Social and economic development and pregnancy mental health: secondary analyses of data from rural Vietnam
Abstract Background This study aimed to establish whether changes in the socioeconomic context were associated with changes in population-level antenatal mental health indicators in Vietnam. Methods Social, economic and public policies introduced in Vietnam (1986–2010) were mapped. Secondary analyse...
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| Format: | Article |
| Language: | English |
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BMC
2020-06-01
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| Series: | BMC Public Health |
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| Online Access: | http://link.springer.com/article/10.1186/s12889-020-09067-9 |
| _version_ | 1818415504660889600 |
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| author | Ruby Stocker Trang Nguyen Thach Tran Ha Tran Tuan Tran Sarah Hanieh Beverley-Ann Biggs Jane Fisher |
| author_facet | Ruby Stocker Trang Nguyen Thach Tran Ha Tran Tuan Tran Sarah Hanieh Beverley-Ann Biggs Jane Fisher |
| author_sort | Ruby Stocker |
| collection | DOAJ |
| description | Abstract Background This study aimed to establish whether changes in the socioeconomic context were associated with changes in population-level antenatal mental health indicators in Vietnam. Methods Social, economic and public policies introduced in Vietnam (1986–2010) were mapped. Secondary analyses of data from two cross-sectional community-based studies conducted in 2006 (n = 134) and 2010 (n = 419), involving women who were ≥ 28 weeks pregnant were completed. Data for these two studies had been collected in structured individual face-to-face interviews, and included indicators of antenatal mental health (mean Edinburgh Postnatal Depression Scale Vietnam-validation (EPDS-V) score), intimate partner relationships (Intimate Bonds Measure Vietnam-validation) and sociodemographic characteristics. Socioeconomic characteristics and mean EPDS-V scores in the two study years were compared and mediation analyses were used to establish whether indicators of social and economic development mediated differences in EPDS-V scores. Results Major policy initiatives for poverty reduction, hunger eradication and making domestic violence a crime were implemented between 2006 and 2010. Characteristics and circumstances of pregnant women in Ha Nam improved significantly. Mean EPDS-V score was lower in 2010, indicating better population-level antenatal mental health. Household wealth and intimate partner controlling behaviours mediated the difference in EPDS-V scores between 2006 and 2010. Conclusions Changes in the socioeconomic and political context, particularly through policies to improve household wealth and reduce domestic violence, appear to influence women’s lives and population-level antenatal mental health. Cross-sectoral policies that reduce social risk factors may be a powerful mechanism to improve antenatal mental health at a population level. |
| first_indexed | 2024-12-14T11:36:03Z |
| format | Article |
| id | doaj.art-dfba50b6fc8b4ff79b77d3f6bbb502ff |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-14T11:36:03Z |
| publishDate | 2020-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-dfba50b6fc8b4ff79b77d3f6bbb502ff2022-12-21T23:03:02ZengBMCBMC Public Health1471-24582020-06-0120111110.1186/s12889-020-09067-9Social and economic development and pregnancy mental health: secondary analyses of data from rural VietnamRuby Stocker0Trang Nguyen1Thach Tran2Ha Tran3Tuan Tran4Sarah Hanieh5Beverley-Ann Biggs6Jane Fisher7Global and Women’s Health, School of Public Health and Preventive Medicine, Monash UniversityGlobal and Women’s Health, School of Public Health and Preventive Medicine, Monash UniversityGlobal and Women’s Health, School of Public Health and Preventive Medicine, Monash UniversityResearch and Training Centre for Community DevelopmentResearch and Training Centre for Community DevelopmentDepartment of Medicine and Victorian Infectious Diseases Services at the Doherty Institute, University of MelbourneDepartment of Medicine and Victorian Infectious Diseases Services at the Doherty Institute, University of MelbourneGlobal and Women’s Health, School of Public Health and Preventive Medicine, Monash UniversityAbstract Background This study aimed to establish whether changes in the socioeconomic context were associated with changes in population-level antenatal mental health indicators in Vietnam. Methods Social, economic and public policies introduced in Vietnam (1986–2010) were mapped. Secondary analyses of data from two cross-sectional community-based studies conducted in 2006 (n = 134) and 2010 (n = 419), involving women who were ≥ 28 weeks pregnant were completed. Data for these two studies had been collected in structured individual face-to-face interviews, and included indicators of antenatal mental health (mean Edinburgh Postnatal Depression Scale Vietnam-validation (EPDS-V) score), intimate partner relationships (Intimate Bonds Measure Vietnam-validation) and sociodemographic characteristics. Socioeconomic characteristics and mean EPDS-V scores in the two study years were compared and mediation analyses were used to establish whether indicators of social and economic development mediated differences in EPDS-V scores. Results Major policy initiatives for poverty reduction, hunger eradication and making domestic violence a crime were implemented between 2006 and 2010. Characteristics and circumstances of pregnant women in Ha Nam improved significantly. Mean EPDS-V score was lower in 2010, indicating better population-level antenatal mental health. Household wealth and intimate partner controlling behaviours mediated the difference in EPDS-V scores between 2006 and 2010. Conclusions Changes in the socioeconomic and political context, particularly through policies to improve household wealth and reduce domestic violence, appear to influence women’s lives and population-level antenatal mental health. Cross-sectoral policies that reduce social risk factors may be a powerful mechanism to improve antenatal mental health at a population level.http://link.springer.com/article/10.1186/s12889-020-09067-9Mental healthDepressionAnxietyPregnancyWomen’s healthVietnam |
| spellingShingle | Ruby Stocker Trang Nguyen Thach Tran Ha Tran Tuan Tran Sarah Hanieh Beverley-Ann Biggs Jane Fisher Social and economic development and pregnancy mental health: secondary analyses of data from rural Vietnam BMC Public Health Mental health Depression Anxiety Pregnancy Women’s health Vietnam |
| title | Social and economic development and pregnancy mental health: secondary analyses of data from rural Vietnam |
| title_full | Social and economic development and pregnancy mental health: secondary analyses of data from rural Vietnam |
| title_fullStr | Social and economic development and pregnancy mental health: secondary analyses of data from rural Vietnam |
| title_full_unstemmed | Social and economic development and pregnancy mental health: secondary analyses of data from rural Vietnam |
| title_short | Social and economic development and pregnancy mental health: secondary analyses of data from rural Vietnam |
| title_sort | social and economic development and pregnancy mental health secondary analyses of data from rural vietnam |
| topic | Mental health Depression Anxiety Pregnancy Women’s health Vietnam |
| url | http://link.springer.com/article/10.1186/s12889-020-09067-9 |
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