Sibhatu, Yosef (2014) Investigating Incidence and Association between Poverty and Maternal Common Mental Disorders, in a Population-Based Cohort of Pregnant Women, CMaMiE Study, Butajira, Ethiopia: Retrospective Cohort Study. Masters thesis, Addis Ababa University.
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Abstract
Maternal Common Mental Disorders (CMD), including depression and anxiety, are recogniz ed to have important public health consequences in lowand middleincome countries (LMICs). In Ethiopia, maternal CMDs have been associated with increased infant diarrhea, impaired child development and increased child mortality. Crosssectional studies show associations between poverty and maternal CMD in LMICs, but the temporal relationship is unclear. Objectives: the aim of this study was to investigate the association between poverty and maternal CMD, to assess incidence of poverty and maternal CMD. Methods: a retrospective cohort study design was conducted. The CMaMiE study recruited pregnant women (aged 15 – 49 years). CMD has been measured using WHO’s SelfReporting Q uestionnaire. Poverty was constructed using Mokken scaling procedure during pregnancy and having two or more subjective poverty report at the follow up time. Poisson and binary logistic regression analyses were performed. Results: Incidence rates of poverty and CMD were 7 3 .3 9 (9 5 % CI: 5 1 .9 0 1 0 3 .7 9 ) and 3 5 .3 8 (9 5 % CI: 2 9 .1 1 4 2 .9 9 ) per 1 0 0 0 personyears of observation respectively. However, this was not statistically significant. This study revealed that there was no statistically significant (OR: 1.15, 95% CI: 0.68 – 1.95) effect of maternal CMD upon poverty but it was found effect of poverty upon CMD (OR: 1.53, 95%CI: 1.02 – 2.31) . Husbands’ primary education school (OR: 0.64, 95% CI: 0.44 0.94) and seconda ry and above (OR: 0.31 95% CI: 0.15 0.64) and poor social support (OR: 1.70, 95% CI: 1.06 2.75 ) were predicators of poverty. Polygamous marriage (OR: 0 .5 4 , 9 5 % CI: 0 .3 2 – 0 .9 2 ), age group of 2 4 – 3 4 years (OR: 1 .6 9 , 9 5 % CI: 1 .1 1 – 2 .5 7 ), and maternal health problem (OR: 2 .1 6 , 9 5 % CI: 1 .4 0 – 3 .3 3 ) were predicators of CMD. Conclusion and Recommendations: there was no significant effect of CMD upon poverty. On the other way round, there was statistically significant effect of poverty on CMD. Husbands’ educational level and poor social support were predicators of poverty. Polygamous marriage, age and physicalill health were predicators of CMD. The relationship among maternal mental health, physicalill health and poverty could be addressed, this linkage should be brought to the attention of policy makers in the rural settings and further research is required to investigate maternal CMD leads to poverty causality using standardiz ed and valid poverty measure.
| Item Type: | Thesis (Masters) |
|---|---|
| Subjects: | R Medicine > R Medicine (General) R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
| Divisions: | Africana |
| Depositing User: | Vincent Mpoza |
| Date Deposited: | 11 Jul 2018 11:43 |
| Last Modified: | 11 Jul 2018 11:43 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/7281 |
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