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Prevalence and risk factors for symptoms of common mental disorders in early and late pregnancy in Vietnamese women: A prospective population-based study

Fisher J. Jean Hailes Research Unit, School of Public Health and Preventive Medicine, Monash University, 43-51 Kanooka Grove, Clayton, VIC 3168, Australia|
Biggs B.-A. | Hanieh S. | Anne Simpson J. Centre of Clinical Research Excellence in Infectious Diseases (CCREID), Royal Melbourne Hospital, VIC 3050, Australia| Casey G.J. Centre for Molecular, Environmental, Genetic and Analytic Epidemiology, School of Population Health, University of Melbourne, VIC 3010, Australia| Nguyen T. Department of Medicine (RMH/WH), University of Melbourne, Royal Melbourne Hospital, VIC 3050, Australia| Dwyer T. Murdoch Children's Research Institute, Royal Children's Hospital, VIC 3052, Australia| Duc Tran T. Research and Training Centre for Community Development, Hanoi, Viet Nam| Tran T. Melbourne School of Population Health, University of Melbourne, VIC 3010, Australia|

Journal of Affective Disorders Số 2, năm 2013 (Tập 146, trang 213-219)

DOI: 10.1016/j.jad.2012.09.007

Tài liệu thuộc danh mục: ISI, Scopus

J. Affective Disord.

English

Từ khóa: adult; article; child abuse; female; first trimester pregnancy; health survey; human; mental disease; partner violence; prevalence; priority journal; risk factor; third trimester pregnancy; Viet Nam; Adult; Female; Humans; Mental Disorders; Pregnancy; Pregnancy Trimester, First; Pregnancy Trimester, Third; Pregnant Women; Prevalence; Prospective Studies; Qualitative Research; Risk Factors; Rural Health; Socioeconomic Factors; Vietnam; Young Adult
Tóm tắt tiếng anh
Background: Little is known about the prevalence of and risk factors for common mental disorders (CMD) in pregnant women in low-income countries. The aim of this study was to establish the prevalence of and psychosocial risk factors for clinically significant symptoms of CMD in early and late pregnancy in women in rural Viet Nam. Methods: A population-based sample of women was surveyed in early and late pregnancy. CMD were assessed by the Edinburgh Postnatal Depression Scale-Viet Nam Validation and psychosocial risks by study-specific structured interviews. Results: In total 497/523 (97%) eligible women were recruited and 419 (84%) provided complete data. Prevalence of CMD only in early pregnancy was 22.4% (95% CI 18.4-26.4); only in late pregnancy was 10.7% (95% CI 7.8-13.7) and at both assessment waves was 17.4% (95% CI 13.8-21.1). Non-economic and economic coincidental life adversity, intimate partner violence, past pregnancy loss, and childhood abuse were positively associated with persistent antenatal CMD. Older age, having a preference for the baby's sex, and nulli- or primiparity were risk factors for CMD in early pregnancy. Conclusions: Persistent antenatal CMD are prevalent in rural areas of Viet Nam. Psychosocial risk factors play a major role in this significant public health problem. � 2012 Elsevier B.V. All rights reserved.

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