Global Prevalence of Perinatal Depression and Its Determinants Among Rural Women: A Systematic Review and Meta‐Analysis

作者：Ting Pan, Yi Zeng, Xiaoni Chai, Zhang Wen, Xiangmin Tan, Mei Sun · 发表于：Depression and Anxiety · 年份：2024 · DOI：10.1155/2024/1882604 · 被引用次数：23 · 研究领域：Maternal Mental Health During Pregnancy and Postpartum、Breastfeeding Practices and Influences、Maternal and Perinatal Health Interventions

Background: Perinatal depression (PND) in low‐resource areas is a significant concern that imposes a substantial burden on both families and societies. Although many studies have explored rural PND, there is a lack of systematic synthesis of the existing research. This study aimed to estimate the global prevalence of PND among rural women and to summarize its determinants. Methods: Comprehensively electronic searches were performed across eight English databases. Two reviewers independently assessed the eligibility of the study and extracted the relevant data. Any inconsistencies were resolved through discussion with a third reviewer. Prevalence estimates were calculated using a random‐effects meta‐analysis model. Subgroup analysis, sensitivity analysis, and meta‐regression were employed to examine the source of heterogeneity. In addition, a narrative synthesis of the influence factors reported in the included studies was provided. Results: The search identified 17,810 studies, of which 86 were included in the analyses. The pooled prevalence of PND in rural areas was 22.1% (95% CI 19.0%–25.3%, p < 0.001, I 2 = 99.2%). Subgroup analyses indicated higher PND prevalence in low‐income (24.5%) and lower middle‐income countries (22.8%). Additionally, PND prevalence was greater when assessed using self‐reported screening instruments (22.8%) compared to diagnostic interviews (17.6%). Major risk factors included violence, antenatal psychiatric disorder, low family income, male‐chil...