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Maternal Depression and Associated Factors Among South Sudanese Refugee Mothers in Gambella's Tierkidi Refugee Camp: A Cross-Sectional Study

Received: 28 February 2024     Accepted: 13 March 2024     Published: 30 May 2024
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Abstract

Background: Maternal depression stands out as the prevailing psychiatric condition during pregnancy, with its detrimental impacts posing significant consequences for both the mother and the fetus. Nearly a quarter of women will encounter depression at some stage in their lives, with the majority experiencing it during their childbearing years. Refugee women face elevated susceptibility to mental health disorders, with rates surpassing those of host populations. Objective: The objective of this study is to determine the prevalence of maternal depression and the associated factors with it among South Sudanese refugee women living in the Gambella region, in the Tierkidi refugee camp in 2023. Method: A community-based cross-sectional study conducted within the Gambella region's Tierkidi refugee camp in Ethiopia involved 452 randomly selected participants who were pregnant and had given birth within the past 12 months. Data collection utilized a pretested structured questionnaire administered through interviews. Data coding and entry were performed using Epi-Info version 7.2, with subsequent analysis conducted in SPSS version 23. Descriptive statistics and logistic regression were employed to identify associations between the outcome variable and explanatory variables. The strength of association was assessed using odds ratios at a 95% confidence interval, and associations were deemed significant at a p-value of less than 0.05. Results: In this study, the prevalence of maternal depression was found to be 31.5% (95% CI: 27.4-37.8). Significant associations were observed between maternal depression and unmarried marital status (AOR = 13.39, 95% CI: 3.11-57.7), unplanned pregnancy (AOR = 6.76, 95% CI: 2.13-21.4), intimate partner violence (AOR = 5.4, 95% CI: 2.32-12.4), number of pregnancies (AOR = 4.85, 95% CI: 2.56-9.17), and history of abortion (AOR = 3.97, 95% CI: 1.07-14.7). Conclusion: The study revealed a high prevalence of maternal depression among pregnant mothers with infants less than 12 months old. Factors such as being unmarried, experiencing unplanned pregnancy, having a history of abortion, a higher number of pregnancies, lack of social support, and a history of intimate partner violence were found to be significantly associated with maternal depression.

Published in Science Journal of Public Health (Volume 12, Issue 3)
DOI 10.11648/j.sjph.20241203.14
Page(s) 83-91
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Maternal Depression, Gambella, Tierkidi Refugee Camp

References
[1] Gelaye B, Rondon MB, Araya R. Epidemiology of maternal depression, risk factors, and child outcomes in low-income and middle-income countries. Lancet Psychiatry. 2016; 3(10): 73–82.
[2] Connolly CP, Pivarnik JM. Overcoming Barriers to Physical Activity During Pregnancy and the Postpartum Period. Potential Impact Soc Support. 2014; 135–48.
[3] Dulaney KJ, Hallwood DM, Keeter KZ. Post-Pregnancy Functional Ability. 1998.
[4] Howard LM, Molyneaux E, Dennis CL, Milgrom J. Nonpsychotic mental disorders in the perinatal period. Lancet. 2014; 384(9956): 1775–88.
[5] WHO. Suicide prevention. 2008.
[6] Shishehgar S, Gholizadeh L, DiGiacomo M, Davidson PM. Health and socio-cultural experiences of refugee women: an integrative review. Integr Rev J Immigr Minor Health. 2017;
[7] Fellmeth G, Fazel M, Plugge E. Migration, and perinatal mental health in women from low- and middle-income countries: a systematic review and meta-analysis. BJOG Int J Obstet Gynecol. 2017; 124(5): 742–52.
[8] Fisher J, Cabral de Mello M, Patel V. Prevalence and determinants of common perinatal mental disorders in women in low- and lower-middle-income countries: Syst Rev Bull World Health Organ. 2012; 90(2): 139-49H.
[9] Kibat K, Yemane G, Kidane T. Magnitude of Maternal Depression and Associated Factors in Shimelba Refugee Camp, Northern Ethiopia. 2014.
[10] Gracia F. Perinatal depression in refugee and labour migrant women on the Thai Myanmar border: prevalence, risk factors and experiences. 2018.
[11] Nawaf S, Anthony W. Prevalence, and determinants of depression in mothers of children under 5 years in Bole District, Ghana. 2019; 12(373).
[12] Borie YA, Siyoum M, Tsega A, Anbese G. Maternal Depression and Associated Factors Among Pregnant Women Attending Ante Natal Care, Southern Ethiopia: Cross-Sectional Study. Front Public Health 10848909.
[13] Gebrekiros G, Manaye Y, Dessalegn A, Desta H, Genet G. Perinatal Depression and Associated Factors among Mothers in Southern Ethiopia. Evid Arba Minch Zuria Health Demogr Surveill Site. 2018.
[14] Mengstu M, Haymanot A, Eyerusalem D. Prevalence and Predictors of Postpartum Depression: Gonder Northwest Ethiopia. 2020.
[15] Saloshni N, Myra T. Antenatal and Postpartum Depression: Prevalence and Associated Risk Factors among Adolescents in KwaZulu-Natal, South Africa. 2020.
[16] IOM. World Migration Report 2 Migrants and cities: new partnerships to manage mobility. Geneva: International Organization for Migration; 2015.
[17] Tomas B, Asfaw N, Mohammed A. A Perinatal depression, and associated factors among reproductive aged group women at Goba and Robe Town of Bale Zone, Oromia Region, South East Ethiopia. 2019.
[18] Woody CA, Ferrari AJ, Harris MG. A systematic review and meta-regression of the prevalence and incidence of perinatal depression. J Affect Disord. 2017; 21(9): 86–92.
[19] Asma A, Angela B, Cindy X. Maternal depression in Syrian refugee women recently moved to Canada: a preliminary study. 2017.
[20] Anderson FM, Hatch SL, Howard LM. Prevalence and risk of mental disorders in the perinatal period among migrant women: a systematic review and meta-analysis. Arch Womens Ment Health. 2017; 20(3): 449–62.
[21] Beck TC. The effects of postpartum depression on child development. Meta-Anal. 1998.
[22] Melchior M, Chollet A, Glangeaud-Freudenthal N. Tobacco and alcohol use in pregnancy in France: the role of migrant status: the nationally representative ELFE study. Addict Behav. 2015.
[23] Cummings EM, Davies PT. Maternal depression and child development. J Child Psychol Psychiatry. 1994; 35: 73–112.
[24] Stewart DE, Gagnon AJ, Merry LA, Dennis CL. Risk factors and health profiles of recent migrant women who experienced violence associated with pregnancy. J Women Health Larchmt. 2012; 21(10): 1100–6.
[25] Reiss K, Breckenkamp J, Borde T, Razum O. Smoking during pregnancy among Turkish immigrants in Germany and their associations with acculturation. Nicotine Tob Res. 2014; 17(6).
Cite This Article
  • APA Style

    Legse, L. A., Alemu, M. T., Nigatu, D. T. (2024). Maternal Depression and Associated Factors Among South Sudanese Refugee Mothers in Gambella's Tierkidi Refugee Camp: A Cross-Sectional Study. Science Journal of Public Health, 12(3), 83-91. https://doi.org/10.11648/j.sjph.20241203.14

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    ACS Style

    Legse, L. A.; Alemu, M. T.; Nigatu, D. T. Maternal Depression and Associated Factors Among South Sudanese Refugee Mothers in Gambella's Tierkidi Refugee Camp: A Cross-Sectional Study. Sci. J. Public Health 2024, 12(3), 83-91. doi: 10.11648/j.sjph.20241203.14

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    AMA Style

    Legse LA, Alemu MT, Nigatu DT. Maternal Depression and Associated Factors Among South Sudanese Refugee Mothers in Gambella's Tierkidi Refugee Camp: A Cross-Sectional Study. Sci J Public Health. 2024;12(3):83-91. doi: 10.11648/j.sjph.20241203.14

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  • @article{10.11648/j.sjph.20241203.14,
      author = {Liya Assefa Legse and Merertu Temesgen Alemu and Digafe Tsegaye Nigatu},
      title = {Maternal Depression and Associated Factors Among South Sudanese Refugee Mothers in Gambella's Tierkidi Refugee Camp: A Cross-Sectional Study
    },
      journal = {Science Journal of Public Health},
      volume = {12},
      number = {3},
      pages = {83-91},
      doi = {10.11648/j.sjph.20241203.14},
      url = {https://doi.org/10.11648/j.sjph.20241203.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20241203.14},
      abstract = {Background: Maternal depression stands out as the prevailing psychiatric condition during pregnancy, with its detrimental impacts posing significant consequences for both the mother and the fetus. Nearly a quarter of women will encounter depression at some stage in their lives, with the majority experiencing it during their childbearing years. Refugee women face elevated susceptibility to mental health disorders, with rates surpassing those of host populations. Objective: The objective of this study is to determine the prevalence of maternal depression and the associated factors with it among South Sudanese refugee women living in the Gambella region, in the Tierkidi refugee camp in 2023. Method: A community-based cross-sectional study conducted within the Gambella region's Tierkidi refugee camp in Ethiopia involved 452 randomly selected participants who were pregnant and had given birth within the past 12 months. Data collection utilized a pretested structured questionnaire administered through interviews. Data coding and entry were performed using Epi-Info version 7.2, with subsequent analysis conducted in SPSS version 23. Descriptive statistics and logistic regression were employed to identify associations between the outcome variable and explanatory variables. The strength of association was assessed using odds ratios at a 95% confidence interval, and associations were deemed significant at a p-value of less than 0.05. Results: In this study, the prevalence of maternal depression was found to be 31.5% (95% CI: 27.4-37.8). Significant associations were observed between maternal depression and unmarried marital status (AOR = 13.39, 95% CI: 3.11-57.7), unplanned pregnancy (AOR = 6.76, 95% CI: 2.13-21.4), intimate partner violence (AOR = 5.4, 95% CI: 2.32-12.4), number of pregnancies (AOR = 4.85, 95% CI: 2.56-9.17), and history of abortion (AOR = 3.97, 95% CI: 1.07-14.7). Conclusion: The study revealed a high prevalence of maternal depression among pregnant mothers with infants less than 12 months old. Factors such as being unmarried, experiencing unplanned pregnancy, having a history of abortion, a higher number of pregnancies, lack of social support, and a history of intimate partner violence were found to be significantly associated with maternal depression.
    },
     year = {2024}
    }
    

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  • TY  - JOUR
    T1  - Maternal Depression and Associated Factors Among South Sudanese Refugee Mothers in Gambella's Tierkidi Refugee Camp: A Cross-Sectional Study
    
    AU  - Liya Assefa Legse
    AU  - Merertu Temesgen Alemu
    AU  - Digafe Tsegaye Nigatu
    Y1  - 2024/05/30
    PY  - 2024
    N1  - https://doi.org/10.11648/j.sjph.20241203.14
    DO  - 10.11648/j.sjph.20241203.14
    T2  - Science Journal of Public Health
    JF  - Science Journal of Public Health
    JO  - Science Journal of Public Health
    SP  - 83
    EP  - 91
    PB  - Science Publishing Group
    SN  - 2328-7950
    UR  - https://doi.org/10.11648/j.sjph.20241203.14
    AB  - Background: Maternal depression stands out as the prevailing psychiatric condition during pregnancy, with its detrimental impacts posing significant consequences for both the mother and the fetus. Nearly a quarter of women will encounter depression at some stage in their lives, with the majority experiencing it during their childbearing years. Refugee women face elevated susceptibility to mental health disorders, with rates surpassing those of host populations. Objective: The objective of this study is to determine the prevalence of maternal depression and the associated factors with it among South Sudanese refugee women living in the Gambella region, in the Tierkidi refugee camp in 2023. Method: A community-based cross-sectional study conducted within the Gambella region's Tierkidi refugee camp in Ethiopia involved 452 randomly selected participants who were pregnant and had given birth within the past 12 months. Data collection utilized a pretested structured questionnaire administered through interviews. Data coding and entry were performed using Epi-Info version 7.2, with subsequent analysis conducted in SPSS version 23. Descriptive statistics and logistic regression were employed to identify associations between the outcome variable and explanatory variables. The strength of association was assessed using odds ratios at a 95% confidence interval, and associations were deemed significant at a p-value of less than 0.05. Results: In this study, the prevalence of maternal depression was found to be 31.5% (95% CI: 27.4-37.8). Significant associations were observed between maternal depression and unmarried marital status (AOR = 13.39, 95% CI: 3.11-57.7), unplanned pregnancy (AOR = 6.76, 95% CI: 2.13-21.4), intimate partner violence (AOR = 5.4, 95% CI: 2.32-12.4), number of pregnancies (AOR = 4.85, 95% CI: 2.56-9.17), and history of abortion (AOR = 3.97, 95% CI: 1.07-14.7). Conclusion: The study revealed a high prevalence of maternal depression among pregnant mothers with infants less than 12 months old. Factors such as being unmarried, experiencing unplanned pregnancy, having a history of abortion, a higher number of pregnancies, lack of social support, and a history of intimate partner violence were found to be significantly associated with maternal depression.
    
    VL  - 12
    IS  - 3
    ER  - 

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