Jazyk: angličtina
Zdroj: Health science reports [Health Sci Rep] 2024 Apr 22; Vol. 7 (4), pp. e2035. Date of Electronic Publication: 2024 Apr 22 (Print Publication: 2024).
DOI: 10.1002/hsr2.2035
Abstrakt: Background and Aims: Postpartum depression (PPD) is a globally recognized public health concern, yet research focusing on women in urban areas of Bangladesh remains unexplored. This study aimed to address this research gap by investigating the prevalence and associated factors of PPD within the first 2 years after childbirth.
Methods: A cross-sectional study was conducted, enrolling 259 women (26.66 ± 4.57 years) residing in urban areas who were attending healthcare delivery centers. Sociodemographic factors, child-related issues, pregnancy-related complications, and PPD using the Edinburgh Postnatal Depression Scale (EPDS) were used for data collection. Data analysis involved the application of χ 2 tests and logistic regression analysis using SPSS software.
Results: This study found a 60.6% prevalence of PPD using a cutoff of 10 (out of 30) on the EPDS scale. Logistic regression analysis identified several significant factors associated with PPD, including high monthly family income (odds ratio [OR] = 47.51, 95% confidence interval [CI]: 8.34-270.54, p  < 0.001), income dissatisfaction (OR = 14.28, 95% CI: 4.75-42.87, p  < 0.001), up to two gravidities (OR = 2.94, 95% CI = 1.25-6.90, p  = 0.013), pregnancy-related complications (OR = 2.70, 95% CI = 1.05-6.96, p  = 0.039), increased antenatal care visits, and higher childbirth expenses.
Conclusion: This study underscores the high prevalence of PPD among urban mothers in Bangladesh. The identified risk factors emphasize the need for targeted mental health initiatives, specifically tailored to support the vulnerable group. Implementing such initiatives can effectively address the challenges posed by PPD and enhance the well-being of postpartum women in urban areas.
Competing Interests: The authors declare no conflict of interest.
(© 2024 The Authors. Health Science Reports published by Wiley Periodicals LLC.)
Databáze: MEDLINE
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