Assessment of Association between Domestic Violence and Antenatal Depression in Rural Indian Population
Introduction: Domestic Violence (DV) on women during perinatal period is a major public health issue. DV is prevalent throughout the world and has huge adverse effects in postnatal period. Aim: To assess prevalence and to determine the association between DV and depressive symptoms among antenat...
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| Autores principales: | , , , , |
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| Formato: | article |
| Lenguaje: | EN |
| Publicado: |
JCDR Research and Publications Private Limited
2021
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| Materias: | |
| Acceso en línea: | https://doaj.org/article/aacc5a20196c479f9ba1c7a7a1c442d8 |
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| Sumario: | Introduction: Domestic Violence (DV) on women during perinatal
period is a major public health issue. DV is prevalent throughout
the world and has huge adverse effects in postnatal period.
Aim: To assess prevalence and to determine the association
between DV and depressive symptoms among antenatal women.
Materials and Methods: A cross-sectional study conducted in
a tertiary care centre at Jawaharlal Nehru medical college, Dutta
Meghe Institute of Medical Sciences, Wardha, Maharashtra,
India, from September 2018 to September 2019. A 200 antenatal
women between age range of 18-50 years attending the
Outpatient Department were included in the study. They were
administered the Edinberg Postnatal Depression Scale (EDPS) to
evaluate for DV and its association with Antenatal Depression
(AND). For the purpose of bivariate logistic regression, a variable
for depression was computed based on EPDS scores, i.e.,
symptoms of depression during pregnancy, whereby an optimal
cut-off of ≥13 was chosen as representing the presence of
symptoms of depression. Statistical analysis was done by using
descriptive and inferential statistics using chi-square test. The
p-value less than 0.05 was taken as statistically significant.
Results: The most common age range of participants were between
21-30 years. A 28 (14%) of 200 women were found to have a history
of DV. Majority of them experienced psychological abuse (39.3%),
followed by verbal (28.6%), physical (7.4%) and combined types
of abuses (25%). The perpetrators were mostly husbands and inlaws. Reasons for abuse included husband’s alcohol abuse, inlaw’s interferences and dowry demand. Based on EDPS, 41.5%
had depression and 9.5% had probable depression. DV was found
to be significantly associated with AND. Income of the family
and occupation of the patient were found to be other significant
associated factors.
Conclusion: Domestic Violence (DV) has a significant correlation
with AND. Proper prenatal screening for DV, early diagnosis and
management of AND including family interventions are necessary
to improve the health and wellbeing of pregnant women. |
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