Depressive symptoms and anxiety among women with a history of abortion living in urban slums of Bangladesh
Abstract Background Globally, major emphasis has been placed on understanding the physiological consequences of losing a pregnancy. However, its mental health impact on socially disadvantaged women remains unexplored. To further inform the field the present study investigated the prevalence and fact...
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| Format: | Article |
| Language: | English |
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BMC
2023-07-01
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| Series: | BMC Psychology |
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| Online Access: | https://doi.org/10.1186/s40359-023-01224-0 |
| _version_ | 1797784362586996736 |
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| author | Kamrun Nahar Koly Jobaida Saba Md Arif Billah Alba McGirr Tithi Sarker Mahbubul Haque Elvina Mustary S. M. Manzoor Ahmed Hanifi Farzana Begum |
| author_facet | Kamrun Nahar Koly Jobaida Saba Md Arif Billah Alba McGirr Tithi Sarker Mahbubul Haque Elvina Mustary S. M. Manzoor Ahmed Hanifi Farzana Begum |
| author_sort | Kamrun Nahar Koly |
| collection | DOAJ |
| description | Abstract Background Globally, major emphasis has been placed on understanding the physiological consequences of losing a pregnancy. However, its mental health impact on socially disadvantaged women remains unexplored. To further inform the field the present study investigated the prevalence and factors associated with the development of depressive symptoms and anxiety among women with a history of spontaneous abortion living in the urban slums of Dhaka, Bangladesh. Methods Information was obtained from 240 women who experienced a spontaneous abortion from July 2020 to December 2021. It was obtained through the urban health and demographic surveillance system (UHDSS) survey. Generalized Anxiety Disorder (GAD-7) and Patient Health Questionnaire (PHQ-9) were used to measure mental health symptoms. Bivariate and multivariate linear regression analyses were performed to assess the associated factors with the mental health outcomes. Results Of the 240 women, majority (77.50%) of the women experienced mild to severe depressive symptoms and more than half (58.75%) of the respondants experienced mild to severe anxiety, within one and half years of experiencing spontaneous abortion. A higher level of education and being employed were protective factors for anxiety and depressive symptoms, respectively. However, women with higher sexual and reproductive health rights (SRHR) knowledge had significantly increased anxiety and depressive symptoms. In contrast, receiving post-abortion care (PAC) was associated with decreased anxiety and depressive symptoms. Conclusion The findings indicate that ensuring access to affordable PAC services and integrating mental health services into the standard PAC service package is crucial. This study also emphasizes the importance of providing education for women living in urban slums and encouraging them to participate in economic activities. |
| first_indexed | 2024-03-13T00:38:49Z |
| format | Article |
| id | doaj.art-8531c9a9b35849d3be0678dcc2fa76a7 |
| institution | Directory Open Access Journal |
| issn | 2050-7283 |
| language | English |
| last_indexed | 2024-03-13T00:38:49Z |
| publishDate | 2023-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Psychology |
| spelling | doaj.art-8531c9a9b35849d3be0678dcc2fa76a72023-07-09T11:28:23ZengBMCBMC Psychology2050-72832023-07-0111111010.1186/s40359-023-01224-0Depressive symptoms and anxiety among women with a history of abortion living in urban slums of BangladeshKamrun Nahar Koly0Jobaida Saba1Md Arif Billah2Alba McGirr3Tithi Sarker4Mahbubul Haque5Elvina Mustary6S. M. Manzoor Ahmed Hanifi7Farzana Begum8Health System and Population Studies Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b)Health System and Population Studies Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b)Health System and Population Studies Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b)Health System and Population Studies Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b)Reproductive Health Services Training and Education Program (RHSTEP)Reproductive Health Services Training and Education Program (RHSTEP)Reproductive Health Services Training and Education Program (RHSTEP)Health System and Population Studies Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b)Health System and Population Studies Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b)Abstract Background Globally, major emphasis has been placed on understanding the physiological consequences of losing a pregnancy. However, its mental health impact on socially disadvantaged women remains unexplored. To further inform the field the present study investigated the prevalence and factors associated with the development of depressive symptoms and anxiety among women with a history of spontaneous abortion living in the urban slums of Dhaka, Bangladesh. Methods Information was obtained from 240 women who experienced a spontaneous abortion from July 2020 to December 2021. It was obtained through the urban health and demographic surveillance system (UHDSS) survey. Generalized Anxiety Disorder (GAD-7) and Patient Health Questionnaire (PHQ-9) were used to measure mental health symptoms. Bivariate and multivariate linear regression analyses were performed to assess the associated factors with the mental health outcomes. Results Of the 240 women, majority (77.50%) of the women experienced mild to severe depressive symptoms and more than half (58.75%) of the respondants experienced mild to severe anxiety, within one and half years of experiencing spontaneous abortion. A higher level of education and being employed were protective factors for anxiety and depressive symptoms, respectively. However, women with higher sexual and reproductive health rights (SRHR) knowledge had significantly increased anxiety and depressive symptoms. In contrast, receiving post-abortion care (PAC) was associated with decreased anxiety and depressive symptoms. Conclusion The findings indicate that ensuring access to affordable PAC services and integrating mental health services into the standard PAC service package is crucial. This study also emphasizes the importance of providing education for women living in urban slums and encouraging them to participate in economic activities.https://doi.org/10.1186/s40359-023-01224-0Spontaneous abortionWomenDepressionAnxietyUrban slumBangladesh |
| spellingShingle | Kamrun Nahar Koly Jobaida Saba Md Arif Billah Alba McGirr Tithi Sarker Mahbubul Haque Elvina Mustary S. M. Manzoor Ahmed Hanifi Farzana Begum Depressive symptoms and anxiety among women with a history of abortion living in urban slums of Bangladesh BMC Psychology Spontaneous abortion Women Depression Anxiety Urban slum Bangladesh |
| title | Depressive symptoms and anxiety among women with a history of abortion living in urban slums of Bangladesh |
| title_full | Depressive symptoms and anxiety among women with a history of abortion living in urban slums of Bangladesh |
| title_fullStr | Depressive symptoms and anxiety among women with a history of abortion living in urban slums of Bangladesh |
| title_full_unstemmed | Depressive symptoms and anxiety among women with a history of abortion living in urban slums of Bangladesh |
| title_short | Depressive symptoms and anxiety among women with a history of abortion living in urban slums of Bangladesh |
| title_sort | depressive symptoms and anxiety among women with a history of abortion living in urban slums of bangladesh |
| topic | Spontaneous abortion Women Depression Anxiety Urban slum Bangladesh |
| url | https://doi.org/10.1186/s40359-023-01224-0 |
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