title: Depression during pregnancy: prevalence and risk factors among women attending a public health clinic in Rio de Janeiro, Brazil.
abstract: Depression is the most prevalent psychiatric disorder during pregnancy and is associated with psychosocial and clinical obstetric factors. Despite being an important public health issue, there are few studies about this issue in Brazil. A cross-sectional study was carried out, involving 331 pregnant women attending a public primary health service over a one-year period in Rio de Janeiro city, Brazil. Participants were interviewed about their socio-demographic status, obstetric/medical conditions, life events and violence during pregnancy. Depression was assessed using the Composite International Development Interview. The prevalence of depression during pregnancy was 14.2% (95%CI: 10.7-18.5) and associated factors included: previous history of depression and any psychiatric treatment, unplanned pregnancy, serious physical illness and casual jobs. These data emphasize the need for screening for depression and its risk factors during pregnancy in settings where care is available. Psychosocial interventions and social policies need to be devised for this population.
authors.affiliation: Instituto de Estudos em Saúde Coletiva, Universidade Federal do Rio de Janeiro, Praça Jorge Machado Moreira, Cidade Universitária, Rio de Janeiro, RJ, Brazil. priscilakrauss@ig.com.br
authors.forename: Priscila Krauss
authors.initials: PK
authors.lastname: Pereira
authors.forename: Giovanni Marcos
authors.initials: GM
authors.lastname: Lovisi
authors.forename: Daniel L
authors.initials: DL
authors.lastname: Pilowsky
authors.forename: Lúcia Abelha
authors.initials: LA
authors.lastname: Lima
authors.forename: Leticia Fortes
authors.initials: LF
authors.lastname: Legay
mesh_terms: D000293:Adolescent; D000328:Adult; D001938:Brazil / Q000453:epidemiology; D002648:Child; D003863:Depression / Q000453:epidemiology* / Q000523:psychology; D004812:Epidemiologic Methods; D005260:Female; D006305:Health Status Indicators; D006801:Humans; D008427:Maternal Health Services / Q000706:statistics & numerical data*; D008429:Maternal Welfare; D009035:Mothers / Q000523:psychology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology* / Q000523:psychology; D011295:Prenatal Care; D012959:Socioeconomic Factors; D016387:Women's Health; D055815:Young Adult