Migration and perinatal mental health in women from low- and middle-income countries: a systematic review and meta-analysis
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 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 abstract: one in three migrant women from low- and middle-income countries has symptoms of perinatal depression.
Developing Countries, Female, Humans, Maternal Health/statistics & numerical data, Mental Disorders/epidemiology, Mental Health/statistics & numerical data, Postpartum Period, Poverty, Pregnancy, Prevalence, Risk Factors, Transients and Migrants/psychology
742-752
Fellmeth, G.
786764b9-02d3-4769-b93a-1a6da4780d8c
Fazel, M.
da200c51-fc5b-4be9-8cf3-e3c4435103d0
Plugge, E.
b64d2086-6cf2-4fae-98bf-6aafa3115b35
April 2017
Fellmeth, G.
786764b9-02d3-4769-b93a-1a6da4780d8c
Fazel, M.
da200c51-fc5b-4be9-8cf3-e3c4435103d0
Plugge, E.
b64d2086-6cf2-4fae-98bf-6aafa3115b35
Fellmeth, G., Fazel, M. and Plugge, E.
(2017)
Migration and perinatal mental health in women from low- and middle-income countries: a systematic review and meta-analysis.
BJOG: An International Journal of Obstetrics & Gynaecology, 124 (5), .
(doi:10.1111/1471-0528.14184).
Abstract
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 abstract: one in three migrant women from low- and middle-income countries has symptoms of perinatal depression.
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More information
Accepted/In Press date: 15 May 2016
Published date: April 2017
Keywords:
Developing Countries, Female, Humans, Maternal Health/statistics & numerical data, Mental Disorders/epidemiology, Mental Health/statistics & numerical data, Postpartum Period, Poverty, Pregnancy, Prevalence, Risk Factors, Transients and Migrants/psychology
Identifiers
Local EPrints ID: 485263
URI: http://eprints.soton.ac.uk/id/eprint/485263
ISSN: 1470-0328
PURE UUID: b423a633-5046-431f-8fd4-4a1afd192d54
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Date deposited: 01 Dec 2023 17:50
Last modified: 11 Jul 2024 02:06
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Author:
G. Fellmeth
Author:
M. Fazel
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