Sociocultural practices in Ethiopia: association with onset and persistence of postnatal common mental disorders

Charlotte Hanlon, Girmay Medhin, Atalay Alem, Mesfin Araya, Abdulreshid Abdulahi, Mark Tomlinson, Marcus Hughes, Vikram Patel, Michael Dewey, Martin Prince

Research output: Contribution to journalArticlepeer-review

26 Citations (Scopus)
142 Downloads (Pure)

Abstract

Background:

Traditional perinatal practices may protect against postnatal common mental disorders (CMD) in non-Western societies.

Aims:

To evaluate the association between perinatal practices and postnatal CMD in rural Ethiopia.

Method:

A population-based sample of 1065 women was followed up from pregnancy until 2 months postpartum. Qualitative investigation informed the development of scales measuring attitudes towards and adherence to perinatal practices. Postnatal CMD was measured using the Self-Reporting Questionnaire.

Results:

Endorsement of sociocultural perinatal practices was associated with lower odds of antenatal CMD persisting into the postnatal period (adjusted odds ratio (OR) = 0.66, 95% CI 0.45–0.95). Women who endorsed protective and celebratory perinatal practices but were unable to complete them had increased odds of incident (adjusted OR = 7.26, 95% CI 1.38–38.04) and persistent postnatal CMD (adjusted OR = 2.16, 95% CI 1.11–4.23) respectively.

Conclusions:

There is evidence for an independent role of sociocultural practices in maintaining perinatal mental health in this Ethiopian community.
Original languageEnglish
Pages (from-to)468 - 475
Number of pages8
JournalBritish Journal of Psychiatry
Volume197
Issue number6
DOIs
Publication statusPublished - Dec 2010

Fingerprint

Dive into the research topics of 'Sociocultural practices in Ethiopia: association with onset and persistence of postnatal common mental disorders'. Together they form a unique fingerprint.

Cite this