A cross-sectional study of depression with comorbid substance use dependency in pregnant adolescents from an informal settlement of Nairobi: drawing implications for treatment and prevention work
| Autor: | Manasi Kumar, Eric Kimbui, Mary Wangari Kuria, Obadia Yator |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
lcsh:RC435-571 Alcohol abuse Population Psychological intervention Alcohol use disorder Peer pressure Adversities 03 medical and health sciences Social support 0302 clinical medicine lcsh:Psychiatry medicine 030212 general & internal medicine Psychiatry education Pregnant adolescents education.field_of_study Partner and family support business.industry Depression Public health 1. No poverty medicine.disease Mental health 3. Good health 030227 psychiatry Substance abuse Psychiatry and Mental health business Primary Research |
| Zdroj: | Annals of General Psychiatry Annals of General Psychiatry, Vol 17, Iss 1, Pp 1-15 (2018) |
| ISSN: | 1744-859X |
| Popis: | Introduction Adolescent pregnancy is a highly prevalent and significant public health problem in Kenya, and mental health needs of pregnant adolescent girls have been overlooked. Nearly, 50% of the world’s population comprises children and adolescents and 85% live in lower and middle-income countries. Objective Pregnant adolescents were interviewed to ascertain certain social determinants of mental health such as social support, partner or parent support, and demographic profile and assessed for depression using EPDS and for severity of depression using BDI, and their alcohol abuse assessed using AUDIT. Methods A cross-sectional descriptive study using a purposive sample of 212 pregnant adolescents visiting Kangemi Health Centre in Nairobi was conducted. Results We found that 60.4% had depressive symptoms scores of 8 and above on EPDS, 51.9% were found to have severe depression score on BDI. About 26.9% were currently consuming alcohol. The more severely depressed participants were demonstrating greater alcohol use. Of the 110 pregnant adolescents who were severely depressed, 39 were currently consuming alcohol. We identified several alcohol use disorder factors associated with depression such as living with an alcoholic, ever and current use of alcohol, alcohol-related harm being experienced, being pressured to take alcohol. On our final multivariate logistic regression, we found that being a student (AOR 5.12, 95% CI 1.19–22.0, P = 0.028); low family income (between 5000 and 10,000 shillings) (AOR 0.22, 95% CI 0.09–0.56, P = 0.02); unplanned pregnancy (AOR 3.41, 95% CI 1.19–9.80, P = 0.023); both negative and ambivalent attitudes of the unborn baby’s father, respectively (AOR 8.72 95% CI 2.88–26.37 P |
| Databáze: | OpenAIRE |
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