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Postnatal Depression by HIV Status Among Women in Zimbabwe.

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Title: Postnatal Depression by HIV Status Among Women in Zimbabwe.
Authors: Chibanda D (AUTHOR), Mangezi W (AUTHOR), Tshimanga M (AUTHOR), Woelk G (AUTHOR), Rusakaniko S (AUTHOR), Stranix-Chibanda L (AUTHOR), Midzi S (AUTHOR), Shetty AK (AUTHOR)
Source: Journal of Women's Health (15409996). Nov2010, Vol. 19 Issue 11, p2071-2077. 7p.
Subjects: Postpartum depression, Postpartum depression diagnosis, Analysis of variance, Confidence intervals, Statistical correlation, Epidemiology, HIV-positive persons, Life change events, Medical screening, Classification of mental disorders, Multivariate analysis, Peer counseling, Postnatal care, Statistical sampling, Statistics, Unemployment, Women, City dwellers, Data analysis, Scale items, Edinburgh Postnatal Depression Scale, Disease prevalence, Multiparas
Geographic Terms: Zimbabwe
Abstract: Background: Postnatal depression (PND) is a serious public health problem in resource-limited countries. Research is limited on PND affecting HIV-infected women in sub-Saharan Africa. Zimbabwe has one of the highest antenatal HIV infection rates in the world. We determined the prevalence and risk factors of PND among women attending urban primary care clinics in Zimbabwe. Methods: Using trained peer counselors, a simple random sample of postpartum women ( n = 210) attending the 6-week postnatal visit at two urban primary care clinics were screened for PND using the Shona version of the Edinburgh Postnatal Depression Scale (EPDS). All women were subsequently subjected to mental status examination using the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) criteria for major depression by two psychiatrists who had no knowledge of the EPDS test results. Results: Of the 210 mothers (31 HIV positive, 148 HIV negative, 31 unknown status) enrolled during the postpartum period, 64 (33%) met DSM-IV criteria for depression. The HIV prevalence was 14.8%. Of the 31 HIV-infected mothers, 17(54%) met DSM-IV criteria for depression. Univariate analysis showed that multiparity (prevalent odds ratio [OR] 2.22, 95% confidence intervals [CI] 1.15-4.31), both parents deceased (OR 2.35, 95% CI 1.01-5.45), and having experienced a recent adverse life event (OR 8.34, CI 3.77-19.07) were significantly associated with PND. Multivariate analysis showed that PND was significantly associated with adverse life event (OR 7.04, 95% CI 3.15-15.76), being unemployed (OR 3.12, 95% CI 1.23-7.88), and multiparity (OR 2.50, 95% CI 1.00-6.24). Conclusions: Our data indicate a high burden of PND among women in Zimbabwe. It is feasible to screen for PND in primary care clinics using peer counselors. Screening for PND and access to mental health interventions should be part of routine antenatal care for all women in Zimbabwe. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Women's Health (15409996) is the property of Mary Ann Liebert, Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Availability: 0
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DbLabel: Psychology and Behavioral Sciences Collection
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PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
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  Data: Postnatal Depression by HIV Status Among Women in Zimbabwe.
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  Data: <searchLink fieldCode="AR" term="%22Chibanda+D%22">Chibanda D</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mangezi+W%22">Mangezi W</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Tshimanga+M%22">Tshimanga M</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Woelk+G%22">Woelk G</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rusakaniko+S%22">Rusakaniko S</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Stranix-Chibanda+L%22">Stranix-Chibanda L</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Midzi+S%22">Midzi S</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Shetty+AK%22">Shetty AK</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Women's+Health+%2815409996%29%22">Journal of Women's Health (15409996)</searchLink>. Nov2010, Vol. 19 Issue 11, p2071-2077. 7p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Postpartum+depression%22">Postpartum depression</searchLink><br /><searchLink fieldCode="DE" term="%22Postpartum+depression+diagnosis%22">Postpartum depression diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22Analysis+of+variance%22">Analysis of variance</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Statistical+correlation%22">Statistical correlation</searchLink><br /><searchLink fieldCode="DE" term="%22Epidemiology%22">Epidemiology</searchLink><br /><searchLink fieldCode="DE" term="%22HIV-positive+persons%22">HIV-positive persons</searchLink><br /><searchLink fieldCode="DE" term="%22Life+change+events%22">Life change events</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+screening%22">Medical screening</searchLink><br /><searchLink fieldCode="DE" term="%22Classification+of+mental+disorders%22">Classification of mental disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Multivariate+analysis%22">Multivariate analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Peer+counseling%22">Peer counseling</searchLink><br /><searchLink fieldCode="DE" term="%22Postnatal+care%22">Postnatal care</searchLink><br /><searchLink fieldCode="DE" term="%22Statistical+sampling%22">Statistical sampling</searchLink><br /><searchLink fieldCode="DE" term="%22Statistics%22">Statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Unemployment%22">Unemployment</searchLink><br /><searchLink fieldCode="DE" term="%22Women%22">Women</searchLink><br /><searchLink fieldCode="DE" term="%22City+dwellers%22">City dwellers</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis%22">Data analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Scale+items%22">Scale items</searchLink><br /><searchLink fieldCode="DE" term="%22Edinburgh+Postnatal+Depression+Scale%22">Edinburgh Postnatal Depression Scale</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+prevalence%22">Disease prevalence</searchLink><br /><searchLink fieldCode="DE" term="%22Multiparas%22">Multiparas</searchLink>
– Name: SubjectGeographic
  Label: Geographic Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Zimbabwe%22">Zimbabwe</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: Postnatal depression (PND) is a serious public health problem in resource-limited countries. Research is limited on PND affecting HIV-infected women in sub-Saharan Africa. Zimbabwe has one of the highest antenatal HIV infection rates in the world. We determined the prevalence and risk factors of PND among women attending urban primary care clinics in Zimbabwe. Methods: Using trained peer counselors, a simple random sample of postpartum women ( n = 210) attending the 6-week postnatal visit at two urban primary care clinics were screened for PND using the Shona version of the Edinburgh Postnatal Depression Scale (EPDS). All women were subsequently subjected to mental status examination using the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) criteria for major depression by two psychiatrists who had no knowledge of the EPDS test results. Results: Of the 210 mothers (31 HIV positive, 148 HIV negative, 31 unknown status) enrolled during the postpartum period, 64 (33%) met DSM-IV criteria for depression. The HIV prevalence was 14.8%. Of the 31 HIV-infected mothers, 17(54%) met DSM-IV criteria for depression. Univariate analysis showed that multiparity (prevalent odds ratio [OR] 2.22, 95% confidence intervals [CI] 1.15-4.31), both parents deceased (OR 2.35, 95% CI 1.01-5.45), and having experienced a recent adverse life event (OR 8.34, CI 3.77-19.07) were significantly associated with PND. Multivariate analysis showed that PND was significantly associated with adverse life event (OR 7.04, 95% CI 3.15-15.76), being unemployed (OR 3.12, 95% CI 1.23-7.88), and multiparity (OR 2.50, 95% CI 1.00-6.24). Conclusions: Our data indicate a high burden of PND among women in Zimbabwe. It is feasible to screen for PND in primary care clinics using peer counselors. Screening for PND and access to mental health interventions should be part of routine antenatal care for all women in Zimbabwe. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Journal of Women's Health (15409996) is the property of Mary Ann Liebert, Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=105013200
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1089/jwh.2010.2012
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 7
        StartPage: 2071
    Subjects:
      – SubjectFull: Postpartum depression
        Type: general
      – SubjectFull: Postpartum depression diagnosis
        Type: general
      – SubjectFull: Analysis of variance
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Statistical correlation
        Type: general
      – SubjectFull: Epidemiology
        Type: general
      – SubjectFull: HIV-positive persons
        Type: general
      – SubjectFull: Life change events
        Type: general
      – SubjectFull: Medical screening
        Type: general
      – SubjectFull: Classification of mental disorders
        Type: general
      – SubjectFull: Multivariate analysis
        Type: general
      – SubjectFull: Peer counseling
        Type: general
      – SubjectFull: Postnatal care
        Type: general
      – SubjectFull: Statistical sampling
        Type: general
      – SubjectFull: Statistics
        Type: general
      – SubjectFull: Unemployment
        Type: general
      – SubjectFull: Women
        Type: general
      – SubjectFull: City dwellers
        Type: general
      – SubjectFull: Data analysis
        Type: general
      – SubjectFull: Scale items
        Type: general
      – SubjectFull: Edinburgh Postnatal Depression Scale
        Type: general
      – SubjectFull: Disease prevalence
        Type: general
      – SubjectFull: Multiparas
        Type: general
      – SubjectFull: Zimbabwe
        Type: general
    Titles:
      – TitleFull: Postnatal Depression by HIV Status Among Women in Zimbabwe.
        Type: main
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            – D: 01
              M: 11
              Text: Nov2010
              Type: published
              Y: 2010
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