The Effects of Antenatal Depression and Women’s Perception of Having Poor Health on Maternal Health Service Utilization in Northern Ghana
Objectives To examine the effects of antenatal depression and women’s perceived health during the antenatal period on maternal health service utilization in rural northern Ghana; including how the effect of antenatal depression on service use might be modified by women’s perceived health. Methods Pr...
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Veröffentlicht in: | Maternal and child health journal 2021-11, Vol.25 (11), p.1697-1706 |
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container_title | Maternal and child health journal |
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creator | Kim, Eunsoo Timothy Ali, Mohammed Adam, Haliq Abubakr-Bibilazu, Safiyatu Gallis, John A. Lillie, Margaret Hembling, John McEwan, Elena Baumgartner, Joy Noel |
description | Objectives
To examine the effects of antenatal depression and women’s perceived health during the antenatal period on maternal health service utilization in rural northern Ghana; including how the effect of antenatal depression on service use might be modified by women’s perceived health.
Methods
Probable antenatal depression was assessed using the Patient Health Questionnaire (PHQ-9). Linear regression was used for the outcome of number of antenatal care (ANC) visits, and logistic regression was used for the outcomes of facility delivery, postnatal care (PNC) within 7 days and completion of continuum of care. Continuum of care was defined as having had four or more ANC visits, delivered at a health facility and had PNC visit within 7 days.
Results
Antenatal depression had very small or no association with maternal health service utilization. Women with self-perceived fair or poor health were significantly less likely to use PNC within 7 days and less likely to complete the continuum of care. As for effect modification, we found that for women with probable moderate or severe antenatal depression (a score of 10 or greater), those with perceived fair or poor health used fewer ANC visits and were less likely to use PNC within 7 days than those with perceived excellent, very good or good health.
Conclusions
Women experiencing moderate or severe antenatal depression and/or who self-perceive as having poor health should be identified and targeted for additional support to access and utilize maternal health services. |
doi_str_mv | 10.1007/s10995-021-03216-1 |
format | Article |
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To examine the effects of antenatal depression and women’s perceived health during the antenatal period on maternal health service utilization in rural northern Ghana; including how the effect of antenatal depression on service use might be modified by women’s perceived health.
Methods
Probable antenatal depression was assessed using the Patient Health Questionnaire (PHQ-9). Linear regression was used for the outcome of number of antenatal care (ANC) visits, and logistic regression was used for the outcomes of facility delivery, postnatal care (PNC) within 7 days and completion of continuum of care. Continuum of care was defined as having had four or more ANC visits, delivered at a health facility and had PNC visit within 7 days.
Results
Antenatal depression had very small or no association with maternal health service utilization. Women with self-perceived fair or poor health were significantly less likely to use PNC within 7 days and less likely to complete the continuum of care. As for effect modification, we found that for women with probable moderate or severe antenatal depression (a score of 10 or greater), those with perceived fair or poor health used fewer ANC visits and were less likely to use PNC within 7 days than those with perceived excellent, very good or good health.
Conclusions
Women experiencing moderate or severe antenatal depression and/or who self-perceive as having poor health should be identified and targeted for additional support to access and utilize maternal health services.</description><identifier>ISSN: 1092-7875</identifier><identifier>EISSN: 1573-6628</identifier><identifier>DOI: 10.1007/s10995-021-03216-1</identifier><identifier>PMID: 34405361</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Births ; Child development ; Childrens health ; Depression, Mental ; Gynecology ; Health aspects ; Health attitudes ; Health services ; Health services utilization ; Infant mortality ; Influence ; Life Sciences & Biomedicine ; Maternal & child health ; Maternal and Child Health ; Maternal health services ; Maternal mortality ; Medical care ; Medicine ; Medicine & Public Health ; Mental depression ; Mental health ; Pediatrics ; Perceptions ; Population Economics ; Postpartum period ; Pregnancy ; Prenatal care ; Public Health ; Public, Environmental & Occupational Health ; Science & Technology ; Sociology ; Surveys ; Utilization ; Women ; Womens health</subject><ispartof>Maternal and child health journal, 2021-11, Vol.25 (11), p.1697-1706</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021</rights><rights>COPYRIGHT 2021 Springer</rights><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>1</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000685587400001</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c488t-753d75bfb64f6b7fea6840accfcd26fc6ce7370fbea86c6cb88921c07a6238ee3</citedby><cites>FETCH-LOGICAL-c488t-753d75bfb64f6b7fea6840accfcd26fc6ce7370fbea86c6cb88921c07a6238ee3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10995-021-03216-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10995-021-03216-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,781,785,27929,27930,39262,41493,42562,51324</link.rule.ids></links><search><creatorcontrib>Kim, Eunsoo Timothy</creatorcontrib><creatorcontrib>Ali, Mohammed</creatorcontrib><creatorcontrib>Adam, Haliq</creatorcontrib><creatorcontrib>Abubakr-Bibilazu, Safiyatu</creatorcontrib><creatorcontrib>Gallis, John A.</creatorcontrib><creatorcontrib>Lillie, Margaret</creatorcontrib><creatorcontrib>Hembling, John</creatorcontrib><creatorcontrib>McEwan, Elena</creatorcontrib><creatorcontrib>Baumgartner, Joy Noel</creatorcontrib><title>The Effects of Antenatal Depression and Women’s Perception of Having Poor Health on Maternal Health Service Utilization in Northern Ghana</title><title>Maternal and child health journal</title><addtitle>Matern Child Health J</addtitle><addtitle>MATERN CHILD HLTH J</addtitle><description>Objectives
To examine the effects of antenatal depression and women’s perceived health during the antenatal period on maternal health service utilization in rural northern Ghana; including how the effect of antenatal depression on service use might be modified by women’s perceived health.
Methods
Probable antenatal depression was assessed using the Patient Health Questionnaire (PHQ-9). Linear regression was used for the outcome of number of antenatal care (ANC) visits, and logistic regression was used for the outcomes of facility delivery, postnatal care (PNC) within 7 days and completion of continuum of care. Continuum of care was defined as having had four or more ANC visits, delivered at a health facility and had PNC visit within 7 days.
Results
Antenatal depression had very small or no association with maternal health service utilization. Women with self-perceived fair or poor health were significantly less likely to use PNC within 7 days and less likely to complete the continuum of care. As for effect modification, we found that for women with probable moderate or severe antenatal depression (a score of 10 or greater), those with perceived fair or poor health used fewer ANC visits and were less likely to use PNC within 7 days than those with perceived excellent, very good or good health.
Conclusions
Women experiencing moderate or severe antenatal depression and/or who self-perceive as having poor health should be identified and targeted for additional support to access and utilize maternal health services.</description><subject>Births</subject><subject>Child development</subject><subject>Childrens health</subject><subject>Depression, Mental</subject><subject>Gynecology</subject><subject>Health aspects</subject><subject>Health attitudes</subject><subject>Health services</subject><subject>Health services utilization</subject><subject>Infant mortality</subject><subject>Influence</subject><subject>Life Sciences & Biomedicine</subject><subject>Maternal & child health</subject><subject>Maternal and Child Health</subject><subject>Maternal health services</subject><subject>Maternal mortality</subject><subject>Medical care</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental depression</subject><subject>Mental health</subject><subject>Pediatrics</subject><subject>Perceptions</subject><subject>Population Economics</subject><subject>Postpartum period</subject><subject>Pregnancy</subject><subject>Prenatal care</subject><subject>Public Health</subject><subject>Public, Environmental & Occupational Health</subject><subject>Science & Technology</subject><subject>Sociology</subject><subject>Surveys</subject><subject>Utilization</subject><subject>Women</subject><subject>Womens health</subject><issn>1092-7875</issn><issn>1573-6628</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>GIZIO</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqNkt1qFDEYhgdRbK3egEcBQYQyNZmZ_MzhsrZdoWrBFg9DJvtlN2U22SbZih557hV4e16JmZ1irSwiOcjf83wkH29RPCf4iGDMX0eC25aWuCIlrivCSvKg2CeU1yVjlXiY17itSi443SuexHiFcdZw87jYq5sG05qR_eL7xRLQsTGgU0TeoIlL4FRSPXoD6wAxWu-QcnP0ya_A_fz2I6JzCBrWabjIwkzdWLdA594HNAPVpyXKF-9UguByldujjxBurAZ0mWxvv6qtbB1670NaZhCdLpVTT4tHRvURnt3OB8XlyfHFdFaefTh9O52clboRIpWc1nNOO9OxxrCOG1BMNFhpbfS8YkYzDbzm2HSgBMu7Toi2IhpzxapaANQHxaux7jr46w3EJFc2auh75cBvoqwoqyihrOUZffEXeuU3w8cGShBWU07ZHbVQPUjrjE9B6aGonDAu2oY3lGSq3EEtwEFQvXdgbD6-xx_t4POYw8rqncLLP4TltvPR95uh2_E-WI2gDj7GAEaug12p8EUSLIdoyTFaMkdLbqMlB-lwlD5D503UFpyG32IOFhOUCt7kFR5o8f_01KZtJKZ-41JW61GNGXcLCHc9_8fzfgFc5e-6</recordid><startdate>20211101</startdate><enddate>20211101</enddate><creator>Kim, Eunsoo Timothy</creator><creator>Ali, Mohammed</creator><creator>Adam, Haliq</creator><creator>Abubakr-Bibilazu, Safiyatu</creator><creator>Gallis, John A.</creator><creator>Lillie, Margaret</creator><creator>Hembling, John</creator><creator>McEwan, Elena</creator><creator>Baumgartner, Joy Noel</creator><general>Springer US</general><general>Springer Nature</general><general>Springer</general><general>Springer Nature B.V</general><scope>17B</scope><scope>BLEPL</scope><scope>DVR</scope><scope>EGQ</scope><scope>GIZIO</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20211101</creationdate><title>The Effects of Antenatal Depression and Women’s Perception of Having Poor Health on Maternal Health Service Utilization in Northern Ghana</title><author>Kim, Eunsoo Timothy ; Ali, Mohammed ; Adam, Haliq ; Abubakr-Bibilazu, Safiyatu ; Gallis, John A. ; Lillie, Margaret ; Hembling, John ; McEwan, Elena ; Baumgartner, Joy Noel</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c488t-753d75bfb64f6b7fea6840accfcd26fc6ce7370fbea86c6cb88921c07a6238ee3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Births</topic><topic>Child development</topic><topic>Childrens health</topic><topic>Depression, Mental</topic><topic>Gynecology</topic><topic>Health aspects</topic><topic>Health attitudes</topic><topic>Health services</topic><topic>Health services utilization</topic><topic>Infant mortality</topic><topic>Influence</topic><topic>Life Sciences & Biomedicine</topic><topic>Maternal & child health</topic><topic>Maternal and Child Health</topic><topic>Maternal health services</topic><topic>Maternal mortality</topic><topic>Medical care</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mental depression</topic><topic>Mental health</topic><topic>Pediatrics</topic><topic>Perceptions</topic><topic>Population Economics</topic><topic>Postpartum period</topic><topic>Pregnancy</topic><topic>Prenatal care</topic><topic>Public Health</topic><topic>Public, Environmental & Occupational Health</topic><topic>Science & Technology</topic><topic>Sociology</topic><topic>Surveys</topic><topic>Utilization</topic><topic>Women</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, Eunsoo Timothy</creatorcontrib><creatorcontrib>Ali, Mohammed</creatorcontrib><creatorcontrib>Adam, Haliq</creatorcontrib><creatorcontrib>Abubakr-Bibilazu, Safiyatu</creatorcontrib><creatorcontrib>Gallis, John A.</creatorcontrib><creatorcontrib>Lillie, Margaret</creatorcontrib><creatorcontrib>Hembling, John</creatorcontrib><creatorcontrib>McEwan, Elena</creatorcontrib><creatorcontrib>Baumgartner, Joy Noel</creatorcontrib><collection>Web of Knowledge</collection><collection>Web of Science Core Collection</collection><collection>Social Sciences Citation Index</collection><collection>Web of Science Primary (SCIE, SSCI & AHCI)</collection><collection>Web of Science - Social Sciences Citation Index – 2021</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Maternal and child health journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, Eunsoo Timothy</au><au>Ali, Mohammed</au><au>Adam, Haliq</au><au>Abubakr-Bibilazu, Safiyatu</au><au>Gallis, John A.</au><au>Lillie, Margaret</au><au>Hembling, John</au><au>McEwan, Elena</au><au>Baumgartner, Joy Noel</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Effects of Antenatal Depression and Women’s Perception of Having Poor Health on Maternal Health Service Utilization in Northern Ghana</atitle><jtitle>Maternal and child health journal</jtitle><stitle>Matern Child Health J</stitle><stitle>MATERN CHILD HLTH J</stitle><date>2021-11-01</date><risdate>2021</risdate><volume>25</volume><issue>11</issue><spage>1697</spage><epage>1706</epage><pages>1697-1706</pages><issn>1092-7875</issn><eissn>1573-6628</eissn><abstract>Objectives
To examine the effects of antenatal depression and women’s perceived health during the antenatal period on maternal health service utilization in rural northern Ghana; including how the effect of antenatal depression on service use might be modified by women’s perceived health.
Methods
Probable antenatal depression was assessed using the Patient Health Questionnaire (PHQ-9). Linear regression was used for the outcome of number of antenatal care (ANC) visits, and logistic regression was used for the outcomes of facility delivery, postnatal care (PNC) within 7 days and completion of continuum of care. Continuum of care was defined as having had four or more ANC visits, delivered at a health facility and had PNC visit within 7 days.
Results
Antenatal depression had very small or no association with maternal health service utilization. Women with self-perceived fair or poor health were significantly less likely to use PNC within 7 days and less likely to complete the continuum of care. As for effect modification, we found that for women with probable moderate or severe antenatal depression (a score of 10 or greater), those with perceived fair or poor health used fewer ANC visits and were less likely to use PNC within 7 days than those with perceived excellent, very good or good health.
Conclusions
Women experiencing moderate or severe antenatal depression and/or who self-perceive as having poor health should be identified and targeted for additional support to access and utilize maternal health services.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>34405361</pmid><doi>10.1007/s10995-021-03216-1</doi><tpages>10</tpages></addata></record> |
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source | Web of Science - Social Sciences Citation Index – 2021<img src="https://exlibris-pub.s3.amazonaws.com/fromwos-v2.jpg" />; SpringerLink Journals - AutoHoldings |
subjects | Births Child development Childrens health Depression, Mental Gynecology Health aspects Health attitudes Health services Health services utilization Infant mortality Influence Life Sciences & Biomedicine Maternal & child health Maternal and Child Health Maternal health services Maternal mortality Medical care Medicine Medicine & Public Health Mental depression Mental health Pediatrics Perceptions Population Economics Postpartum period Pregnancy Prenatal care Public Health Public, Environmental & Occupational Health Science & Technology Sociology Surveys Utilization Women Womens health |
title | The Effects of Antenatal Depression and Women’s Perception of Having Poor Health on Maternal Health Service Utilization in Northern Ghana |
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