Generalized anxiety disorder among mothers attending perinatal services during COVID-19 pandemic: using ordinal logistic regression model

Lelisho, Mesfin Esayas; Merera, Amanuel Mengistu; Tareke, Seid Ali; Hassen, Sali Suleman; Jemal, Sebwedin Surur; Kontuab, Admasu Markos; Bambo, Meseret Mesfin

doi:10.1016/j.heliyon.2022.e09778

Cited by 6 publications

(9 citation statements)

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“…Generalized anxiety disorder (including anxiety not specified) was the most commonly reported anxiety disorder, examined by 184 of 203 studies (90.6%) . The pooled point prevalence for generalized anxiety disorder was 22.2% (95% CI, 19.4%-25.0%; n = 173 553).…”

Section: Resultsmentioning

confidence: 99%

“…Our search identified 10 617 studies; 1231 full texts were reviewed, and of these, 203 studies were included (Figure 1; eTable 2 in Supplement 1). Cumulatively, outcomes were reported for 212 318 perinatal women (from conception to 12 months post birth) from 33 LMICs. The prevalence estimates of 6 anxiety and related disorders were reported: generalized anxiety disorder, social anxiety disorder, posttraumatic stress disorder, obsessive-compulsive disorder, panic disorder, and adjustment disorder.…”

Section: Resultsmentioning

confidence: 99%

“…The majority of studies reported the prevalence of generalized anxiety antenatally (150 [81.5%]). Among these, the pooled point prevalence was 23.9% (95% CI, 20.5%-27.4%; n = 149 485).…”

Section: Resultsmentioning

confidence: 99%

“…Next, we assessed the prevalence of generalized anxiety by method of assessment. Screening tools were used in 153 studies (17 different questionnaires), and 30 studies used a structured or semistructured diagnostic interview (8 types). One study used both .…”

Section: Resultsmentioning

confidence: 99%

“…Given that generalized anxiety disorder was reported across 184 studies, we were able to further interrogate the prevalence of this disorder across important subgroups (Figure 3). While investigating generalized anxiety by country income status, we found a higher prevalence among studies performed in lower-middle-income countries (27.6%; 95% CI, 21.6%-33.9%; 59 studies 27, 29-32, 60, 76, 119-121, 129-146, 168, 174-193, 195-197, 209, 211-214, 228, 229 ; n = 25 109) compared with low-income countries (24.0%; 95% CI, 15.3%-33.8%; 11 studies 28, [122][123][124][125][126][127][128]169,199,227 ; n = 4961). Upper-middleincome countries had the lowest prevalence (19.1%; 95% CI, 16.0%-22.4%; 110 studies 33-57, 59, 61-75, 77-97, 99-113, 116-118, 147-155, 159-165, 167, 198, 201, 203-205, 217-224, 226 ; n = 138 496).…”

Section: Jama Network Open | Obstetrics and Gynecologymentioning

confidence: 99%

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Prevalence of Perinatal Anxiety and Related Disorders in Low- and Middle-Income Countries

Roddy Mitchell,

Gordon,

Atkinson

et al. 2023

JAMA Netw Open

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ImportanceAnxiety disorders are associated with poor maternal and neonatal outcomes. Women in low- and middle-income countries (LMICs) are thought to be disproportionally burdened by these disorders, yet their prevalence is unclear.ObjectiveTo conduct a systematic review and meta-analysis to determine the prevalence of 6 anxiety and related disorders among perinatal women in LMICs.Data SourcesEmbase, MEDLINE, PsycINFO, Cochrane Library, CINAHL, and Web of Science databases were searched from inception until September 7, 2023.Study SelectionStudies conducted in World Bank–defined LMICs and reporting prevalence of generalized anxiety disorder, obsessive-compulsive disorder, social anxiety disorder, posttraumatic stress disorder, panic disorder, or adjustment disorder during the perinatal period (conception to 12 months post partum) using a validated method were included.Data Extraction and SynthesisThis study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses reporting guideline. Study eligibility, extracted data, and risk of bias of included studies were assessed by 2 independent reviewers. Random-effects meta-analysis was used to estimate pooled point prevalence. Subgroup analyses were performed by specific anxiety disorder.Main Outcomes and MeasuresMain outcomes were prevalence estimates of each anxiety disorder, measured as percentage point estimates and corresponding 95% CIs.ResultsAt total of 10 617 studies were identified, 203 of which met the inclusion criteria and reported the outcomes of 212 318 women from 33 LMICs. Generalized anxiety disorder was the most reported (184 studies [90.6%]) and most prevalent disorder at 22.2% (95% CI, 19.4%-25.0%; n = 173 553). Posttraumatic stress disorder was the second most prevalent (8.3%; 95% CI, 5.0%-12.2%; 33 studies; n = 22 452). Adjustment disorder was least prevalent (2.9%; 95% CI, 0.0%-14.1%; 2 studies; n = 475). The prevalence of generalized anxiety varied by country income status, with the highest prevalence among lower-middle–income countries (27.6%; 95% CI, 21.6%-33.9%; 59 studies; n = 25 109), followed by low-income (24.0%; 95% CI, 15.3%-33.8%; 11 studies; n = 4961) and upper-middle–income (19.1%; 95% CI, 16.0%-22.4%; 110 studies; n = 138 496) countries.Conclusions and RelevanceThese findings suggest that 1 in 5 women living in LMICs experience anxiety disorders during pregnancy and post partum. Targeted action is needed to reduce this high burden.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…The majority of studies reported the prevalence of generalized anxiety antenatally (150 [81.5%]). Among these, the pooled point prevalence was 23.9% (95% CI, 20.5%-27.4%; n = 149 485).…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Jama Network Open | Obstetrics and Gynecologymentioning

confidence: 99%

See 3 more Smart Citations

Prevalence of Perinatal Anxiety and Related Disorders in Low- and Middle-Income Countries

Roddy Mitchell,

Gordon,

Atkinson

et al. 2023

JAMA Netw Open

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Socio‐demographic and infrastructural variables influencing maternal risk concentration among ever‐married women of reproductive age in rural West Bengal, India

Ghosh,

Mistri

2024

Health Planning & Management

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BackgroundThe risk of a woman dying as a result of pregnancy or childbirth during her lifetime is about one in six in the poorest parts of the world.ObjectivesThe present study aims to determine prevalence of maternal risk and the influencing variables among ever‐married women belonging to the reproductive age group (15–49) of Birbhum district, West Bengal.MethodsA cohort‐based retrospective cross‐sectional study was carried out among the sample of 229 respondents through a purposive stratified random sampling method and a pre‐designed semi‐structured questionnaire. The ordinal logistic regression (OLR) model was taken as a tool of assessment. Before developing the proportional OLR model, we have checked the multicollinearity effect among the predictors and the first‐order effect modifier was evaluated as well. We performed data analysis using SPSS version 26.ResultsThe result shows that illiterate women (Odds ratios [OR] = 2.81, 95% CI, 0.277–1.791), from lower standard of living (OR = 1.14, 95% CI, −0.845–1.116), married before the age of 15 years (OR = 21.96, 95% CI, −0.55–6.73) and between the age of 15–18 years (OR = 24.51. 95% CI, −0.45–6.85) are more likely to be affected by the higher concentration of maternal risk. Other important predictor is the time of pregnancy registration. Considering the transport and related en‐route causalities, the result portraying a clear picture where the distance and travel time becoming significant factors in determining the concentration of maternal risk.ConclusionIncidences of child marriages should be restricted. Eradicating factors influencing an individual's decision to seek care would be an essential contribution in excluding the dominant maternal risk factors.

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Impact of credit use on crop productivity and gross income of smallholder farmers: a propensity score matching approach

Lelisho,

Lelisho

2024

Discov Agric

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Background Agriculture is Ethiopia’s principal economic activity, employing the vast majority of the population, however, smallholder farmers in the country face long-standing challenges, including low levels of production, low income, and less credit use. This study aimed to analyze the impact of access to credit on crop productivity and income among small-scale farmers in the study area. Methods We conducted a cross-sectional study from January 1st to 30th, 2022. Primary data were collected from purposely selected seven (7) kebele of the district based on potential users of agricultural credit. Then the impact was investigated by applying the propensity score matching technique. A Probit regression model was used to determine factors associated with credit use. The significance of the variables was decided at a 5% level of significance. Results In our study, a total sample of 347 smallholder farmers were randomly selected, out of which 42.9% were credit-users while 59.1% were non-users. Regarding sources of credit use, Vision Fund was the most commonly used source of credit with 67.8% of users, followed by the Omo Microfinance institution with 22.1%. Sex of the farmer, age of the farmer, existence collateral, farm size, attitude towards risk, extension service, membership in credit institutions, road access, and number of total livestock units in tropical livestock units (TLU) had significant effects on credit use at a 5% level of significance. Moreover, the estimates showed that utilizing credit resulted in a rise in crop productivity in current market value and total yearly income by 19,302.44 and 18,009.63 respectively. Conclusion Our study suggested that credit use had a considerable impact on crop productivity and total annual income. As a result, the study recommended that the government’s rural finance policy agenda should prioritize opening different branches near farmers, improving credit usability, and providing more training programs to smallholder farmers to improve their skills and help reduce the problems that impede their use of agricultural credit.

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Generalized anxiety disorder among mothers attending perinatal services during COVID-19 pandemic: using ordinal logistic regression model

Cited by 6 publications

References 77 publications

Prevalence of Perinatal Anxiety and Related Disorders in Low- and Middle-Income Countries

Prevalence of Perinatal Anxiety and Related Disorders in Low- and Middle-Income Countries

Socio‐demographic and infrastructural variables influencing maternal risk concentration among ever‐married women of reproductive age in rural West Bengal, India

Impact of credit use on crop productivity and gross income of smallholder farmers: a propensity score matching approach

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