Postpartum depression in Gujarat, India: Associations with social support, breastfeeding attitudes, and self-efficacy
Background: Postpartum depression (PPD) is a significant public health concern with detrimental effects on maternal and child well-being. Social support, breastfeeding attitudes, and self-efficacy have been identified as potential protective or risk factors for PPD. This study aimed to investigate t...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-12-01
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| Series: | Journal of Family Medicine and Primary Care |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/jfmpc.jfmpc_816_24 |
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| _version_ | 1841545810904350720 |
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| author | Bhumika Surati M Yogesh Raza Munshi Roshni Vamja |
| author_facet | Bhumika Surati M Yogesh Raza Munshi Roshni Vamja |
| author_sort | Bhumika Surati |
| collection | DOAJ |
| description | Background:
Postpartum depression (PPD) is a significant public health concern with detrimental effects on maternal and child well-being. Social support, breastfeeding attitudes, and self-efficacy have been identified as potential protective or risk factors for PPD. This study aimed to investigate the associations between PPD, social support, breastfeeding attitudes, and self-efficacy among postpartum women in Gujarat, India.
Methods:
A cross-sectional study was conducted among 403 postpartum women in Gujarat, India. Data on sociodemographic characteristics, obstetric factors, PPD (assessed using the Edinburgh Postnatal Depression Scale), social support, breastfeeding attitudes, and self-efficacy were collected through structured interviews. Bivariate and multivariate logistic regression analyses were performed to examine the associations between PPD and the independent variables.
Results:
The prevalence of PPD in the study population was 50.1% (n = 202), with 28.8% (n = 116) experiencing mild depression, 16.6% (n = 67) moderate depression, and 4.7% (n = 19) severe depression. Lower educational level (n = 120, 29.8%; AOR: 1.72, 95% CI: 1.04–2.85), lower socioeconomic status (n = 242, 60%; AOR: 1.84, 95% CI: 1.12–3.02), non-exclusive breastfeeding (n = 167, 41.4%; AOR: 1.68, 95% CI: 1.11–2.54), low social support (n = 101, 25.1%; AOR: 2.51, 95% CI: 1.57–4.02), and a history of depression (n = 93, 23.1%; AOR: 2.94, 95% CI: 1.82–4.75) were significantly associated with higher odds of PPD in the multivariate analysis. In addition, negative breastfeeding attitudes and low self-efficacy levels were associated with increased odds of PPD.
Conclusions:
The findings highlight the significant associations between PPD and various sociodemographic, obstetric, and psychosocial factors among postpartum women in Gujarat, India. Interventions targeting social support, breastfeeding attitudes, and self-efficacy, as well as targeted support for women with identified risk factors, may help mitigate the burden of PPD and promote maternal well-being. |
| format | Article |
| id | doaj-art-3840203b5c4344228c472852f013b884 |
| institution | Kabale University |
| issn | 2249-4863 2278-7135 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Family Medicine and Primary Care |
| spelling | doaj-art-3840203b5c4344228c472852f013b8842025-01-11T10:05:53ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632278-71352024-12-0113125689569610.4103/jfmpc.jfmpc_816_24Postpartum depression in Gujarat, India: Associations with social support, breastfeeding attitudes, and self-efficacyBhumika SuratiM YogeshRaza MunshiRoshni VamjaBackground: Postpartum depression (PPD) is a significant public health concern with detrimental effects on maternal and child well-being. Social support, breastfeeding attitudes, and self-efficacy have been identified as potential protective or risk factors for PPD. This study aimed to investigate the associations between PPD, social support, breastfeeding attitudes, and self-efficacy among postpartum women in Gujarat, India. Methods: A cross-sectional study was conducted among 403 postpartum women in Gujarat, India. Data on sociodemographic characteristics, obstetric factors, PPD (assessed using the Edinburgh Postnatal Depression Scale), social support, breastfeeding attitudes, and self-efficacy were collected through structured interviews. Bivariate and multivariate logistic regression analyses were performed to examine the associations between PPD and the independent variables. Results: The prevalence of PPD in the study population was 50.1% (n = 202), with 28.8% (n = 116) experiencing mild depression, 16.6% (n = 67) moderate depression, and 4.7% (n = 19) severe depression. Lower educational level (n = 120, 29.8%; AOR: 1.72, 95% CI: 1.04–2.85), lower socioeconomic status (n = 242, 60%; AOR: 1.84, 95% CI: 1.12–3.02), non-exclusive breastfeeding (n = 167, 41.4%; AOR: 1.68, 95% CI: 1.11–2.54), low social support (n = 101, 25.1%; AOR: 2.51, 95% CI: 1.57–4.02), and a history of depression (n = 93, 23.1%; AOR: 2.94, 95% CI: 1.82–4.75) were significantly associated with higher odds of PPD in the multivariate analysis. In addition, negative breastfeeding attitudes and low self-efficacy levels were associated with increased odds of PPD. Conclusions: The findings highlight the significant associations between PPD and various sociodemographic, obstetric, and psychosocial factors among postpartum women in Gujarat, India. Interventions targeting social support, breastfeeding attitudes, and self-efficacy, as well as targeted support for women with identified risk factors, may help mitigate the burden of PPD and promote maternal well-being.https://journals.lww.com/10.4103/jfmpc.jfmpc_816_24breastfeeding attitudesindiamaternal mental healthpostpartum depressionself-efficacysocial support |
| spellingShingle | Bhumika Surati M Yogesh Raza Munshi Roshni Vamja Postpartum depression in Gujarat, India: Associations with social support, breastfeeding attitudes, and self-efficacy Journal of Family Medicine and Primary Care breastfeeding attitudes india maternal mental health postpartum depression self-efficacy social support |
| title | Postpartum depression in Gujarat, India: Associations with social support, breastfeeding attitudes, and self-efficacy |
| title_full | Postpartum depression in Gujarat, India: Associations with social support, breastfeeding attitudes, and self-efficacy |
| title_fullStr | Postpartum depression in Gujarat, India: Associations with social support, breastfeeding attitudes, and self-efficacy |
| title_full_unstemmed | Postpartum depression in Gujarat, India: Associations with social support, breastfeeding attitudes, and self-efficacy |
| title_short | Postpartum depression in Gujarat, India: Associations with social support, breastfeeding attitudes, and self-efficacy |
| title_sort | postpartum depression in gujarat india associations with social support breastfeeding attitudes and self efficacy |
| topic | breastfeeding attitudes india maternal mental health postpartum depression self-efficacy social support |
| url | https://journals.lww.com/10.4103/jfmpc.jfmpc_816_24 |
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