講演情報
[kNAyHR2S-05]The association between Woman-Centred Care and antenatal depressive symptoms in Tanzania: A cross-sectional study
*XUENI XIE1, Dorkasi L Mwakawanga2, Sanmei Chen1, Ni Ning1, Beatrice Mwilike2, Agnes F Massae2, Yoko Shimpuku1 (1. Hiroshima University (Japan), 2. Muhimbili University of Health and Allied Sciences (Tanzania))
キーワード：
Woman-centred care、Antenatal depressive symptoms、Tanzania
[Purpose] Woman-centred care (WCC) is an essential component of quality care; the quality of healthcare received by pregnant women plays a crucial role in their mental health outcomes. However, the association between WCC and antenatal depressive symptoms remains understudied. The purpose of this study is to explore the relationship between WCC and antenatal depressive symptoms among pregnant women.
[Method] A cross-sectional study was conducted among 741 pregnant women (15-49 years old) in Tanzania. Pregnant women valued the perceived service provided by midwives using the 23-item WCC scale. Antenatal depressive symptoms were measured by using the 10-item Edinburgh Postnatal Depression Scale (EPDS). Independent T-test and logistic regressions were used to examine the relationship between WCC and antenatal depressive symptoms. The ethical clearance was obtained from the Hiroshima University Clinical Research Ethics Committee in Japan and the National Institute for Medical Research in Tanzania.
[Results] 21.2% of participants scored above the cut-off of 9 for probable depression. The median (IQR) score of WCC was 85 (49-113). Participants with depressive symptoms had significantly lower WCC scores than those without depression symptoms (t = 4.503, p<0.001). A significant association between WCC and antenatal depressive symptoms was observed in both unadjusted and adjusted analyses by adjusting for pregnancy week, maternal age group, marital/partner status, educational attainment, household spending level, social support, occupation/employment, parity, pregnancy intention, and history of pregnancy loss. A lower WCC score was associated with probable depression (aOR: 0.961, 95% CI: 0.946-0.977; p<0.001).
[Consideration] Although causality cannot be inferred due to the cross-sectional design, the findings indicate that enhancing woman-centred care may be an important component of maternal mental health promotion strategies in Tanzania.
[Conclusion] WCC was relatively associated with antenatal depressive symptoms among Tanzanian pregnant women. The results suggest that the implementation of WCC could improve the mental health status of pregnant women. A positive birth experience should be promoted to maintain a good mental health status for pregnant women.
[Method] A cross-sectional study was conducted among 741 pregnant women (15-49 years old) in Tanzania. Pregnant women valued the perceived service provided by midwives using the 23-item WCC scale. Antenatal depressive symptoms were measured by using the 10-item Edinburgh Postnatal Depression Scale (EPDS). Independent T-test and logistic regressions were used to examine the relationship between WCC and antenatal depressive symptoms. The ethical clearance was obtained from the Hiroshima University Clinical Research Ethics Committee in Japan and the National Institute for Medical Research in Tanzania.
[Results] 21.2% of participants scored above the cut-off of 9 for probable depression. The median (IQR) score of WCC was 85 (49-113). Participants with depressive symptoms had significantly lower WCC scores than those without depression symptoms (t = 4.503, p<0.001). A significant association between WCC and antenatal depressive symptoms was observed in both unadjusted and adjusted analyses by adjusting for pregnancy week, maternal age group, marital/partner status, educational attainment, household spending level, social support, occupation/employment, parity, pregnancy intention, and history of pregnancy loss. A lower WCC score was associated with probable depression (aOR: 0.961, 95% CI: 0.946-0.977; p<0.001).
[Consideration] Although causality cannot be inferred due to the cross-sectional design, the findings indicate that enhancing woman-centred care may be an important component of maternal mental health promotion strategies in Tanzania.
[Conclusion] WCC was relatively associated with antenatal depressive symptoms among Tanzanian pregnant women. The results suggest that the implementation of WCC could improve the mental health status of pregnant women. A positive birth experience should be promoted to maintain a good mental health status for pregnant women.
コメント
コメントの閲覧・投稿にはログインが必要です。ログイン