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Common mental disorders during pregnancy: prevalence and associated factors among low-income women in São Paulo, Brazil

Depression and Anxiety during Pregnancy
  • Alexandre Faisal-CuryEmail author
  • Paulo Menezes
  • Ricardo Araya
  • Marcelo Zugaib
Original Contribution

Abstract

To estimate the prevalence of common mental disorders (CMD) and factors associated with these disorders among pregnant women of low socio-economic status (SES) in São Paulo. We performed a cross-sectional study with 831 women in their 20th to 30th weeks of pregnancy, who were attending antenatal clinics in primary care in São Paulo, Brazil. CMD were assessed with the Clinical Interview Schedule-Revised. Crude and adjusted prevalence ratios and 95%CI were calculated to examine the association between CMD and exposure variables. The prevalence of CMD was 20.2% (95%CI 17.5 to 23.0). Age at current pregnancy and at first delivery, current obstetric complications, not having friends in the community, living in a crowded household, lower occupational status and history of previous psychiatric treatment were all independently associated with increased prevalence of CMD. CMD is highly prevalent among pregnant women of low SES seen in primary care settings in São Paulo. A combination of distal and proximal psychosocial factors increase the risk for CMD. Primary health care professionals need to be aware of how common CMD in such settings and properly trained to deal with CMD during pregnancy.

Keywords

Common mental disorders Pregnancy Risk factors Prevalence 

Notes

Acknowledgements

The study was funded by FAPESP (proc. no. 05/05333-9). PRM was partly funded by the CNPq-Brazil (proc. no. 300747/2005-5). AFC received post-doctoral fellowships from the CNPq-Brazil (proc. no. 509141/2003-0) and FAPESP (proc. no.07/50273-2).

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Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Alexandre Faisal-Cury
    • 1
    Email author
  • Paulo Menezes
    • 1
  • Ricardo Araya
    • 2
  • Marcelo Zugaib
    • 1
  1. 1.University of São PauloSão PauloBrazil
  2. 2.University of BristolBristolUK

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