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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Determinants of antenatal depression and postnatal depression in Australia
BMC Psychiatry, Volume 18, No. 1, Article 49, Year 2018
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Description
Background: Depression is a leading source of morbidity and health loss in Australian women. This study investigates the determinants of antenatal depressive symptoms and postnatal depressive symptoms in an Australian population, including people from culturally and linguistically diverse (CALD) backgrounds. Method: The study used a retrospective cohort of mothers of all live births in public health facilities in 2014 (N=17,564) within South Western Sydney Local Health District and Sydney Local Health District in New South Wales, Australia. Prevalence of antenatal and postnatal depressive symptoms were estimated for the cohort. Multivariate logistic regression models were conducted to investigate the sociodemographic, psychological and health service determinants of antenatal and postnatal depressive symptoms, measured using the Edinburgh Postnatal Depression Scale (EPDS). Results: The prevalence of antenatal and postnatal depressive symptoms was 6.2% and 3.3% of the cohort, respectively. Significant risk factors for maternal depressive symptoms during pregnancy were, a lack of partner support, history of intimate partner violence, being from the CALD population and low socioeconomic status. Self-reported antenatal depressive symptoms were strongly associated with postnatal depressive symptoms. Risk factors for postnatal depressive symptoms were similar to those for antenatal depressive symptoms, as well as assisted delivery. Conclusion: Factors relating to demographic and psychosocial disadvantage were associated with subsequent antenatal and postnatal depressive symptoms in New South Wales, Australia. Our study suggests that screening for probable depression and timely referral for expert assessment of at-risk mothers may be an effective strategy to improve maternal mental health outcomes. © 2018 The Author(s).
Authors & Co-Authors
Ogbo, Felix Akpojene
Australia, Penrith
Western Sydney University
Australia, Liverpool
Ingham Institute for Applied Medical Research
Eastwood, John G.
Australia, Liverpool
Ingham Institute for Applied Medical Research
Australia, Sydney
Unsw Sydney
Australia, Sydney
The University of Sydney
Australia, Brisbane
Griffith University
Agho, Kingsley Emwinyore
Australia, Penrith
Western Sydney University
Barnett, Bryanne E.W.
Australia, Blacktown
St John of God Raphael Services
Page, Andrew Nicolas
Australia, Penrith
Western Sydney University
Australia, Liverpool
Ingham Institute for Applied Medical Research
Statistics
Citations: 86
Authors: 5
Affiliations: 8
Identifiers
Doi:
10.1186/s12888-018-1598-x
ISSN:
1471244X
Research Areas
Maternal And Child Health
Mental Health
Sexual And Reproductive Health
Violence And Injury
Study Design
Cross Sectional Study
Cohort Study
Participants Gender
Female