Common perinatal mental disorders in northern Viet Nam: community prevalence and health care use

• DOI: 10.2471/blt.09.067066
• Publication Date: 2010-10-01T11:02:34Z
• Authors: Jane Fisher; Thach Tran; Buoi thi La; Kelsi Kriitmaa; Doreen Rosenthal; Tuan Tran
• Keywords: Depression; Cross-sectional study

Viet Nam has well-developed public and primary health care systems: most women (88%) have a skilled attendant at birth, infant immunization coverage is > 90%. 15 Iron deficiency anaemia associated with hookworm infection low meat consumption are prevalent in pregnant (54%) those who recently given birth (62%), especially rural provinces. 16With the introduction of national iodized salt Une traduction en français de ce résumé figure à la fin l'article.Al final del artículo se facilita una traducción al español. ‫املقالة.‬ ‫لهذه‬ ‫الكامل‬ ‫النص‬ ‫نهاية‬ ‫يف‬ ‫الخالصة‬ ‫العربية‬ ‫الرتجمة‬Objective To establish prevalence common perinatal mental disorders their determinants, association preventive use among one urban province northern Nam.Methods We conducted cross-sectional survey cohorts mothers infants recruited systematically 10 randomly-selected communes.The participated psychiatrist-administered structured clinical interviews separate to assess sociodemographic factors, reproductive health, intimate partner relationship, family violence psychiatric care.Associations between these variables were explored through univariate analyses multivariable logistic regression.Findings Among eligible for study (392), 364 (93%) recruited.Of these, 29.9% (95% confidence interval, CI: 25.20-34.70)were diagnosed disorder (CPMD).The frequency such during pregnancy postpartum period was same.Their higher provinces (odds ratio, OR: 2.17; 95% 1.19-3.93);exposed (OR: 2.11; 1.12-3.96);fearful other members 3.36; 1.05-10.71)or exposed coincidental life adversity 4.40; 2.44-7.93).Fewer CPMD used iron supplements than without CPMD, but results not statistically significant (P = 0.05).None studied had ever received care.Conclusion Perinatal depression anxiety Nam.These conditions predominantly determined by social including residence, poverty exposure violence.At present needs unrecognized attended participation essential antenatal appears be compromised.