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Investigating incidence and association between poverty and maternal common mental disorders, in a populationbased cohort of pregnant women, CMaMiE study, Butajira, Ethiopia: retrospective cohort study

Yosef Sibhatu


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    "description": "<p>Background<br>\nMaternal Common Mental Disorders (CMD), including depression and anxiety, are recogniz ed<br>\nto have important public health consequences in lowand<br>\nmiddleincome<br>\ncountries (LMICs). In<br>\nEthiopia, maternal CMDs have been associated with increased infant diarrhea, impaired child<br>\ndevelopment and increased child mortality. Crosssectional<br>\nstudies show associations between<br>\npoverty and maternal CMD in LMICs, but the temporal relationship is unclear.<br>\nObjectives: the aim of this study was to investigate the association between poverty and<br>\nmaternal CMD, to assess incidence of poverty and maternal CMD.<br>\nMethods: a retrospective cohort study design was conducted. The CMaMiE<br>\nstudy recruited<br>\npregnant women (aged 15 &ndash; 49 years). CMD has been measured using WHO&rsquo;s SelfReporting<br>\nQ uestionnaire. Poverty was constructed using Mokken scaling procedure during pregnancy and<br>\nhaving two or more subjective poverty report at the follow up time. Poisson and binary logistic<br>\nregression analyses were performed.<br>\nResults: Incidence rates of poverty and CMD were 7 3 .3 9 (9 5 % CI: 5 1 .9 0 1<br>\n0 3 .7 9 ) and 3 5 .3 8<br>\n(9 5 % CI: 2 9 .1 1 4<br>\n2 .9 9 ) per 1 0 0 0 personyears<br>\nof observation respectively. However, this was<br>\nnot statistically significant. This study revealed that there was no statistically significant (OR:<br>\n1.15, 95% CI: 0.68 &ndash; 1.95) effect of maternal CMD upon poverty but it was found effect of<br>\npoverty upon CMD (OR: 1.53, 95%CI: 1.02 &ndash; 2.31) . Husbands&rsquo; primary education school (OR:<br>\n0.64, 95% CI: 0.44 0.94)<br>\nand seconda ry and above (OR: 0.31 95% CI: 0.15 0.64)<br>\nand poor<br>\nsocial support (OR: 1.70, 95% CI: 1.06 2.75<br>\n) were predicators of poverty. Polygamous<br>\nmarriage (OR: 0 .5 4 , 9 5 % CI: 0 .3 2 &ndash; 0 .9 2 ), age group of 2 4 &ndash; 3 4 years (OR: 1 .6 9 , 9 5 % CI: 1 .1 1 &ndash;<br>\n2 .5 7 ), and maternal health problem (OR: 2 .1 6 , 9 5 % CI: 1 .4 0 &ndash; 3 .3 3 ) were predicators of CMD</p>", 
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    "title": "Investigating incidence and association between poverty and maternal common mental disorders, in a populationbased cohort of pregnant women, CMaMiE study, Butajira, Ethiopia: retrospective cohort study", 
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    "publication_date": "2014-06-01", 
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