Migration and perinatal mental health in women from low‐ and middle‐income countries: a systematic review and meta‐analysis

Background Migrant women are at risk of perinatal mental disorders due to stressors experienced before, during and after migration. Objectives This systematic review and meta‐analysis summarises the prevalence, associated factors and interventions for perinatal mental disorders in migrant women from...

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Vydané v:BJOG : an international journal of obstetrics and gynaecology Ročník 124; číslo 5; s. 742 - 752
Hlavní autori: Fellmeth, G, Fazel, M, Plugge, E
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: England Wiley Subscription Services, Inc 01.04.2017
Predmet:
Developing Countries
Female
Humans
Low‐ and middle‐income countries
Maternal Health - statistics & numerical data
Mental disorders
Mental Disorders - epidemiology
Mental Disorders - etiology
mental health
Mental Health - statistics & numerical data
Meta-analysis
Migration
Obstetrics
postpartum
Postpartum Period
Poverty
Pregnancy
Prevalence
refugee
Risk Factors
Transients and Migrants - psychology
migration
postpartum
Low- and middle-income countries
mental health
refugee
pregnancy
ISSN:1470-0328, 1471-0528, 1471-0528
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Shrnutí:Background Migrant women are at risk of perinatal mental disorders due to stressors experienced before, during and after migration. Objectives This systematic review and meta‐analysis summarises the prevalence, associated factors and interventions for perinatal mental disorders in migrant women from low‐ and middle‐income countries (LMIC). Search Strategy We systematically searched nine electronic databases and the grey literature using a predefined search strategy. Selection Criteria Studies were included if they assessed pregnant or postpartum migrants from LMIC, used a structured tool and a case‐control, cross‐sectional, cohort or intervention study design. Data collection and analysis Data was double‐extracted. We calculated pooled prevalence of depression and weighted mean anxiety and depression scores. We calculated crude odds ratios from risk factor studies and summarised intervention studies descriptively. Main results Forty studies were identified from 10 123 references. Pooled prevalence was 31% [95% condidence interval (CI) 23%–40%] for any depressive disorder and 17% (95% CI 12–23%) for major depressive disorder. Previous depression and lower social support were associated with perinatal depression. There were insufficient data to assess the burden of anxiety, post‐traumatic stress disorder or psychosis in this population. Conclusions One in three migrant women from LMIC experiences symptoms of perinatal depression. Social support is an important protective factor. Evidence on LMIC women relocating to other LMIC is lacking. Given the adverse consequences of perinatal mental illness on women and their children, further research in low‐resource settings is a priority. Tweetable One in three migrant women from low‐ and middle‐income countries has symptoms of perinatal depression. Tweetable One in three migrant women from low‐ and middle‐income countries has symptoms of perinatal depression.
Bibliografia:This article is commented on by DE Stewart, p. 753 in this issue. To view this mini commentary visit
http://dx.doi.org/10.1111/1471-0528.14279
This article has journal club questions by EYL Leung, p. 754 in this issue. To view these visit
Linked article
http://dx.doi.org/10.1111/1471-0528.14225
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ISSN:1470-0328
1471-0528
1471-0528
DOI:10.1111/1471-0528.14184