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


Hanlon, C; Medhin, G; Alem, A; Araya, M; Abdulahi, A; Tomlinson, M; Hughes, M; Patel, V; Dewey, M; Prince, M; (2010) Sociocultural practices in Ethiopia: association with onset and persistence of postnatal common mental disorders. The British journal of psychiatry, 197 (6). pp. 468-475. ISSN 0007-1250 DOI: https://doi.org/10.1192/bjp.bp.109.076497

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Abstract

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% CI 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% CI 1.38-38.04) and persistent postnatal CMD (adjusted OR=2.16, 95% CI 1.11-4.23) respectively. Conclusions There is evidence for an independent role of sociocultural practices in maintaining perinatal mental health in this Ethiopian community.

Item Type: Article
Keywords: POSTPARTUM DEPRESSION, CULTURAL CONSONANCE, WOMENS HEALTH, RISK-FACTORS, HONG-KONG, SYMPTOMS, PREVALENCE, AFRICAN, DISTRESS, COHORT
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Population Health (2012- ) > Dept of Nutrition and Public Health Interventions Research (2003-2012)
Faculty of Epidemiology and Population Health > Dept of Population Health (2012- )
Research Centre: Centre for Global Mental Health
Centre for Maternal, Reproductive and Child Health (MARCH)
Centre for Global Non-Communicable Diseases (NCDs)
PubMed ID: 21119153
Web of Science ID: 285121100010
URI: http://researchonline.lshtm.ac.uk/id/eprint/1817

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