Investigating Incidence And Association Between Poverty And Maternal Common Mental Disorders In A Populationbased Cohort Of Pregnant Women Cmamie Study Butajira Ethiopia Retrospective Cohort Study

BackgroundrnMaternal Common Mental Disorders (CMD), including depression and anxiety, are recogniz edrnto have important public health consequences in lowandrnmiddleincomerncountries (LMICs). InrnEthiopia, maternal CMDs have been associated with increased infant diarrhea, impaired childrndevelopment and increased child mortality. Crosssectionalrnstudies show associations betweenrnpoverty and maternal CMD in LMICs, but the temporal relationship is unclear.rnObjectives: the aim of this study was to investigate the association between poverty andrnmaternal CMD, to assess incidence of poverty and maternal CMD.rnMethods: a retrospective cohort study design was conducted. The CMaMiErnstudy recruitedrnpregnant women (aged 15 – 49 years). CMD has been measured using WHO’s SelfReportingrnQ uestionnaire. Poverty was constructed using Mokken scaling procedure during pregnancy andrnhaving two or more subjective poverty report at the follow up time. Poisson and binary logisticrnregression analyses were performed.rnResults: Incidence rates of poverty and CMD were 7 3 .3 9 (9 5 % CI: 5 1 .9 0 1rn0 3 .7 9 ) and 3 5 .3 8rn(9 5 % CI: 2 9 .1 1 4rn2 .9 9 ) per 1 0 0 0 personyearsrnof observation respectively. However, this wasrnnot statistically significant. This study revealed that there was no statistically significant (OR:rn1.15, 95% CI: 0.68 – 1.95) effect of maternal CMD upon poverty but it was found effect ofrnpoverty upon CMD (OR: 1.53, 95%CI: 1.02 – 2.31) . Husbands’ primary education school (OR:rn0.64, 95% CI: 0.44 0.94)rnand seconda ry and above (OR: 0.31 95% CI: 0.15 0.64)rnand poorrnsocial support (OR: 1.70, 95% CI: 1.06 2.75rn) were predicators of poverty. Polygamousrnmarriage (OR: 0 .5 4 , 9 5 % CI: 0 .3 2 – 0 .9 2 ), age group of 2 4 – 3 4 years (OR: 1 .6 9 , 9 5 % CI: 1 .1 1 –rn2 .5 7 ), and maternal health problem (OR: 2 .1 6 , 9 5 % CI: 1 .4 0 – 3 .3 3 ) were predicators of CMD.rnConclusion and Recommendations: there was no significant effect of CMD upon poverty. Onrnthe other way round, there was statistically significant effect of poverty on CMD. Husbands’rneducational level and poor social support were predicators of poverty. Polygamous marriage, agernand physicalillrnhealth were predicators of CMD. The relationship among maternal mentalrnhealth, physicalillrnhealth and poverty could be addressed, this linkage should be brought to thernattention of policy makers in the rural settings and further research is required to investigaternmaternal CMD leads to poverty causality using standardiz ed and valid poverty measure

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