Social determinants of antenatal depression and anxiety among women in South Asia: A systematic review &amp; meta-analysis

Insan, Nafisa; Weke, Anthony; Forrest, Simon; Rankin, Judith

doi:10.1371/journal.pone.0263760

Cited by 29 publications

(25 citation statements)

References 51 publications

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“…It is also possible that the difference is caused by sex-based reporting differences, where females are more likely to report depression related symptoms compared with males [ 33 , 34 ]. Other female specific social determinants of depression related symptoms included intimate partner violence, unplanned pregnancy, male gender preference and poor relationship with in-laws [ 35 ].…”

Section: Discussionmentioning

confidence: 99%

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The descriptive analysis of depressive symptoms and White Blood Cell (WBC) count between the sexual minorities and heterosexual identifying individuals in a nationally representative sample: 2005–2014

Yang

Liang

et al. 2023

BMC Public Health

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Background Sexual minorities are at a higher risk of suffering from depressive symptoms compared with heterosexual individuals. Only a few studies have examined the conditions of having depressive symptoms within different sexual minority groups, especially people with sexual orientation uncertainty in a nationally representative sample. Furthermore, few studies have explored whether the mean white blood count (WBC) is different between people with and without depressive symptoms among different sexual minority groups in a nationally representative sample. Methods We analyzed the National Health and Nutrition Examination Survey (NHANES) data from 2005 to 2014 with a sample of 14,090 subjects. We compared the prevalence of depressive symptoms in subpopulations stratified by sex, sexual minority status, and race. We also examined the difference in mean WBC count between depressed and non-depressed people among heterosexual individuals and different sexual minority groups. Additionally, two multivariable logistic regression models were used to explore the association between sexual minority status and depressive symptoms, treating sexual minority status as both a binary and categorical variable. Results Female sex (OR: 1.96, 95% CI: 1.72—2.22) and sexual minority status (OR: 1.79, 95% CI: 1.47—2.17) were both independently associated with depressive symptoms. Within the sexual minority population, subjects who were unsure about their sexual identities had the highest odds of having depressive symptoms (OR: 2.56, 95% CI: 1.40—4.68). In the subgroup analysis considering intersectionality, black sexual minority females had the highest rate of depressive symptoms (19.4%, 95% CI: 7.72—40.98). Finally, the mean WBC count differed significantly between people with and without depressive symptoms among male heterosexual individuals, female heterosexual individuals, and female sexual minorities, but not among male sexual minorities. Conclusions Based on sex, race, and sexual minority status, black females of sexual minority status had the highest rate of depressive symptoms. Within sexual minority groups, participants who were unsure about their sexual identities had the highest odds of having depressive symptoms. Finally, the mean WBC count was significantly higher among people with depressive symptoms than those without depressive symptoms only among male heterosexuals, female heterosexuals, and female sexual minorities, but not among male sexual minorities. Future research should investigate the social and biological mechanisms of the differences.

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Section: Discussionmentioning

confidence: 99%

“…Among females, differences in mean WBC count between women who had depressive symptoms and those who did not were both significantly different among heterosexuals (Without depressive symptoms: 7. 35 3.…”

Section: Demographic Characteristicsmentioning

confidence: 99%

The descriptive analysis of depressive symptoms and White Blood Cell (WBC) count between the sexual minorities and heterosexual identifying individuals in a nationally representative sample: 2005–2014

Yang

Liang

et al. 2023

BMC Public Health

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“…Similar results were reported by George et al (6), focusing on financial difficulties and marital conflicts being a risk factor for antenatal depression. A systematic review conducted by Insan at al (7) has shown various factors like intimate partner violence, unplanned pregnancy, male preference, and poor relationship with in-laws which shows significant association with antenatal depression. In our study, there was a higher incidence of possible antenatal depression among females having son preference in the family though it was not found to be statistically significant.…”

Section: Discussionmentioning

confidence: 99%

Antenatal depression and its correlates - a cross-sectional study in an urban resettlement colony of Delhi

Gupta

Mangal

Thakur³

et al. 2022

Indian J Community Health

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Background- Antenatal depression is affecting 10% pregnant women worldwide with higher prevalence in developing countries. This causes poor maternal and foetal outcome and also affects cognitive development of the child. Aim and objective: To estimate magnitude of antenatal depression and its risk factors. Methodology- A cross-sectional survey was done at the antenatal clinic of community health department catering to an urban resettlement colony, East Delhi. Estimated sample size was 216 (including 10% non-response rate). Pregnant women attending the ANC clinic from October 2019 to February 2020 were enrolled. EPDS questionnaire was used to assess depression during pregnancy. Results-The antenatal depression was found in 11.8% subjects as per EPDS score. Working female and belonging to Muslim religion, past history of abortion, complications in previous pregnancy, financial debt, physical violence and substance use in family showed significant association with antenatal depression. Conclusion –Depression was prevalent among antenatal women and was found to be associated with various risk factors.

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“…A systematic literature search was conducted via the electronic databases MEDLINE, Embase, PsycINFO, Scopus and Web of science using keywords and MeSH headings developed with an information specialist (See Additional File 2 for full OVID search strategy). This review relating to perceptions and attitudes forms part of a wider search strategy which also included a second review investigating the social determinants of antenatal depression in South Asia [ 12 ] (see PROSPERO Ref: CRD42020167903). Search results were exported into the reference manager Zotero and duplicates were removed.…”

Section: Methodsmentioning

confidence: 99%

Perceptions and attitudes around perinatal mental health in Bangladesh, India and Pakistan: a systematic review of qualitative data

Insan

Weke

Rankin

et al. 2022

BMC Pregnancy Childbirth

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Background Perinatal mental health (PMH) is a worldwide public health issue crossing cultural boundaries. However, the prevalence of PMH conditions vary considerably. These disparities stem in part from poor understanding and stigma surrounding PMH which hinder pregnant women from seeking mental health care and may exacerbate their conditions. Bangladesh, India and Pakistan are South Asian countries with a higher burden of PMH conditions than in the Global North-West and very different social and cultural norms around gender and mental health. The aim of this systematic review (PROSPERO Ref: CRD42020167903) was to identify, synthesise and appraise the available literature on perceptions and attitudes of perinatal (pregnant and postpartum) women, their families and healthcare providers surrounding PMH in Bangladesh, India and Pakistan. Methods Five electronic databases, MEDLINE, Embase, PsycINFO, Scopus and Web of science, and grey literature were searched using predefined search terms. Qualitative or quantitative articles with a qualitative component reporting perceptions and attitudes surrounding PMH in Bangladesh, India and Pakistan were eligible for inclusion, if published in English between January 2000 and January 2021. The Critical Appraisal Skills Programme Qualitative Research Checklist and Newcastle–Ottawa Scale for cross-sectional studies were used to assess study quality. Findings were synthesised using thematic synthesis, as described by Thomas and Harden 2008. Results Eight studies were included. Five overarching themes comprising 17 sub-categories were identified. These descriptive themes were: perceived causes of PMH, perceived symptoms of PMH, perceptions of motherhood, accessing PMH care and emotional sharing and coping strategies. Sociocultural expectations underpin many of the themes identified in this review including the importance of familial and societal causes of PMH, emphasis on physical symptoms, sacredness of motherhood, lack of awareness, stigma, shame, limited resources allocated for mental health and lack of emotional sharing. Conclusions There is a complex range of perceptions and attitudes around PMH which influence women’s experiences and access to PMH care. These findings will inform policy and practice through targeted interventions to tackle stigmatising attitudes and increasing education and training for healthcare providers.

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Social determinants of antenatal depression and anxiety among women in South Asia: A systematic review & meta-analysis

Cited by 29 publications

References 51 publications

The descriptive analysis of depressive symptoms and White Blood Cell (WBC) count between the sexual minorities and heterosexual identifying individuals in a nationally representative sample: 2005–2014

The descriptive analysis of depressive symptoms and White Blood Cell (WBC) count between the sexual minorities and heterosexual identifying individuals in a nationally representative sample: 2005–2014

Antenatal depression and its correlates - a cross-sectional study in an urban resettlement colony of Delhi

Perceptions and attitudes around perinatal mental health in Bangladesh, India and Pakistan: a systematic review of qualitative data

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