The role of intimate partner violence victimization during pregnancy on maternal postpartum depression in Eastern Ethiopia

被引:8
作者
Ashenafi, Wondimye [1 ]
Mengistie, Bezatu [3 ]
Egata, Gudina [2 ]
Berhane, Yemane [4 ]
机构
[1] Haramaya Univ, Coll Hlth & Med Sci, Sch Publ Hlth, POB 235, Harar, Ethiopia
[2] Addis Ababa Univ, Publ Hlth Nutr Dept, Coll Hlth Sci, Addis Ababa, Ethiopia
[3] Haramaya Univ, Coll Hlth & Med Sci, Dept Environm Hlth Sci, Harar, Ethiopia
[4] Addis Continental Inst Publ Hlth, Dept Epidmiol, Addis Ababa, Ethiopia
来源
SAGE OPEN MEDICINE | 2021年 / 9卷
关键词
Intimate partner violence; pregnancy; postpartum depression; women; Ethiopia; POSTNATAL DEPRESSION; MENTAL-HEALTH; DOMESTIC VIOLENCE; WOMEN; PREVALENCE; SYMPTOMS; PREDICTORS; MAGNITUDE; ADVERSITY; MOTHERS;
D O I
10.1177/2050312121989493
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Intimate partner violence during pregnancy is a strong predictor of maternal postpartum depression. In Ethiopia, evidence on the association of intimate partner violence during pregnancy with postpartum depression is very limited. To design appropriate intervention, it is thus important to understand how postpartum depression varies as a function of the type and severity of intimate partner violence victimization during pregnancy. The aim of this study is to explore the association of different types of intimate partner violence during pregnancy and its severity with postpartum depression in Eastern Ethiopia. Method: A community-based cross-sectional study was conducted from January to October 2018. The study included a sample of 3015 postpartum women residing in Eastern Ethiopia. The cutoff point for postpartum depression was defined as > 13 points according to the Edinburgh Postnatal Depression Scale. The prevalence ratio with 95% confidence intervals was calculated, and the association between the main predictor (i.e. intimate partner violence during pregnancy) and the outcome variable (postpartum depression) was determined using log binomial regression model. Results: 16.3% (95% confidence interval: 14.9-17.7) of women experienced postpartum depression. After controlling potential confounding factors, the prevalence of postpartum depression among women exposed to severe physical intimate partner violence during pregnancy was 1.98 times higher as compared to those not exposed to physical intimate partner violence during pregnancy (adjusted prevalence ratio = 1.98; 95% confidence interval: 1.53-2.54). Exposure to psychological intimate partner violence during pregnancy was found to increase the prevalence of postpartum depression by 1.79 as compared to non-exposure to psychological intimate partner violence during pregnancy (adjusted prevalence ratio = 1.79; 95% confidence interval: 1.48-2.18). Conclusion: The study provides evidence that psychological and severe physical intimate partner violence during pregnancy were significantly associated with maternal postpartum depression. Screening of pregnant women for intimate partner violence and providing them the necessary support can minimize the risk to postpartum depression.
引用
收藏
页数:12
相关论文
共 61 条
[1]   Magnitude and associated factors of postpartum depression among women in Nekemte town, East Wollega zone, west Ethiopia, 2019: A community-based study [J].
Abadiga, Muktar .
PLOS ONE, 2019, 14 (11)
[2]  
Abbaszadeh A, 2011, PAK J MED SCI, V27, P177
[3]   Postpartum depression and associated factors among mothers in Bahir Dar Town, Northwest Ethiopia [J].
Abebe, Amsale ;
Tesfaw, Getachew ;
Mulat, Haregewoine ;
Hibdye, Getahun ;
Yohannes, Kalkidan .
ANNALS OF GENERAL PSYCHIATRY, 2019, 18 (01)
[4]   Intimate partner violence against women in west Ethiopia: a qualitative study on attitudes, woman's response, and suggested measures as perceived by community members [J].
Abeya, Sileshi Garoma ;
Afework, Mesganaw Fantahun ;
Yalew, Alemayeh Worku .
REPRODUCTIVE HEALTH, 2012, 9
[5]  
Abiola T., 2013, Malaysian J Psychiatry, V22, P32
[6]   Depression and associated factors among geriatric population in Moshi district council, Northern Tanzania [J].
Adams, Diana J. ;
Ndanzi, Tunu ;
Rweyunga, Aminatha P. ;
George, Johnston ;
Mhando, Lisbeth ;
Ngocho, James S. ;
Mboya, Innocent B. .
AGING & MENTAL HEALTH, 2021, 25 (06) :1035-1041
[7]   Depressive and anxiety symptoms and associated factors among postnatal women in Enugu-North Senatorial District, South-East Nigeria: a cross-sectional study [J].
Agbaje, Olaoluwa S. ;
Anyanwu, Joy I. ;
Umoke, Prince I. C. ;
Iwuagwu, Tochi E. ;
Iweama, Cylia N. ;
Ozoemena, Eyuche L. ;
Nnaji, Ijeoma R. .
ARCHIVES OF PUBLIC HEALTH, 2019, 77 (1)
[8]   Domestic Violence in a Developing Context: The Perspectives of Women in Northern Ethiopia [J].
Allen, Mary ;
Raghallaigh, Muireann Ni .
AFFILIA-JOURNAL OF WOMEN AND SOCIAL WORK, 2013, 28 (03) :256-272
[9]  
[Anonymous], 2003, Postpartum depression: Literature review of risk factors and interventions
[10]  
[Anonymous], 2012, J WOMENS HLTH ISSUES, DOI DOI 10.4172/2325-9795.1000101