Volume 20, Issue 5 (September - october 2021)
Payesh 2021, 20(5): 599-608 |
Back to browse issues page
Ethics code: IR.MODARES.REC.1398.171
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
ezadi Z, lamyian M, Montazeri A. Health literacy level of primiparous women with postpartum depression attending to Kabul hospitals, Afghanistan. Payesh 2021; 20 (5) :599-608
URL: http://payeshjournal.ir/article-1-1744-en.html
URL: http://payeshjournal.ir/article-1-1744-en.html
1- Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
2- Health Metrics Research Center, Iranian Institute for Health Sciences Research, ACECR, Iran
2- Health Metrics Research Center, Iranian Institute for Health Sciences Research, ACECR, Iran
Abstract: (1939 Views)
Objective(s): Health literacy is an individual and social skill and capacity for access, understanding, processing and evaluation, decision making and behavior regarding medical information and health services. The aim of this study was to investigate the level of health literacy of nulliparous women with postpartum depression attending to Kabul hospitals in Afghanistan.
Methods: A cross-sectional study was performed with a sample of 281 primiparous women in the sixth to eighth weeks after delivery and with the least literacy skills. After obtaining informed consent, the study population completed demographic and fertility questions, the Edinburgh Postpartum Depression Scale adapted to Dari (D-EPDS), and the Dari Health Literacy Instrument for Adults (D-HELIA). The data were analyzed by descriptive and inferential statistical tests.
Results: The mean score of health literacy was 52.21. One hundred and fifty-eight patients (56.2%) had postpartum depression. The results of multivariate logistic regression showed that postpartum depression significantly was associated with health literacy (OR: 0.95, CI: 0.95-0.99: 95%, p = 0.0001). Also there was significant association between postpartum depression and unwanted pregnancy (p = 0.007), age at marriage (p = 0.006), unwanted sex of the baby (p = 0.006), being abused by the spouse (p = 0.013). There was no statistically significant relationship between postpartum depression and age (p = 0.08), body mass index (p = 0.21), and number of abortions (p = 0.052).
Conclusions: This is the first study that reports on the topic from Kabul-Afghanistan and found that the level of health literacy of primiparous women has a significant relationship with their postpartum depression, It is suggested that educational interventions implemented during pregnancy in order to improve the level of health literacy of primiparous women.
Methods: A cross-sectional study was performed with a sample of 281 primiparous women in the sixth to eighth weeks after delivery and with the least literacy skills. After obtaining informed consent, the study population completed demographic and fertility questions, the Edinburgh Postpartum Depression Scale adapted to Dari (D-EPDS), and the Dari Health Literacy Instrument for Adults (D-HELIA). The data were analyzed by descriptive and inferential statistical tests.
Results: The mean score of health literacy was 52.21. One hundred and fifty-eight patients (56.2%) had postpartum depression. The results of multivariate logistic regression showed that postpartum depression significantly was associated with health literacy (OR: 0.95, CI: 0.95-0.99: 95%, p = 0.0001). Also there was significant association between postpartum depression and unwanted pregnancy (p = 0.007), age at marriage (p = 0.006), unwanted sex of the baby (p = 0.006), being abused by the spouse (p = 0.013). There was no statistically significant relationship between postpartum depression and age (p = 0.08), body mass index (p = 0.21), and number of abortions (p = 0.052).
Conclusions: This is the first study that reports on the topic from Kabul-Afghanistan and found that the level of health literacy of primiparous women has a significant relationship with their postpartum depression, It is suggested that educational interventions implemented during pregnancy in order to improve the level of health literacy of primiparous women.
type of study: Clinical Trial |
Received: 2021/09/1 | Accepted: 2021/09/29 | ePublished ahead of print: 2021/10/4 | Published: 2021/10/18
Received: 2021/09/1 | Accepted: 2021/09/29 | ePublished ahead of print: 2021/10/4 | Published: 2021/10/18
References
1. Lau Y, Htun TP, Kwong HKD. Sociodemographic, Obstetric Characteristics, Antenatal Morbidities, and Perinatal Depressive Symptoms: A Three-Wave Prospective Study. PLoS One 2018;13: e0188365 [DOI:10.1371/journal.pone.0188365]
2. Darcy JM, Grzywacz JG, Stephens RL, Leng I, Clinch CR, Arcury TA. Maternal Depressive Symptomatology: 16-Month Follow-up of Infant and Maternal Health-Related Quality of Life. The Journal of the American Board of Family Medicine 2011; 1:24249-57 [DOI:10.3122/jabfm.2011.03.100201]
3. De Tychey C, Briançon S, Lighezzolo J, Spitz E, Kabuth B, De Luigi V, Messembourg C, Girvan F, Rosati A, Thockler A, Vincent S. Quality of Life, Postnatal Depression and Baby Gender. Journal of Clinical Nursing 2008;17:312-22 [DOI:10.1111/j.1365-2702.2006.01911.x]
4. Sankapithilu GJ, Nagaraj AK, Bhat SU, Raveesh BN, Nagaraja V. A Comparative Study of Frequency of Postnatal Depression among Subjects with Normal and Caesarean Deliveries. Online Journal of Health and Allied Sciences 2010; 30:9
5. Webster J, Nicholas C, Velacott C, Cridland N, Fawcett L. Quality of Life and Depression Following Childbirth: Impact of Social Support. Midwifery 2011;27:745-9 [DOI:10.1016/j.midw.2010.05.014]
6. Alshikh Ahmad H, Alkhatib A, Luo J. Prevalence and Risk Factors of Postpartum Depression in the Middle East: A Systematic Review and Meta-analysis. BMC Pregnancy Childbirth 2021;21:542 [DOI:10.1186/s12884-021-04016-9]
7. Veisani Y, Sayehmiri K .Prevalence of Postpartum Depression in Iran - A Systematic Review and Meta-Analysis. The Iranian Journal of Obstetrics, Gynecology and Infertility 2012; 15: 21-29
8. Segre LS, Davis WN. Postpartum depression and perinatal mood disorders in the DSM. Postpartum Support International 2013; 3:1-6
9. Da Costa D, Dritsa M, Rippen N, Lowensteyn I, Khalife S. Health-Related Quality of Life in Postpartum Depressed Women. Archives of Women's Mental Health 2006;9:95-102 [DOI:10.1007/s00737-005-0108-6]
10. Wolman WL, Chalmers B, Hofmeyr GJ, Nikodem VC. Postpartum Depression and Companionship in the Clinical Birth Environment: A Randomized, Controlled Study. American Journal of Obstetrics and Gynecology 1993;168:1388-93 [DOI:10.1016/S0002-9378(11)90770-4]
11. O'hara MW, Swain AM. Rates and Risk of Postpartum Depression-A Meta-analysis. International Review of Psychiatry 1996;8:37-54 [DOI:10.3109/09540269609037816]
12. Mclearn KT, Minkovitz CS, Strobino DM, Marks E, Hou W. Maternal Depressive Symptoms at 2 to 4 Months Postpartum and Early Parenting Practices. Archives of Pediatric Adolescent Medicine 2006; 160: 279-84 [DOI:10.1001/archpedi.160.3.279]
13. Josefsson A. Postpartum Depression: Epidemiological and biological aspects [dissertation]. Linköping University, 2003 https://pubmed.ncbi.nlm.nih.gov/11207491/
14. Bolak Boratav H, Toker Ö, Küey L. Postpartum Depression and Its Psychosocial Correlates: A Longitudinal Study among a Group of Women in Turkey. Women Health 2016;56:502-21 [DOI:10.1080/03630242.2015.1101737]
15. Zhang R, Chen Q, Li Y. Study for the Factors Related to Postpartum Depression. Zhonghua Fu Chan Ke Za Zhi 1999;34:231-3
16. George C, Kumar A, Girish N. Effectiveness of a Group Intervention Led by Lay Health Workers in Reducing the Incidence of Postpartum Depression in South India. Asian Journal of Psychiatry 2020;47:101864 [DOI:10.1016/j.ajp.2019.101864]
17. Chaaya M, Campbell OM, El Kak F, Shaar D, Harb H, Kaddour A. Postpartum Depression: Prevalence and Determinants in Lebanon. Archives of Women's Mental Health 2002;5:65-72 [DOI:10.1007/s00737-002-0140-8]
18. Rahmatollahi N K-kA, Mansoor L, Pour-Ebrahim TJCH. Pravalance and Risk Factor Associated with Postpartum Depression in Women Consulting in Primrey care, 2008. http://hdl.handle.net/11086/14201
19. Olfson M, Marcus SC, Druss B, Elinson L, Tanielian T, Pincus HA. National Trends in the Outpatient Treatment of Depression. Jama 2002 9; 203-9 [DOI:10.1001/jama.287.2.203]
20. Yousefzade S, Pilafkan J, RouhiBalasi L, Hosseinpour M, Khodadady NJJoOH, Epidemiology. Prevalence of Mental Disorders in the General Population Referring to a Medical Educational Center in Rasht, Iran. Journal of Occupational Health and Epidemiology 2014;3:32-6 [DOI:10.18869/acadpub.johe.3.1.32]
21. Don Nutbeam, Ilona Kickbusch, Advancing Health Literacy: A Global Challenge for the 21st Century. Health Promotion International 2000;3: 183-184 [DOI:10.1093/heapro/15.3.183]
22. Commission on Social Determinants of Health. (2008). Closing the Gap in a Generation: Health Equity through Action on the Social Determinants of Health: Final Report: Executive Summary. World Health Organization. https://apps.who.int/iris/handle/10665/69832
23. an der Heide I, Wang J, Droomers M, Spreeuwenberg P, Rademakers J, Uiters E. The Relationship between Health, Education, and Health Literacy: Results from the Dutch Adult Literacy and Life Skills Survey. Jounal Health Commun 2013;18 1:172-84 [DOI:10.1080/10810730.2013.825668]
24. Shieh C, Halstead JA. Understanding the Impact of Health Literacy on Women's Health. Scholarly articles for Journal Obstet Gynecol Neonatal Nurs 2009;38:601-10 [DOI:10.1111/j.1552-6909.2009.01059.x]
25. Ferguson B. Health Literacy and Health Disparities the Role They Play in Maternal and Child Health. Nursing for Women's Health 2008; 12:288- 298 [DOI:10.1111/j.1751-486X.2008.00343.x]
26. Peyman N, Abdollahi M. The Relationship between Health Literacy and Self-Efficacy of Physical Activity in Postpartum Women. Health Literacy 2017; 5-12 [Persian]
27. Lamyian M, Moghaddam-Banaem L, Setoodeh SM. Health Literacy in Iranian with Breast Cancer. Austin Public Health 2016; 1:1002
28. Khosravi A, Kh A, Sh A, Tahmasbi R. Health Literacy Levels of Diabetic Patients Referred to Shiraz Health Centers and Its Effective Factors. Health Info Manage 2015;12:205
29. Ghaffarzadeh Khoei M, Lamieian M, Lotfi R, Montazeri A. The Relationship between Postpartum Depression and Health Literacy Levels of Nulliparous Women. Payesh 2018; 797-805 [Persian]
30. Tavousi M, Montazeri A, Haeri Mehrizi A, et al. Health Literacy in Iran: finding from a national study. Payesh 2015; 15: 95-102[Persian]
31. Afshari M, Barati M, Bijari S, Taherpour M. Investigating the Relationship Between Health Literacy and Quality of Life of Famenin Employees: a Cross-Sectional Study. Health Literacy 2018, 46-55
32. Tehrani Banihashemi SA, Haghdoost AA, Amirkhani MA, Alavian SM, Asgharifard H, Baradaran H, Barghamdi M, Parsinia S, Fathi Ranjbar S. Health Literacy and the Influencing Factors: A Study in Five Provinces of Iran. Strides in Development of Medical Education 2007;4:1-9
33. Khorramirad A, Mousavi Lotfi M, Shoori Bidgoli A. Prevalence of Postpartum Depression and Related Factors in Qom. Pajoohandeh Journal 2010; 15: 62-66 [Persian]
34. Khooshemehry G, Shariati F, Naserkhaki V. Prevalence of Postpartum Depression and the Factors that Decides in North of Tehran. Avicenna Journal of Nursing and Midwifery Care 2012;3:59-69
35. Clout D, Brown R. Socio-demographic, pregnancy, obstetric and postnatal predictors of postpartum stress, anxiety and depression in new mothers. Journal of Affective Disorders 2015; 188: 60-67 [DOI:10.1016/j.jad.2015.08.054]
36. Ho S-M, Heh S-S, Jevitt CM, Huang L-H, Fu Y-Y, Wang L-LJPe, et al. Effectiveness of a Discharge Education Program in Reducing the Severity of Postpartum Depression: A Randomized Controlled Evaluation Study. Journal of Patient Education Counseling 2009;77:68-71 [DOI:10.1016/j.pec.2009.01.009]
37. Kheirabadi G, Sadri S, Abedi Z, Velayati E. Postpartum Depression and Related Factors in Rural Areas of Najafabad, Iran. Journal of Behavioral Science Research 2015;13:555-61
38. Rahmani F, Seyedfatemi N, Asadollahi M, Seyedrasooli A. Predisposing Factors of Postpartum Depression 2011;24:78-87
39. Stepanikova I, Kukla LJM, journal ch. Is Perceived Discrimination in Pregnancy Prospectively Linked to Postpartum Depression? Exploring the Role of Education 2017; 21:1669-77 [DOI:10.1007/s10995-016-2259-7]
40. Lashkaripour K, Bakhshani NM, Hokmabadi S, Sajjadi S, Safarzadeh S. Postpartum Depression and Related factors: A 4.5 months study 2012. The quarterly Journal of Fundamentals of Mental Health 2012;13: 404-412 [Persian]
41. Beck C. Predictors of Postpartum Depression: an update. Nursing Research 2001;50:275-85 [DOI:10.1097/00006199-200109000-00004]
Send email to the article author
| Rights and Permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |