Ting Pan, Yi Zeng, Xiaoni Chai, Zhang Wen, Xiangmin Tan, Mei Sun
{"title":"全球农村妇女围产期抑郁症患病率及其决定因素：系统回顾与元分析","authors":"Ting Pan, Yi Zeng, Xiaoni Chai, Zhang Wen, Xiangmin Tan, Mei Sun","doi":"10.1155/2024/1882604","DOIUrl":null,"url":null,"abstract":"<div>\n <p><b>Background:</b> Perinatal depression (PND) in low-resource areas is a significant concern that imposes a substantial burden on both families and societies. Although many studies have explored rural PND, there is a lack of systematic synthesis of the existing research. This study aimed to estimate the global prevalence of PND among rural women and to summarize its determinants.</p>\n <p><b>Methods:</b> Comprehensively electronic searches were performed across eight English databases. Two reviewers independently assessed the eligibility of the study and extracted the relevant data. Any inconsistencies were resolved through discussion with a third reviewer. Prevalence estimates were calculated using a random-effects meta-analysis model. Subgroup analysis, sensitivity analysis, and meta-regression were employed to examine the source of heterogeneity. In addition, a narrative synthesis of the influence factors reported in the included studies was provided.</p>\n <p><b>Results:</b> The search identified 17,810 studies, of which 86 were included in the analyses. The pooled prevalence of PND in rural areas was 22.1% (95% CI 19.0%–25.3%, <i>p</i> < 0.001, <i>I</i><sup>2</sup> = 99.2%). Subgroup analyses indicated higher PND prevalence in low-income (24.5%) and lower middle-income countries (22.8%). Additionally, PND prevalence was greater when assessed using self-reported screening instruments (22.8%) compared to diagnostic interviews (17.6%). Major risk factors included violence, antenatal psychiatric disorder, low family income, male-child preference, and food insecurity, while positive social support and higher levels of education were protective factors.</p>\n <p><b>Conclusions:</b> Our findings suggest that the prevalence of PND is higher in rural areas compared to global data, particularly in low-income and lower middle-income countries. To improve rural maternal mental health, it is essential to develop measures targeting modifiable risk factors for PND, including promoting gender equality, implementing antiviolence initiatives, and strengthening economic support systems. Addressing these factors can help reduce the burden of PND and enhance the well-being of mothers in rural communities.</p>\n </div>","PeriodicalId":55179,"journal":{"name":"Depression and Anxiety","volume":"2024 1","pages":""},"PeriodicalIF":4.7000,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/1882604","citationCount":"0","resultStr":"{\"title\":\"Global Prevalence of Perinatal Depression and Its Determinants Among Rural Women: A Systematic Review and Meta-Analysis\",\"authors\":\"Ting Pan, Yi Zeng, Xiaoni Chai, Zhang Wen, Xiangmin Tan, Mei Sun\",\"doi\":\"10.1155/2024/1882604\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n <p><b>Background:</b> Perinatal depression (PND) in low-resource areas is a significant concern that imposes a substantial burden on both families and societies. Although many studies have explored rural PND, there is a lack of systematic synthesis of the existing research. This study aimed to estimate the global prevalence of PND among rural women and to summarize its determinants.</p>\\n <p><b>Methods:</b> Comprehensively electronic searches were performed across eight English databases. Two reviewers independently assessed the eligibility of the study and extracted the relevant data. Any inconsistencies were resolved through discussion with a third reviewer. Prevalence estimates were calculated using a random-effects meta-analysis model. Subgroup analysis, sensitivity analysis, and meta-regression were employed to examine the source of heterogeneity. In addition, a narrative synthesis of the influence factors reported in the included studies was provided.</p>\\n <p><b>Results:</b> The search identified 17,810 studies, of which 86 were included in the analyses. The pooled prevalence of PND in rural areas was 22.1% (95% CI 19.0%–25.3%, <i>p</i> < 0.001, <i>I</i><sup>2</sup> = 99.2%). Subgroup analyses indicated higher PND prevalence in low-income (24.5%) and lower middle-income countries (22.8%). Additionally, PND prevalence was greater when assessed using self-reported screening instruments (22.8%) compared to diagnostic interviews (17.6%). Major risk factors included violence, antenatal psychiatric disorder, low family income, male-child preference, and food insecurity, while positive social support and higher levels of education were protective factors.</p>\\n <p><b>Conclusions:</b> Our findings suggest that the prevalence of PND is higher in rural areas compared to global data, particularly in low-income and lower middle-income countries. To improve rural maternal mental health, it is essential to develop measures targeting modifiable risk factors for PND, including promoting gender equality, implementing antiviolence initiatives, and strengthening economic support systems. Addressing these factors can help reduce the burden of PND and enhance the well-being of mothers in rural communities.</p>\\n </div>\",\"PeriodicalId\":55179,\"journal\":{\"name\":\"Depression and Anxiety\",\"volume\":\"2024 1\",\"pages\":\"\"},\"PeriodicalIF\":4.7000,\"publicationDate\":\"2024-09-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/1882604\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Depression and Anxiety\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1155/2024/1882604\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Depression and Anxiety","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1155/2024/1882604","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHIATRY","Score":null,"Total":0}
Global Prevalence of Perinatal Depression and Its Determinants Among Rural Women: A Systematic Review and Meta-Analysis
Background: Perinatal depression (PND) in low-resource areas is a significant concern that imposes a substantial burden on both families and societies. Although many studies have explored rural PND, there is a lack of systematic synthesis of the existing research. This study aimed to estimate the global prevalence of PND among rural women and to summarize its determinants.
Methods: Comprehensively electronic searches were performed across eight English databases. Two reviewers independently assessed the eligibility of the study and extracted the relevant data. Any inconsistencies were resolved through discussion with a third reviewer. Prevalence estimates were calculated using a random-effects meta-analysis model. Subgroup analysis, sensitivity analysis, and meta-regression were employed to examine the source of heterogeneity. In addition, a narrative synthesis of the influence factors reported in the included studies was provided.
Results: The search identified 17,810 studies, of which 86 were included in the analyses. The pooled prevalence of PND in rural areas was 22.1% (95% CI 19.0%–25.3%, p < 0.001, I2 = 99.2%). Subgroup analyses indicated higher PND prevalence in low-income (24.5%) and lower middle-income countries (22.8%). Additionally, PND prevalence was greater when assessed using self-reported screening instruments (22.8%) compared to diagnostic interviews (17.6%). Major risk factors included violence, antenatal psychiatric disorder, low family income, male-child preference, and food insecurity, while positive social support and higher levels of education were protective factors.
Conclusions: Our findings suggest that the prevalence of PND is higher in rural areas compared to global data, particularly in low-income and lower middle-income countries. To improve rural maternal mental health, it is essential to develop measures targeting modifiable risk factors for PND, including promoting gender equality, implementing antiviolence initiatives, and strengthening economic support systems. Addressing these factors can help reduce the burden of PND and enhance the well-being of mothers in rural communities.
期刊介绍：
Depression and Anxiety is a scientific journal that focuses on the study of mood and anxiety disorders, as well as related phenomena in humans. The journal is dedicated to publishing high-quality research and review articles that contribute to the understanding and treatment of these conditions. The journal places a particular emphasis on articles that contribute to the clinical evaluation and care of individuals affected by mood and anxiety disorders. It prioritizes the publication of treatment-related research and review papers, as well as those that present novel findings that can directly impact clinical practice. The journal's goal is to advance the field by disseminating knowledge that can lead to better diagnosis, treatment, and management of these disorders, ultimately improving the quality of life for those who suffer from them.
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