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Ozdemir J, Ozcan S. Do postpartum insomnia, fatigue and depression affect the maternal role of primiparous women? Women Health 2023; 63:837-846. [PMID: 37919971 DOI: 10.1080/03630242.2023.2276150] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2022] [Accepted: 10/22/2023] [Indexed: 11/04/2023]
Abstract
Many factors negatively affect the motherhood role. Fatigue, insomnia and depression, which are among these factors, have not been investigated together in any study. Therefore, we carried out this study to determine the effect of insomnia, fatigue and depressive symptoms on the motherhood role in primiparous mothers. In this descriptive and cross-sectional study, we included 153 women who met the inclusion criteria using the simple, random sampling method. To determine the independent variables affecting the motherhood role, we used the backward regression model. In this study, we determined that the women's spending more energy while they performed the activities of daily living in the postpartum period, their suffering from insomnia due to baby care and their depressive symptoms affected their motherhood role by 32.6 percent. We also determined that there was a moderately significant relationship between insomnia, fatigue and depressive symptoms in the postpartum period. In particular, because depressive symptoms are the variable most related with the motherhood role (r = -0.520; p < .001), women should be followed-up regularly in the postpartum period from this aspect. It is also important to deal with insomnia in the early postpartum period, because it is a common problem in most women after childbirth.
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Affiliation(s)
- Jale Ozdemir
- Health Sciences University, Bursa Yüksek Ihtisas Training and Research Hospital Neonatal Intensive Care Unit, Bursa, Turkey
| | - Sadiye Ozcan
- Department of Obstetrics & Gynecological Nursing, Yalova University Faculty of Health Sciences, Yalova, Turkey
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Hadush F, Tsegaye D, Legass SA, Abebe E, Zenu S. Factors contributing to the high prevalence of intimate partner violence among south Sudanese refugee women in Ethiopia. BMC Public Health 2023; 23:1418. [PMID: 37488592 PMCID: PMC10367380 DOI: 10.1186/s12889-023-16343-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2023] [Accepted: 07/18/2023] [Indexed: 07/26/2023] Open
Abstract
BACKGROUND Intimate partner violence is a universally occurring form of violence against women which is perpetrated by a husband or other intimate partner. It is a common public health problem during humanitarian crisis. Despite this, little is known about the problem among South Sudanese refugee women in Ethiopia. OBJECTIVE This study aimed to determine the prevalence of intimate partner violence and identify its contributing factors among married refugee women in Pinyudo refugee camp, Gambella, Ethiopia in 2021. METHODS A community-based cross-sectional study was conducted from March to June 2021. A random sample of 406 refugee women was included in the study. A structured, pretested, and interviewer-administered questionnaire was used to collect the data. Data were entered into epi-data version 3.1 and exported to SPSS version 22 for analysis. Multivariable logistic regression was run to identify factors associated with intimate partner violence. Statistical significance was affirmed using Adjusted Odds Ratio with its 95% Confidence Interval at a p-value ≤ 0.05. RESULTS A total of 406 married refugee women participated in the study making a response rate of 96.2%. The overall prevalence of intimate partner violence in the past 12 months was 48.3% 95% CI= (43.6-53.2). Low-income contribution [AOR = 2.4, 95% CI: 1.2-5.5], and attitudinal acceptance [AOR = 2.1, 95%CI: 1.2-3.8] were significantly associated with the problem. CONCLUSION The prevalence of intimate partner violence is alarmingly high as half of participating women reported facing the problem in the year preceding the study. Low-income contribution and attitudinal acceptance were associated with a higher probability of experiencing violence. The government, humanitarian organizations, and other stakeholders should enable refugee women to generate income. There should be continuous women empowerment and behavioral interventions to improve refugee women's attitudes towards intimate partner violence.
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Affiliation(s)
- Filmawit Hadush
- Gender Coordinator at the Plan International, Gambella, Ethiopia
| | - Dereje Tsegaye
- Department of Public Health, College of Health Sciences, Mattu University, Mettu, Ethiopia
| | | | - Endegena Abebe
- Department of Biomedical Sciences, College of Health Sciences, Mattu University, Mettu, Ethiopia
| | - Sabit Zenu
- Department of Public Health, College of Health Sciences, Mattu University, Mettu, Ethiopia.
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Rees S, Mohsin M, Moussa B, Fisher J, Steel Z, Nadar N, Hassoun F, Khalil B, Youssef M, Krishna Y. Cohort profile: intimate partner violence and mental health among women from refugee background and a comparison group of Australian-born - the WATCH cohort study. BMJ Open 2022; 12:e051887. [PMID: 35534066 PMCID: PMC9086637 DOI: 10.1136/bmjopen-2021-051887] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
PURPOSE The Women Aware with Their Children study was created because prospective data are required to accurately guide prevention programmes for intimate partner violence (IPV) and to improve the mental health and resettlement trajectories of women from refugee backgrounds in Australia. PARTICIPANTS 1335 women (685 consecutively enrolled from refugee backgrounds and 650 randomly selected Australian-born) recruited during pregnancy from three public antenatal clinics in Sydney and Melbourne, Australia. The mean age was 29.7 years among women from refugee backgrounds and 29.0 years among women born in the host nation. Main measures include IPV, mood, panic, post-traumatic stress disorder, disability and living difficulties. FINDINGS TO DATE Prevalence of IPV at all three time points is significantly higher for refugee-background women. The trend data showed that reported IPV rates among Australian-born women increased from 25.8% at time 1 to 30.1% at time 3, while for refugee-background women this rate declined from 44.4% at time 1 to 42.6% at time 3. Prevalence of major depressive disorder (MDD) at all three time points is higher for refugee-background women. MDD among Australian-born women significantly declined from 14.5% at time 1 to 9.9% at time 3, while for refugee-background women it fluctuated from 25.1% at time 1 to 17.3% at time 2 and to 19.1% at time 3. FUTURE PLANS We are currently examining trajectories of IPV and mental disorder across four time points. Time 4 occurred during the COVID-19 pandemic, enabling a unique opportunity to examine the impacts of the pandemic over time. Time 5 started in August 2021 and time 6 will begin approximately 12 months later. The children at time 5 are in the early school years, providing the capacity to examine behaviour, development and well-being of the index child.
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Affiliation(s)
- Susan Rees
- Discipline of Psychiatry, School of Clinical Medicine, Faculty of Medicine, University of New South Wales, Kensington Campus, Sydney, New South Wales, Australia
| | - Mohammed Mohsin
- Discipline of Psychiatry, School of Clinical Medicine, Faculty of Medicine, University of New South Wales, Kensington Campus, Sydney, New South Wales, Australia
- Mental Health Research Unit, Liverpool Hospital, Sydney, New South Wales, Australia
| | - Batool Moussa
- Discipline of Psychiatry, School of Clinical Medicine, Faculty of Medicine, University of New South Wales, Kensington Campus, Sydney, New South Wales, Australia
| | - Jane Fisher
- Global and Women's Health Unit, Public Health and Preventive Medicine, Monash University, Clayton, Victoria, Australia
| | - Zachary Steel
- Discipline of Psychiatry, School of Clinical Medicine, Faculty of Medicine, University of New South Wales, Kensington Campus, Sydney, New South Wales, Australia
| | - Nawal Nadar
- Discipline of Psychiatry, School of Clinical Medicine, Faculty of Medicine, University of New South Wales, Kensington Campus, Sydney, New South Wales, Australia
| | - Fatima Hassoun
- Discipline of Psychiatry, School of Clinical Medicine, Faculty of Medicine, University of New South Wales, Kensington Campus, Sydney, New South Wales, Australia
| | - Batoul Khalil
- Discipline of Psychiatry, School of Clinical Medicine, Faculty of Medicine, University of New South Wales, Kensington Campus, Sydney, New South Wales, Australia
| | - Mariam Youssef
- Discipline of Psychiatry, School of Clinical Medicine, Faculty of Medicine, University of New South Wales, Kensington Campus, Sydney, New South Wales, Australia
| | - Yalini Krishna
- Discipline of Psychiatry, School of Clinical Medicine, Faculty of Medicine, University of New South Wales, Kensington Campus, Sydney, New South Wales, Australia
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