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Antenatal depression in coastal South India: Prevalence and risk factors in the community

Author

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  • Christina George
  • Anoop RN Lalitha
  • Abish Antony
  • Arun V Kumar
  • KS Jacob

Abstract

Background: Antenatal depression is a highly prevalent disorder with serious implications on maternal and child outcomes. There are few studies examining this in low-middle-income community settings. Aims: To determine the prevalence of antenatal depression in women from a coastal rural background in Kerala and Tamil Nadu and to determine its associated factors. Materials and methods: In this cross-sectional community-based study, in 202 antenatal women, standard interview and diagnostic criteria (Clinical Interview Schedule–Revised (CIS-R)) were employed for identifying depression and examining a wide range of putative clinical and sociocultural risk factors including domestic violence. Results: There was a 16.3% prevalence of depression among the 202 women sampled. The possible risk factors after stepwise backward regression were pressure to have a male child, 11.48 (2.36–55.78); financial difficulties, 8.23 (2.49–27.22); non-arranged marriage, 6.05 (1.72–21.23); history of miscarriage–still birth, 5.77 (1.55–21.43) and marital conflict, 9.55 (2.34–38.98). Conclusion: There is a need to develop strategies for recognition and appropriate intervention for antenatal depression, in the context of locally relevant risk factors, so as to improve both maternal and child outcomes.

Suggested Citation

  • Christina George & Anoop RN Lalitha & Abish Antony & Arun V Kumar & KS Jacob, 2016. "Antenatal depression in coastal South India: Prevalence and risk factors in the community," International Journal of Social Psychiatry, , vol. 62(2), pages 141-147, March.
    • Handle: RePEc:sae:socpsy:v:62:y:2016:i:2:p:141-147
    DOI: 10.1177/0020764015607919
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    References listed on IDEAS

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    1. Vikram Patel & Gregory Simon & Neerja Chowdhary & Sylvia Kaaya & Ricardo Araya, 2009. "Packages of Care for Depression in Low- and Middle-Income Countries," PLOS Medicine, Public Library of Science, vol. 6(10), pages 1-7, October.
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