June 1, 2014 Thesis Open Access

Yosef Sibhatu

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    <subfield code="a">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</subfield>
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    <subfield code="a">&lt;p&gt;Background&lt;br&gt;
Maternal Common Mental Disorders (CMD), including depression and anxiety, are recogniz ed&lt;br&gt;
to have important public health consequences in lowand&lt;br&gt;
middleincome&lt;br&gt;
countries (LMICs). In&lt;br&gt;
Ethiopia, maternal CMDs have been associated with increased infant diarrhea, impaired child&lt;br&gt;
development and increased child mortality. Crosssectional&lt;br&gt;
studies show associations between&lt;br&gt;
poverty and maternal CMD in LMICs, but the temporal relationship is unclear.&lt;br&gt;
Objectives: the aim of this study was to investigate the association between poverty and&lt;br&gt;
maternal CMD, to assess incidence of poverty and maternal CMD.&lt;br&gt;
Methods: a retrospective cohort study design was conducted. The CMaMiE&lt;br&gt;
study recruited&lt;br&gt;
pregnant women (aged 15 &amp;ndash; 49 years). CMD has been measured using WHO&amp;rsquo;s SelfReporting&lt;br&gt;
Q uestionnaire. Poverty was constructed using Mokken scaling procedure during pregnancy and&lt;br&gt;
having two or more subjective poverty report at the follow up time. Poisson and binary logistic&lt;br&gt;
regression analyses were performed.&lt;br&gt;
Results: Incidence rates of poverty and CMD were 7 3 .3 9 (9 5 % CI: 5 1 .9 0 1&lt;br&gt;
0 3 .7 9 ) and 3 5 .3 8&lt;br&gt;
(9 5 % CI: 2 9 .1 1 4&lt;br&gt;
2 .9 9 ) per 1 0 0 0 personyears&lt;br&gt;
of observation respectively. However, this was&lt;br&gt;
not statistically significant. This study revealed that there was no statistically significant (OR:&lt;br&gt;
1.15, 95% CI: 0.68 &amp;ndash; 1.95) effect of maternal CMD upon poverty but it was found effect of&lt;br&gt;
poverty upon CMD (OR: 1.53, 95%CI: 1.02 &amp;ndash; 2.31) . Husbands&amp;rsquo; primary education school (OR:&lt;br&gt;
0.64, 95% CI: 0.44 0.94)&lt;br&gt;
and seconda ry and above (OR: 0.31 95% CI: 0.15 0.64)&lt;br&gt;
and poor&lt;br&gt;
social support (OR: 1.70, 95% CI: 1.06 2.75&lt;br&gt;
) were predicators of poverty. Polygamous&lt;br&gt;
marriage (OR: 0 .5 4 , 9 5 % CI: 0 .3 2 &amp;ndash; 0 .9 2 ), age group of 2 4 &amp;ndash; 3 4 years (OR: 1 .6 9 , 9 5 % CI: 1 .1 1 &amp;ndash;&lt;br&gt;
2 .5 7 ), and maternal health problem (OR: 2 .1 6 , 9 5 % CI: 1 .4 0 &amp;ndash; 3 .3 3 ) were predicators of CMD&lt;/p&gt;</subfield>
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    <subfield code="a">10.20372/nadre:4205</subfield>
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