Global prevalence of post-abortion depression: systematic review and Meta-analysis
Abstract Background Depression after abortion is a common problem for all women of reproductive age. However, there are not any data on post-abortion depression at a global level. Consequently, the purpose of this study was to find out the global prevalence of post-abortion depression. Methods The p...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-10-01
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| Series: | BMC Psychiatry |
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| Online Access: | https://doi.org/10.1186/s12888-023-05278-7 |
| _version_ | 1797647217597612032 |
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| author | Natnael Atnafu Gebeyehu Kirubel Dagnaw Tegegne Kelemu Abebe Yibeltal Asefa Belete Birhan Assfaw Getachew Asmare Adella Biresaw Wassihun Alemu Dagne Addisu Sewyew |
| author_facet | Natnael Atnafu Gebeyehu Kirubel Dagnaw Tegegne Kelemu Abebe Yibeltal Asefa Belete Birhan Assfaw Getachew Asmare Adella Biresaw Wassihun Alemu Dagne Addisu Sewyew |
| author_sort | Natnael Atnafu Gebeyehu |
| collection | DOAJ |
| description | Abstract Background Depression after abortion is a common problem for all women of reproductive age. However, there are not any data on post-abortion depression at a global level. Consequently, the purpose of this study was to find out the global prevalence of post-abortion depression. Methods The present study involved a comprehensive search of several databases, including Science Direct, Scopus, EMBSE, Google Scholar, and PubMed. The search was conducted between February 1, 2023, and March 10, 2023. The data was extracted using Microsoft Excel (version 14) and analyzed using STATA statistical software. To evaluate publication bias, a forest plot, Begg’s test, and Egger’s test were employed. Heterogeneity was assessed using I2, and a pooled estimated analysis was conducted. Additionally, subgroup analysis was performed based on the study continent/region, World Bank income group, screening instrument, and study design. Results This analysis included 15 papers with a total of 18,207 research participants out of a total of 657 articles. The overall pooled prevalence of post-abortion depression was found to be 34.5% (95% CI: 23.34, 45.68), with an I2 value of 71.6%. The prevalence of post-abortion depression varied based on geographic location, World Health Organization (WHO) regions, World Bank income category, screening approach, and study design. The highest proportion of post-abortion depression was observed in Asia (37.5%), while the WHO’s Eastern Mediterranean region had the greatest rate of post-abortion depression (43.1%). Lower-middle-income countries had the highest frequency of post-abortion depression (42.91%) based on World Bank economic classification. The Center of Epidemiological Studies Depression Scale was found to have the highest incidence of reported depression prevalence (30%) across diagnostic tools. Furthermore, the prevalence of depression was higher in cross-sectional study designs (36.42%) compared to cohort studies (22.7%). Conclusion In conclusion, the occurrence of post-abortion depression has been observed to be widespread globally. The prevalence of post-abortion is found to be influenced by several factors, including the methodology employed in the study, the diagnostic tool utilized, the geographical location, and the socioeconomic status of the population. Healthcare providers should prioritize the provision of post-abortion counseling, care, and emotional support to women. |
| first_indexed | 2024-03-11T15:14:05Z |
| format | Article |
| id | doaj.art-b9eb3d4186374f059bc55dfdb9b81b5f |
| institution | Directory Open Access Journal |
| issn | 1471-244X |
| language | English |
| last_indexed | 2024-03-11T15:14:05Z |
| publishDate | 2023-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Psychiatry |
| spelling | doaj.art-b9eb3d4186374f059bc55dfdb9b81b5f2023-10-29T12:31:49ZengBMCBMC Psychiatry1471-244X2023-10-0123111610.1186/s12888-023-05278-7Global prevalence of post-abortion depression: systematic review and Meta-analysisNatnael Atnafu Gebeyehu0Kirubel Dagnaw Tegegne1Kelemu Abebe2Yibeltal Asefa3Belete Birhan Assfaw4Getachew Asmare Adella5Biresaw Wassihun Alemu6Dagne Addisu Sewyew7School of Midwifery, College of Medicine and Health Sciences, Wolaita Sodo UniversityDepartment of Comprehensive Nursing, College of Medicine and Health Science, Wollo UniversitySchool of Midwifery, College of Medicine and Health Sciences, Wolaita Sodo UniversityDepartment of Public Health, College of Medicine and Health Science, Wolaita Sodo UniversityDepartment of Psychiatry, College of Medicine and Health Science, Wolaita Sodo UniversityDepartment of Reproductive Health, College of Medicine and Health Science, Wolaita Sodo UniversityDepartment of Midwifery, College of Medicine and Health Science, Indiana UniversityDepartment of Midwifery, College of Medicine and Health Science, Debre Tabor UniversityAbstract Background Depression after abortion is a common problem for all women of reproductive age. However, there are not any data on post-abortion depression at a global level. Consequently, the purpose of this study was to find out the global prevalence of post-abortion depression. Methods The present study involved a comprehensive search of several databases, including Science Direct, Scopus, EMBSE, Google Scholar, and PubMed. The search was conducted between February 1, 2023, and March 10, 2023. The data was extracted using Microsoft Excel (version 14) and analyzed using STATA statistical software. To evaluate publication bias, a forest plot, Begg’s test, and Egger’s test were employed. Heterogeneity was assessed using I2, and a pooled estimated analysis was conducted. Additionally, subgroup analysis was performed based on the study continent/region, World Bank income group, screening instrument, and study design. Results This analysis included 15 papers with a total of 18,207 research participants out of a total of 657 articles. The overall pooled prevalence of post-abortion depression was found to be 34.5% (95% CI: 23.34, 45.68), with an I2 value of 71.6%. The prevalence of post-abortion depression varied based on geographic location, World Health Organization (WHO) regions, World Bank income category, screening approach, and study design. The highest proportion of post-abortion depression was observed in Asia (37.5%), while the WHO’s Eastern Mediterranean region had the greatest rate of post-abortion depression (43.1%). Lower-middle-income countries had the highest frequency of post-abortion depression (42.91%) based on World Bank economic classification. The Center of Epidemiological Studies Depression Scale was found to have the highest incidence of reported depression prevalence (30%) across diagnostic tools. Furthermore, the prevalence of depression was higher in cross-sectional study designs (36.42%) compared to cohort studies (22.7%). Conclusion In conclusion, the occurrence of post-abortion depression has been observed to be widespread globally. The prevalence of post-abortion is found to be influenced by several factors, including the methodology employed in the study, the diagnostic tool utilized, the geographical location, and the socioeconomic status of the population. Healthcare providers should prioritize the provision of post-abortion counseling, care, and emotional support to women.https://doi.org/10.1186/s12888-023-05278-7Post-abortionDepressionGlobalSystematic reviewMeta-analysis |
| spellingShingle | Natnael Atnafu Gebeyehu Kirubel Dagnaw Tegegne Kelemu Abebe Yibeltal Asefa Belete Birhan Assfaw Getachew Asmare Adella Biresaw Wassihun Alemu Dagne Addisu Sewyew Global prevalence of post-abortion depression: systematic review and Meta-analysis BMC Psychiatry Post-abortion Depression Global Systematic review Meta-analysis |
| title | Global prevalence of post-abortion depression: systematic review and Meta-analysis |
| title_full | Global prevalence of post-abortion depression: systematic review and Meta-analysis |
| title_fullStr | Global prevalence of post-abortion depression: systematic review and Meta-analysis |
| title_full_unstemmed | Global prevalence of post-abortion depression: systematic review and Meta-analysis |
| title_short | Global prevalence of post-abortion depression: systematic review and Meta-analysis |
| title_sort | global prevalence of post abortion depression systematic review and meta analysis |
| topic | Post-abortion Depression Global Systematic review Meta-analysis |
| url | https://doi.org/10.1186/s12888-023-05278-7 |
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