Prevalence of anxiety and associated factors among pregnant women in East Africa: A systematic review and meta-analysis, 2023

IF 3.9 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Public Health Pub Date : 2025-05-14 DOI:10.1016/j.puhe.2025.105759

Selam Yibeltal Desalegn , Asres Eshetie Feleke , Betelhem Fekadu Germame , Alemtsehay Wossen Samuel

{"title":"Prevalence of anxiety and associated factors among pregnant women in East Africa: A systematic review and meta-analysis, 2023","authors":"Selam Yibeltal Desalegn , Asres Eshetie Feleke , Betelhem Fekadu Germame , Alemtsehay Wossen Samuel","doi":"10.1016/j.puhe.2025.105759","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><div>This review aimed to assess the prevalence of anxiety among pregnant women in East Africa. Additionally, the review seeks to identify the associated risk factors contributing to anxiety during pregnancy within this region.</div></div><div><h3>Study design</h3><div>A systematic review and meta-analysis.</div></div><div><h3>Methods</h3><div>A systematic review and meta-analysis were conducted to examine anxiety among pregnant women in East Africa. PubMed, HINARI, Google scholar, and direct Google were searched to retrieve relevant studies. The pooled magnitude of anxiety during pregnancy was estimated using DerSimonian and Laird's random-effects model. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 guidelines were used. Data were extracted in Microsoft Excel sheet and STATA/SE 17 was used for meta-analysis. Using Q and the I<sup>2</sup> test, heterogeneity among the studies was assessed. Funnel plot and Egger's test were used to test the small study effect.</div></div><div><h3>Results</h3><div>A total of 64 studies were initially identified and evaluated. Of these, ten eligible articles with 4023 participants were included. The overall pooled prevalence of anxiety in East Africa was 29 % (95 % CI; 17 %–40 %).</div></div><div><h3>Conclusions</h3><div>This review demonstrated the high prevalence of anxiety during pregnancy among East African women. and it was significantly associated with having intimate partner violence, primary education status, having unwanted pregnancy, unmarried marital status, poor social support, history of depression, and prim gravidity. It is highly recommended that mental health and maternity services be integrated.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"244 ","pages":"Article 105759"},"PeriodicalIF":3.9000,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Public Health","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0033350625002057","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}

引用次数: 0

Abstract

Objectives

This review aimed to assess the prevalence of anxiety among pregnant women in East Africa. Additionally, the review seeks to identify the associated risk factors contributing to anxiety during pregnancy within this region.

Study design

A systematic review and meta-analysis.

Methods

A systematic review and meta-analysis were conducted to examine anxiety among pregnant women in East Africa. PubMed, HINARI, Google scholar, and direct Google were searched to retrieve relevant studies. The pooled magnitude of anxiety during pregnancy was estimated using DerSimonian and Laird's random-effects model. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 guidelines were used. Data were extracted in Microsoft Excel sheet and STATA/SE 17 was used for meta-analysis. Using Q and the I² test, heterogeneity among the studies was assessed. Funnel plot and Egger's test were used to test the small study effect.

Results

A total of 64 studies were initially identified and evaluated. Of these, ten eligible articles with 4023 participants were included. The overall pooled prevalence of anxiety in East Africa was 29 % (95 % CI; 17 %–40 %).

Conclusions

This review demonstrated the high prevalence of anxiety during pregnancy among East African women. and it was significantly associated with having intimate partner violence, primary education status, having unwanted pregnancy, unmarried marital status, poor social support, history of depression, and prim gravidity. It is highly recommended that mental health and maternity services be integrated.

查看原文本刊更多论文

东非孕妇焦虑患病率及相关因素：一项系统回顾和荟萃分析，2023

目的本综述旨在评估东非孕妇焦虑的患病率。此外，该审查旨在确定在该地区导致怀孕期间焦虑的相关风险因素。研究设计：系统回顾和荟萃分析。方法对东非孕妇的焦虑状况进行系统回顾和荟萃分析。检索PubMed、HINARI、b谷歌scholar和direct谷歌，检索相关研究。使用DerSimonian和Laird的随机效应模型估计怀孕期间焦虑的综合程度。采用了2020年系统评价和荟萃分析指南的首选报告项目。数据在Microsoft Excel表格中提取，使用STATA/SE 17进行meta分析。采用Q和I2检验，评估各研究间的异质性。采用漏斗图和Egger’s检验检验小研究效果。结果初步确定并评估了64项研究。其中包括10篇符合条件的文章，共4023名参与者。东非焦虑症的总流行率为29% (95% CI；17% - 40%)。结论：本综述显示了东非妇女孕期焦虑的高患病率。它与亲密伴侣暴力、小学教育状况、意外怀孕、未婚状态、社会支持不良、抑郁史和原始妊娠密切相关。强烈建议将精神保健和产妇服务结合起来。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

7.60

自引率

0.00%

发文量

280

审稿时长

37 days

期刊介绍： Public Health is an international, multidisciplinary peer-reviewed journal. It publishes original papers, reviews and short reports on all aspects of the science, philosophy, and practice of public health.