Maternal postpartum depression in relation to child undernutrition in low- and middle-income countries: a systematic review and meta-analysis

Asare, Hannah; Rosi, Alice; Scazzina, Francesca; Faber, Mieke; Smuts, Cornelius M.; Ricci, Cristian

doi:10.1007/s00431-021-04289-4

Cited by 12 publications

(4 citation statements)

References 30 publications

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“…[48][49][50] With that, there needs to be a greater consideration as to how a woman's cervical cancer diagnosis impacts the future generation as research has shown that children without mothers have poorer outcomes. [51][52][53][54][55] A strength of this analysis is that it provides new and unique data on the individual financial burden of cervical cancer in Uganda. These novel findings can be used to make policy and care recommendations about cervical cancer in the country.…”

Section: Discussionmentioning

confidence: 99%

The economic burden of cervical cancer on women in Uganda: a cross-sectional study

Dau,

Nankya,

Naguti

et al. 2023

Preprint

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PURPOSEThere is limited research on how a cervical cancer diagnosis financially impacts women and their families in Uganda, including the burden of out-of-pocket costs. This is important to understand because, in addition to being economic providers, women are primary caregivers. The objective of this analysis is to describe the economic impact of cervical cancer treatment, including how this differs by socio-economic status (SES) in Uganda.METHODSWe conducted a cross-sectional study from September 19, 2022 to January 17, 2023. Women were recruited from the Uganda Cancer Institute and Jinja Regional Referral Hospital, and were eligible for this study if they were ≥ of 18 years and being treated for cervical cancer. Participants completed a 45-minute survey which included questions about their out-of-pocket costs, unpaid labor, and changes in their family’s economic situation. A wealth index was constructed from the participants ownership of household items to determine their SES. Descriptive statistics were reported.RESULTSOf the 338 participants who completed the survey, 183 were from the lower SES. Women from the lower SES were significantly more likely to be older, have ≤ primary school education, and have a more advanced stage of cervical cancer. Both groups of women reported paying out-of-pocket for cervical cancer care (higher SES 95.5%, lower SES 92.3%). Only 15/338 participants stopped treatment because they could not afford it. Women of a lower SES were significantly more likely to report borrowing money (p-value=0.004) and selling possessions to pay for cancer care (p-value=0.006). With regards to unpaid labor, women from both groups reported a decrease in the amount of time that they spent caring for their children since their cervical cancer diagnosis.CONCLUSIONRegardless of their SES, women in Uganda incur out-of-pocket costs related to their cervical cancer treatment. However, there are inequities as women from the lower SES groups were more likely to borrow funds to afford treatment. Alternative payment models and further financial support could help alleviate the financial burden of cervical cancer of care on women and families in Uganda.

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Section: Discussionmentioning

confidence: 99%

The economic burden of cervical cancer on women in Uganda: a cross-sectional study

Dau,

Nankya,

Naguti

et al. 2023

Preprint

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“…The result of PPD affects the mother and her ability to care for children, especially in less privileged countries (Asare et al., 2021 ). The influence of the maternal environment and phenotype on that of the offspring can allow mothers to fine‐tune its development trajectory and the resulting phenotype, sometimes long after the offspring has reached independence (Bebbington & Groothuis, 2021 ).…”

Section: Discussionmentioning

confidence: 99%

Relationship between seasons and postpartum depression: A systematic review and meta‐analysis of cohort studies

Tung

Jiesisibieke

Xu³

et al. 2022

Brain and Behavior

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Objective: As the reproduction season's effect on the mental health status is unknown, this study aims to explore the association between seasons and postpartum depression. Methods:A comprehensive search in databases, including PubMed, Cochrane Library, and EMBASE, was performed to identify studies reporting the relationship between reproduction season and postpartum depression. The latter was assessed using certain methods. Moreover, the study design and duration, sample size, the definition of four seasons, outcome assessment, method, and conclusion were extracted. Two independent authors screened the studies independently, and PRISMA 2020 was used as the reporting standard (PRISMA registration ID is 284524).Results: A total of five studies including 103,986 participants met our criteria. In the sensitivity analysis, the result of the meta-analysis shows that women who gave birth in spring, summer, or autumn had a lower risk of postpartum depression compared to those who gave birth in winter (RR: 0.83; 95% confidence interval [CI]: 0.78-0.88). Conclusion:Women who gave birth in the other seasons were less likely to have postpartum depression compared to those who gave birth in winter. This result could help couples make overall decisions and help the puerpera take preventive measures against postpartum depression.

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“…In fact, several research studies, including those in Ghana, Zambia, and Ethiopia, have reported in some incidences that male partners have abandoned their wives after their cervical cancer diagnosis [6,53,54]. With that, there needs to be a greater consideration as to how a woman's cervical cancer diagnosis impacts the future generation as research has shown that children without mothers have poorer outcomes [55][56][57][58][59].…”

Section: Plos Global Public Healthmentioning

confidence: 99%

The economic burden of cervical cancer on women in Uganda: Findings from a cross-sectional study conducted at two public cervical cancer clinics

Dau,

Nankya,

Naguti

et al. 2024

PLOS Glob Public Health

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There is limited research on how a cervical cancer diagnosis financially impacts women and their families in Uganda. This analysis aimed to describe the economic impact of cervical cancer treatment, including how it differs by socio-economic status (SES) in Uganda. We conducted a cross-sectional study from September 19, 2022 to January 17, 2023. Women were recruited from the Uganda Cancer Institute and Jinja Regional Referral Hospital, and were eligible if they were ≥ of 18 years and being treated for cervical cancer. Participants completed a survey that included questions about their out-of-pocket costs, unpaid labor, and family’s economic situation. A wealth index was constructed to determine their SES. Descriptive statistics were reported. Of the 338 participants, 183 were from the lower SES. Women from the lower SES were significantly more likely to be older, have ≤ primary school education, and have a more advanced stage of cervical cancer. Over 90% of participants in both groups reported paying out-of-pocket for cervical cancer. Only 15 participants stopped treatment because they could not afford it. Women of a lower SES were significantly more likely to report borrowing money (higher SES n = 47, 30.5%; lower SES n = 84, 46.4%; p-value = 0.004) and selling possessions (higher SES n = 47, 30.5%; lower SES n = 90, 49.7%; p-value = 0.006) to pay for care. Both SES groups reported a decrease in the amount of time that they spent caring for their children since their cervical cancer diagnosis (higher SES n = 34, 31.2%; lower SES n = 36, 29.8%). Regardless of their SES, women in Uganda incur out-of-pocket costs related to their cervical cancer treatment. However, there are inequities as women from the lower SES groups were more likely to borrow funds to afford treatment. Alternative payment models and further economic support could help alleviate the financial burden of cervical cancer care in Uganda.

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Maternal postpartum depression in relation to child undernutrition in low- and middle-income countries: a systematic review and meta-analysis

Cited by 12 publications

References 30 publications

The economic burden of cervical cancer on women in Uganda: a cross-sectional study

The economic burden of cervical cancer on women in Uganda: a cross-sectional study

Relationship between seasons and postpartum depression: A systematic review and meta‐analysis of cohort studies

The economic burden of cervical cancer on women in Uganda: Findings from a cross-sectional study conducted at two public cervical cancer clinics

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