Perinatal depressive disorder prevalence in Africa: A systematic review and Bayesian analysis
| Autor: | Francky Teddy Endomba, Aude Laetitia Ndoadoumgue, Jean Joel Bigna, Celestin Danwang, Jan René Nkeck, Clarence M. Mbanga, Gregory Ayissi |
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| Přispěvatelé: | UCL - SSS/IREC/EPID - Pôle d'épidémiologie et biostatistique |
| Rok vydání: | 2021 |
| Předmět: |
endocrine system
Human immunodeficiency virus (HIV) medicine.disease_cause 03 medical and health sciences 0302 clinical medicine Pregnancy Prevalence medicine Humans 030212 general & internal medicine Pregnancy outcomes Depression (differential diagnoses) Post partum Depressive Disorder Major Depression Depressive disorder business.industry Pregnancy Outcome Bayes Theorem medicine.disease 030227 psychiatry Psychiatry and Mental health Africa Preventive intervention Female business Perinatal period Perinatal Depression Post-partum Demography |
| Zdroj: | General hospital psychiatry, Vol. 69, p. 55-60 (2021) |
| ISSN: | 0163-8343 |
| DOI: | 10.1016/j.genhosppsych.2021.01.006 |
| Popis: | Objective To curb the burden of perinatal depression (PND) in Africa, it is important to have an accurate estimate of its burden in the continent. Hence, we determined the prevalence of (major) depressive disorder in the perinatal period in Africa. Methods We searched PubMed, EMBASE, Africa Index Medicus, and Africa Journal Online, to identify studies reporting the prevalence of (major) depressive disorder in the perinatal period in Africa, between January 1st 2000 and February 17th 2020. PND prevalence was estimated using Bayesian modelling. Results We identified 154 studies (192 data points; 113,147 women). In pregnant women, the prevalence of depressive disorder was 22.8% (95%Credible interval [CrI]: 21.5–24.1) among women with no specific condition and 31.9% (95%CrI: 30.2–33.6) among those with HIV. In post-partum, the prevalence was 21.2% (95%CrI: 20.0–22.5), 30.0% (95%CrI: 28.2–31.8), and 44.6% (95%CrI: 35.9–53.8) among women with no specific condition, with HIV, and with poor pregnancy outcomes, respectively. Conclusions This study depicted a high prevalence of PND in Africa. This prevalence varied across pre-defined clinical profiles. HIV-infected women or those with poor pregnancy outcomes having a higher prevalence of depression. This highlights the need for more attention and preventive interventions geared towards these sub-groups. |
| Databáze: | OpenAIRE |
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