Influence of parity on the development of depression in Brazilian women
Keywords:Women's health; Parity; Depression; Brazil.
Aim: Analyze the relationship between parity and depression in women of reproductive age interviewed in the National Health Survey, 2013. Methodology: Cross-sectional, population-based study carried out based on data from the Brazilian National Health Survey (PNS) - 2013. Included were records of women in reproductive period, aged between 18 and 49 years, totaling the sample with 15,344 women. Results: There was a statistically significant crude association between parity and depression (PR = 1.32; 95% CI: 1.20 - 1.46). There was also an association between having children with low weight and depression (PR = 1.64; 95% CI: 1.24 - 2.18). Showing that women of older reproductive age and with three children or more are 36 times more likely to report a medical diagnosis of depression, and those who had children with low weight this probability almost doubled. Conclusion: Women of more advanced reproductive age, who had greater parity, were more likely to have depression, with a potential for this condition when they had low birth weight children. Thus, the importance of knowing and understanding the determinants and conditions of health that are associated with the process of vulnerability and female illness is emphasized, in order to implement relevant intervention strategies in the management of depression, at all levels of health care.
Aasheim, V., Waldenström, U., Hjelmstedt, A., Rasmussen, S., Pettersson, H., & Schytt, E. (2012) Associations between advanced maternal age and psychological distress in primiparous women, from early pregnancy to 18 months postpartum. BJOG: An International Journal of Obstetrics & Gynaecology, 119(9), 1108-1116.
Accortt, E. E., Cheadle, A. C., & Schetter, C. D. (2015) Prenatal depression and adverse birth outcomes: an updated systematic review. Maternal and child health journal, 19(6), 1306-1337.
Altemus, M. (2006) Sex differences in depression and anxiety disorders: potential biological determinants. Hormones and behavior, 50(4), 534-538.
Bromet, E., Andrade, L. H., Hwang, I., Sampson, N. A., Alonso, J., De Girolamo, G., ... & Kessler, R. C. (2011) Cross-national epidemiology of DSM-IV major depressive episode. BMC medicine, 9(1), 1-16.
Brunette, M. F., Dean W. (2002) Community mental health care for women with severe mental illness who are parents. Community Mental Health Journal, Heidelberg-Germany, 38 (2), 153-165.
Câmara, S. M. A., Pirkle, C., Moreira, M. A., Vieira, M. C. A., Vafaei, A., & Maciel, Á. C. C. (2015) Early maternal age and multiparity are associated to poor physical performance in middle-aged women from Northeast Brazil: a cross-sectional community based study. BMC women's health, 15(1), 1-10.
Clout, D., & Brown, R. (2015) Sociodemographic, pregnancy, obstetric, and postnatal predictors of postpartum stress, anxiety and depression in new mothers. Journal of Affective Disorders, 188, 60-67.
Costa, D. O., Souza, F. I. S. D., Pedroso, G. C., & Strufaldi, M. W. L. (2018) Mental disorders in pregnancy and newborn conditions: longitudinal study with pregnant women attended in primary care. Ciencia & saude coletiva, 23, 691-700.
Csatordai, S., Kozinszky, Z., Devosa, I., Tóth, É., Krajcsi, A., Sefcsik, T., & Pál, A. (2007) Obstetric and sociodemographic risk of vulnerability to postnatal depression. Patient Education and Counseling, 67(1-2), 84-92.
Damacena, G. N., Szwarcwald, C. L., Malta, D. C., Souza Júnior, P. R. B. D., Vieira, M. L. F. P., Pereira, C. A., ... & Silva Júnior, J. B. D. (2015) The development of the National Health survey in Brazil, 2013. Epidemiologia e Serviços de Saúde, 24, 197-206.
Douma, S. L., Husband, C., O'donnell, M. E., Barwin, B. N., & Woodend, A. K. (2005) Estrogen-related mood disorders: reproductive life cycle factors. Advances in Nursing Science, 28(4), 364-375.
Eutrope, J., Thierry, A., Lempp, F., Aupetit, L., Saad, S., Dodane, C., ... & Rolland, A. C. (2014) Emotional reactions of mothers facing premature births: study of 100 mother-infant dyads 32 gestational weeks. PloS one, 9(8), e104093.
Evenson, R. J., & Simon, R. W. (2005) Clarifying the relationship between parenthood and depression. Journal of health and Social Behavior, 46(4), 341-358.
Figueiredo, B., & Conde, A. (2011) Anxiety and depression symptoms in women and men from early pregnancy to 3-months postpartum: parity differences and effects. Journal of affective disorders, 132(1-2), 146-157.
Golbasi, Z., Kelleci, M., Kisacik, G., & Cetin, A. (2010) Prevalence and correlates of depression in pregnancy among Turkish women. Maternal and child health journal, 14(4), 485-491.
Harpham, T., Reichenheim, M., Oser, R., Thomas, E., Hamid, N., Jaswal, S., ... & Aidoo, M. (2003) Measuring mental health in a cost-effective manner. Health policy and planning, 18(3), 344-349.
Hung, C. H. (2007) The psychosocial consequences for primiparas and multiparas. The Kaohsiung journal of medical sciences, 23(7), 352-360.
Jarde, A., Morais, M., Kingston, D., Giallo, R., MacQueen, G. M., Giglia, L., ... & McDonald, S. D. (2016) Neonatal outcomes in women with untreated antenatal depression compared with women without depression: a systematic review and meta-analysis. JAMA psychiatry, 73(8), 826-837.
Justo, L. P., & Calil, H. M. (2006) Depression: does it affect equally men and women?. Archives of Clinical Psychiatry (São Paulo), 33(2), 74-79.
Koropeckyj-Cox, T., Pienta, A. M., & Brown, T. H. (2007). Women of the 1950s and the “normative” life course: The implications of childlessness, fertility timing, and marital status for psychological well-being in late midlife. The International Journal of Aging and Human Development, 64(4), 299-330.
Lewis, A. J., Austin, E., & Galbally, M. (2016) Prenatal maternal mental health and fetal growth restriction: a systematic review. Journal of developmental origins of health and disease, 7(4), 416-428.
Maragno, L., Goldbaum, M., Gianini, R. J., Novaes, H. M. D., & César, C. L. G. (2006) Prevalence of common mental disorders in a population covered by the Family Health Program (QUALIS) in São Paulo, Brazil. Cadernos de saude publica, 22(8), 1639-1648.
Molina, M. R. A. L., Wiener, C. D., Branco, J. C., Jansen, K., Souza, L. D. M. D., Tomasi, E., ... & Pinheiro, R. T. (2012) Prevalence of depression in users of primary care settings. Archives of Clinical Psychiatry (São Paulo), 39(6), 194-197.
Pabayo, R., Kawachi, I., & Gilman, S. E. (2014) Income inequality among American states and the incidence of major depression. J Epidemiol Community Health, 68(2), 110-115.
Patel, V., Kirkwood, B. R., Pednekar, S., Weiss, H., & Mabey, D. (2006) Risk factors for common mental disorders in women: Population-based longitudinal study. The British Journal of Psychiatry, 189(6), 547-555.
Paykel, E. S. (2008) Basic concepts of depression. Dialogues in Clinical Neuroscience 10 (3), 279-289.
Riolo, S. A., Nguyen, T. A., Greden, J. F., & King, C. A. (2005) Prevalence of depression by race/ethnicity: findings from the National Health and Nutrition Examination Survey III. American journal of public health, 95(6), 998-1000.
Schappin, R., Wijnroks, L., Venema, M. M. U., & Jongmans, M. J. (2013) Rethinking stress in parents of preterm infants: a meta-analysis. PloS one, 8(2), e54992.
Schetter, C. D., & Tanner, L. (2012) Anxiety, depression and stress in pregnancy: implications for mothers, children, research, and practice. Current opinion in psychiatry, 25(2), 141.
Smolen, J. R. & Araújo, E. M. (2017) Raça/cor da pele e transtornos mentais no Brasil: uma revisão sistemática. Ciência & Saúde Coletiva, 22(12), 4021-4030.
Sockol, L. E., & Battle, C. L. (2015) Maternal attitudes, depression, and anxiety in pregnant and postpartum multiparous women. Archives of women's mental health, 18(4), 585-593.
Stoppa, S. R., Malta, D. C., Oliveira, M. M., Lopes, C. S., Menezes, P. R., & Kinoshita, R. T. (2015) Prevalence of self-reported depression in Brazil: 2013 National Health Survey results. Rev Bras Epidemiol [Internet], 170-80.
Stordal, E., Mykletun, A., & Dahl, A. A. (2003) The association between age and depression in the general population: a multivariate examination. Acta psychiatrica scandinavica, 107(2), 132-141.
Van Bussel, J. C., Spitz, B., & Demyttenaere, K. (2006) Women’s Mental Health Before, During, and After Pregnancy: A Population‐Based Controlled Cohort Study. Birth, 33(4), 297-302.
Vanwesenbeeck, I., Ten Have, M., & de Graaf, R. (2014) Associations between common mental disorders and sexual dissatisfaction in the general population. The British Journal of Psychiatry, 205(2), 151-157.
Velez, M. P., Alvarado, B. E., Rosendaal, N., da Câmara, S. M., Belanger, E., Richardson, H., & Pirkle, C. M. (2019) Age at natural menopause and physical functioning in postmenopausal women: the Canadian Longitudinal Study on Aging. Menopause (New York, NY), 26(9), 958.
Viegas, L. M., Silva, G. A., Cecchini, M., Felipe, R., Otta, E., Bussab, V. S. R. (2008) Depressão pós-parto, histórico reprodutivo materno e apoio social. Boletim do Inst Saúde, 9-11.
Vigod, S. N., Villegas, L., Dennis, C. L., & Ross, L. E. (2010) Prevalence and risk factors for postpartum depression among women with preterm and low‐birth‐weight infants: a systematic review. BJOG: An International Journal of Obstetrics & Gynaecology, 117(5), 540-550.
Watson, K. T., Roberts, N. M., & Saunders, M. R. (2012) Factors associated with anxiety and depression among African American and White women. International Scholarly Research Notices, 2012.
Woolhouse, H., Gartland, D., Mensah, F., & Brown, S. J. (2015) Maternal depression from early pregnancy to 4 years postpartum in a prospective pregnancy cohort study: implications for primary health care. BJOG: An International Journal of Obstetrics & Gynaecology, 122(3), 312-321.
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Copyright (c) 2021 Adriana Gomes Magalhães; Damião Ernane de Souza; Wanessa Cristina Tomaz dos Santos Barros; Laiane Santos Eufrásio; Leonildo Santos do Nascimento Júnior; Elizabel de Souza Ramalho Viana
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