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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Postnatal depression by HIV status among women in Zimbabwe
Journal of Women's Health, Volume 19, No. 11, Year 2010
Notification
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Description
Background: Postnatal depression (PND) is a serious public health problem in resource-limited countries. Research is limited on PND affecting HIV-infected women in sub-Saharan Africa. Zimbabwe has one of the highest antenatal HIV infection rates in the world. We determined the prevalence and risk factors of PND among women attending urban primary care clinics in Zimbabwe. Methods: Using trained peer counselors, a simple random sample of postpartum women (n=210) attending the 6-week postnatal visit at two urban primary care clinics were screened for PND using the Shona version of the Edinburgh Postnatal Depression Scale (EPDS). All women were subsequently subjected to mental status examination using the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) criteria for major depression by two psychiatrists who had no knowledge of the EPDS test results. Results: Of the 210 mothers (31 HIV positive, 148 HIV negative, 31 unknown status) enrolled during the postpartum period, 64 (33%) met DSM-IV criteria for depression. The HIV prevalence was 14.8%. Of the 31 HIV-infected mothers, 17(54%) met DSM-IV criteria for depression. Univariate analysis showed that multiparity (prevalent odds ratio [OR] 2.22, 95% confidence intervals [CI] 1.15-4.31), both parents deceased (OR 2.35, 95% CI 1.01-5.45), and having experienced a recent adverse life event (OR 8.34, CI 3.77-19.07) were significantly associated with PND. Multivariate analysis showed that PND was significantly associated with adverse life event (OR 7.04, 95% CI 3.15-15.76), being unemployed (OR 3.12, 95% CI 1.23-7.88), and multiparity (OR 2.50, 95% CI 1.00-6.24). Conclusions: Our data indicate a high burden of PND among women in Zimbabwe. It is feasible to screen for PND in primary care clinics using peer counselors. Screening for PND and access to mental health interventions should be part of routine antenatal care for all women in Zimbabwe. © 2010, Mary Ann Liebert, Inc.
Authors & Co-Authors
Chibanda, Dixon M.
Zimbabwe, Harare
University of Zimbabwe
Mangezi, Walter O.
Zimbabwe, Harare
University of Zimbabwe
Tshimanga, Mufuta T.
Zimbabwe, Harare
University of Zimbabwe
Woelk, Godfrey B.
Zimbabwe, Harare
University of Zimbabwe
Rusakaniko, Simbarashe
Zimbabwe, Harare
University of Zimbabwe
Stranix-Chibanda, Lynda
Zimbabwe, Harare
University of Zimbabwe
Zimbabwe, Harare
Uz-ucsf Collaborative Program in Women's Health
Midzi, Stanley Munyaradzi
Zimbabwe, Harare
Ministry of Health and Child Welfare Zimbabwe
Shetty, Avinash K.
United States, Winston Salem
Wake Forest University Health Sciences
Statistics
Citations: 68
Authors: 8
Affiliations: 4
Identifiers
Doi:
10.1089/jwh.2010.2012
ISSN:
15409996
Research Areas
Health System And Policy
Infectious Diseases
Maternal And Child Health
Mental Health
Study Design
Cross Sectional Study
Case-Control Study
Study Locations
Zimbabwe
Participants Gender
Female