Prevalence and Correlates of Prenatal Depression, Anxiety and Suicidal Behaviours in the Volta Region of Ghana.

Journal: International journal of environmental research and public health

Volume: 18

Issue: 11

Year of Publication: 2021

Affiliated Institutions:  Department of General Studies, School of Natural and Environmental Sciences, University of Environment and Sustainable Development, Somanya PMB, Ghana. Department of Health Policy Planning and Management, School of Public Health, University of Health and Allied Sciences, Ho PMB , Ghana. Institute of Health Research, University of Health and Allied Sciences, Ho PMB , Ghana. Department of Social Work and Sociology, University of Zambia, Lusaka , Zambia. Department of Public Health Sciences, Queen's University, Kingston, ON KL N, Canada. Department of Family Medicine, Queen's University, Kingston, ON KL G, Canada.

Abstract summary 

Pregnancy is associated with several physical and psychosocial challenges that influence women's health and wellbeing. However, prenatal mental health has received little attention. Therefore, this study examined the prevalence and correlates of prenatal depression, anxiety and current suicidal behaviors among pregnant women in the Volta Region of Ghana. Two hundred and fourteen ( = 214) pregnant women recruited from two hospitals responded to the hospital depression and anxiety scale (HADS), the insomnia severity index, and a set of psycho-behavioral, socioenvironmental and demographic characteristic questions. Chi-squared, bivariate and multivariate logistic regression were used for data analysis. Prevalence of prenatal depression, anxiety and current suicidal behaviors was 50.5%, 35.5% and 3.3%, respectively. After controlling for other variables, average monthly income, insomnia, non-nutritious food consumption (pica), and body image satisfaction were significantly associated with depression. Marital status, insomnia, lifetime suicidal behavior and partner support were significantly associated with anxiety. Current partner abuse was the only factor significantly associated with current suicidal behavior. The high prevalence rates of anxiety and depression among pregnant women and intimate partner violence remain important maternal health issues in the region. Therefore, brief mental health screening and counseling services should be integrated into prenatal healthcare services.

Authors & Co-authors:  Kugbey Nuworza N Ayanore Martin M Doegah Phidelia P Chirwa Masauso M Bartels Susan A SA Davison Colleen M CM Purkey Eva E

Study Outcome 

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Statistics
Citations :  Fisher J., de Mello M.C., Patel V., Rahman A., Tran T., Holton S., Holmes W. Prevalence and determinants of common perinatal mental disorders in women in low-and lower-middle-income countries: A systematic review. Bull. World Health Organ. 2012;90:139–149. doi: 10.2471/BLT.11.091850.
Authors :  7
Identifiers
Doi : 5857
SSN : 1660-4601
Study Population
Women
Mesh Terms
Anxiety
Other Terms
Ghana;anxiety;depression;pregnancy;suicidal behaviors
Study Design
Study Approach
Country of Study
Ghana
Publication Country
Switzerland