Prevalence of and factors influencing postnatal depression in a rural community in South Africa
Background: Knowledge about postnatal depression (PND) and associated risk factors whichin fluence the development of PND is vital for early detection, intervention and prevention. Setting: The study was conducted in primary health care clinics (PHC) in the Witzenberg subdistrict, a rural community...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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AOSIS
2015-11-01
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| Series: | African Journal of Primary Health Care & Family Medicine |
| Online Access: | https://phcfm.org/index.php/phcfm/article/view/874 |
| _version_ | 1811263000779161600 |
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| author | Ethelwynn L. Stellenberg Johanna M. Abrahams |
| author_facet | Ethelwynn L. Stellenberg Johanna M. Abrahams |
| author_sort | Ethelwynn L. Stellenberg |
| collection | DOAJ |
| description | Background: Knowledge about postnatal depression (PND) and associated risk factors whichin fluence the development of PND is vital for early detection, intervention and prevention.
Setting: The study was conducted in primary health care clinics (PHC) in the Witzenberg subdistrict, a rural community in South Africa.Objectives: Objectives of this study were to determine the prevalence of PND and to identify the contributing risk factors associated with PND.
Methods: A descriptive cross sectional research design with a quantitative approach was applied. The target population was mothers, 18 years and older. A convenience sampling method was used to select a sample of 159 (10%) from a population of 1605 live births. Th eEdinburgh Postnatal Depression Scale (EPDS) and Beck Depression Inventory (BDI), two validated self-rating questionnaires, including a questionnaire based on demographical, psychosocial and obstetrical data, were applied. The data was analysed using various statistical tests to determine statistical associations between variables using a 95% confidence interval.
Results: PND was a serious health problem with 50.3% of the mothers who suffered from PND. A BDI analysis showed that of the participants who had PND, 28.8% was severe, 48.8% moderate and 22.5% mild. Factors influencing the development of PND included most participants (63.5%) were unmarried, 61.3% were unemployed and the majority (53.8%) had a history of a psychiatric illness. Significant associations between PND and unplanned and unwelcome babies (p < 0.01); partner relationship (p < 0.01); were identified.
Conclusion: Prevention, early detection, appropriate referral and treatment of PND are critical in managing maternal, child and family well-being. |
| first_indexed | 2024-04-12T19:35:51Z |
| format | Article |
| id | doaj.art-f15bfda6c2d94aacba4b76d177d072b9 |
| institution | Directory Open Access Journal |
| issn | 2071-2928 2071-2936 |
| language | English |
| last_indexed | 2024-04-12T19:35:51Z |
| publishDate | 2015-11-01 |
| publisher | AOSIS |
| record_format | Article |
| series | African Journal of Primary Health Care & Family Medicine |
| spelling | doaj.art-f15bfda6c2d94aacba4b76d177d072b92022-12-22T03:19:12ZengAOSISAfrican Journal of Primary Health Care & Family Medicine2071-29282071-29362015-11-0171e1e810.4102/phcfm.v7i1.874340Prevalence of and factors influencing postnatal depression in a rural community in South AfricaEthelwynn L. Stellenberg0Johanna M. Abrahams1Division of Nursing, Stellenbosch UniversityDivision of Nursing, Stellenbosch UniversityBackground: Knowledge about postnatal depression (PND) and associated risk factors whichin fluence the development of PND is vital for early detection, intervention and prevention. Setting: The study was conducted in primary health care clinics (PHC) in the Witzenberg subdistrict, a rural community in South Africa.Objectives: Objectives of this study were to determine the prevalence of PND and to identify the contributing risk factors associated with PND. Methods: A descriptive cross sectional research design with a quantitative approach was applied. The target population was mothers, 18 years and older. A convenience sampling method was used to select a sample of 159 (10%) from a population of 1605 live births. Th eEdinburgh Postnatal Depression Scale (EPDS) and Beck Depression Inventory (BDI), two validated self-rating questionnaires, including a questionnaire based on demographical, psychosocial and obstetrical data, were applied. The data was analysed using various statistical tests to determine statistical associations between variables using a 95% confidence interval. Results: PND was a serious health problem with 50.3% of the mothers who suffered from PND. A BDI analysis showed that of the participants who had PND, 28.8% was severe, 48.8% moderate and 22.5% mild. Factors influencing the development of PND included most participants (63.5%) were unmarried, 61.3% were unemployed and the majority (53.8%) had a history of a psychiatric illness. Significant associations between PND and unplanned and unwelcome babies (p < 0.01); partner relationship (p < 0.01); were identified. Conclusion: Prevention, early detection, appropriate referral and treatment of PND are critical in managing maternal, child and family well-being.https://phcfm.org/index.php/phcfm/article/view/874 |
| spellingShingle | Ethelwynn L. Stellenberg Johanna M. Abrahams Prevalence of and factors influencing postnatal depression in a rural community in South Africa African Journal of Primary Health Care & Family Medicine |
| title | Prevalence of and factors influencing postnatal depression in a rural community in South Africa |
| title_full | Prevalence of and factors influencing postnatal depression in a rural community in South Africa |
| title_fullStr | Prevalence of and factors influencing postnatal depression in a rural community in South Africa |
| title_full_unstemmed | Prevalence of and factors influencing postnatal depression in a rural community in South Africa |
| title_short | Prevalence of and factors influencing postnatal depression in a rural community in South Africa |
| title_sort | prevalence of and factors influencing postnatal depression in a rural community in south africa |
| url | https://phcfm.org/index.php/phcfm/article/view/874 |
| work_keys_str_mv | AT ethelwynnlstellenberg prevalenceofandfactorsinfluencingpostnataldepressioninaruralcommunityinsouthafrica AT johannamabrahams prevalenceofandfactorsinfluencingpostnataldepressioninaruralcommunityinsouthafrica |