Titre :
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Association of Antepartum and Postpartum Depression in Ghanaian and Ivorian Women With Febrile Illness in Their Offspring : A Prospective Birth Cohort Study (2013)
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Auteurs :
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. NAN GUO ;
International Cds Study Group ;
Carola BINDT ;
Department of Epidemiology, Johns Hopkins University (Baltimore MD, Etats-Unis) ;
Marguerite TE BONLE ;
Department of Child and Adolescent Psychiatry, University Medical Center Hamburg-Eppendorf (Hamburg, Allemagne) ;
John APPIAH-POKU ;
Rebecca HINZ ;
Clinical Research Unit, Bernhard Nocht Institute for Tropical Medicine (Hamburg, Allemagne) ;
Dana BARTHEL ;
Mathurin Koffi ;
Sarah POSDZICH ;
Simon DEYMANN ;
Claus BARKMANN ;
Lisa SCHLUTER ;
Anna JAEGER ;
Samuel-Blay NGUAH ;
Kirsten-A EBERHARDT ;
Eliezer N'GORAN ;
Harry TAGBOR ;
Stephan EHRHARDT
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Type de document :
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Article
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Dans :
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American journal of epidemiology (vol. 178, n° 9, 2013)
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Pagination :
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1394-1402
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Langues:
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Anglais
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Mots-clés :
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Dépression postpartum
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Etat dépressif
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Association
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Ghana
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Femme enceinte
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Femme
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Fièvre
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Famille descendante
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Etude prospective
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Enfant
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Comportement maternel
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Grossesse
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Postpartum
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Epidémiologie
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Afrique
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Homme
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Résumé :
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[BDSP. Notice produite par INIST-CNRS 9BqkR0xr. Diffusion soumise à autorisation]. In low-income countries, perinatal depression is common, but longitudinal data on its influence on child health are rare. We examined the association between maternal depression and febrile illness in children. There were 654 mother/child dyads in Ghana and Côte d'Ivoire that were enrolled in a prospective birth cohort in 2010-2011 and underwent 2-years of follow up. Mothers were examined for depression using the Patient Health Questionnaire depression module antepartum and 3 and 12 months postpartum. The hazard of febrile illness in children of depressed and nondepressed mothers was estimated using a recurrent event Cox proportional hazards model. The prevalences of antepartum depression in mothers from Côte d'Ivoire and Ghana were 28.3% and 26.3%, respectively. The prevalences of depression at 3 and 12 months postpartum were 11.8% and 16.1% (Côte d'Ivoire) and 8.9% and 7.2% (Ghana). The crude and adjusted (for country and socioeconomic status) hazard ratios of febrile illness in children of depressed mothers compared with those in children of nondepressed mothers were 1.57 (95% confidence interval : 1.20,2.07) and 1.32 (95% confidence interval : 1.01,1.74) respectively. Perinatal depression was frequent and associated with febrile illness in the offspring. Our results showed that a high prevalence of depression in sub-Saharan Africa may pose a serious public health threat to women and their offspring.
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