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Sociocultural practices in Ethiopia: association with onset and persistence of postnatal common mental disorders

机译:埃塞俄比亚的社会文化习俗:与出生后常见精神障碍的发作和持续存在相关

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Background Traditional perinatal practices may protect against postnatal common mental disorders (CMD) in non-Western societies. Aims To evaluate the association between perinatal practices and postnatal CMD in rural Ethiopia. Method A population-based sample of 1065 women was followed up from pregnancy until 2 months postpartum. Qualitative investigation informed the development of scales measuring attitudes towards and adherence to perinatal practices: Postnatal CMD was measured using the Self-Reporting Questionnaire. Results Endorsement of sociocultural perinatal practices was associated with lower odds of antenatal CMD persisting into the postnatal period (adjusted odds ratio (OR) = 0.66, 95% Cl 0.45-0.95). Women who endorsed protective and celebratory perinatal practices but were unable to complete them had increased odds of incident (adjusted OR = 7.26, 95% Cl 1.38-38.04) and persistent postnatal CMD (adjusted OR=2.16, 95% Cl 1.11-4.23) respectively. Conclusions There is evidence for an independent role of sociocultura! practices in maintaining perinatal mental health in this Ethiopian community.
机译:背景技术传统的围产期实践可以预防非西方社会的产后常见精神障碍(CMD)。目的评估埃塞俄比亚农村地区围产期实践与产后CMD之间的关联。方法从怀孕至产后2个月,对1065名妇女进行人群抽样。定性调查为衡量对围产期行为态度和依从性的量表的发展提供了条件:使用自我报告调查表对产后CMD进行了测量。结果社会文化围产期做法的认可与产前CMD持续到产后期间的较低机率相关(校正后的机率(OR)= 0.66,95%Cl 0.45-0.95)。赞成保护性和庆祝性围产期实践但无法完成围产期实践的妇女分别增加了发生几率(调整后的OR = 7.26,95%Cl 1.38-38.04)和持续的产后CMD(调整后的OR = 2.16,95%Cl 1.11-4.23)。 。结论有证据表明社会文化具有独立的作用!埃塞俄比亚社区维持围产期心理健康的实践。

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