AI Article Synopsis
- Adolescent parenthood can lead to serious mental health issues like depression and substance abuse, highlighting the need for understanding these risks in pregnant teens, especially in Nairobi, Kenya.
- A survey of 153 pregnant adolescents revealed that 43.1% showed signs of depression, with key risk factors including school attendance, intimate partner violence, and family substance use.
- The study's limitations include its cross-sectional design and the lack of local validation for the depression screening tool used, stressing the need for improved mental health screening in health services for adolescents.
Article Abstract
Background: Adolescent parenthood can be associated with a range of adverse outcomes for young mothers such as depression, substance abuse, and posttraumatic stress disorder. Identification of depression and understanding risk factors among pregnant adolescents is important for development of appropriate interventions and programs focused on adolescent mental health. This paper reports on the findings of the prevalence of depression and its associated risk factors among pregnant adolescents in Nairobi, Kenya.
Methods: We recruited 153 pregnant adolescent (14-18 years) who were accessing maternal health services in one of two Nairobi County primary health care facilities in the cross-sectional survey conducted in 2021. The Patient Health Questionnaire 9 was used to screen for depression. Multivariate Stepwise linear regression modelling was used to identify key predictors of depression.
Results: Using a cut off of 10 and above on PHQ-9, we found that 43.1% of the respondents were depressed. Depressive symptoms in were independently associated with being in school, experience of intimate partner violence, substance use within the family and having experienced pressure to use substances by family or peers.
Limitations: Cross-sectional by design and the applications of our findings are limited to settings that are similar to our study population. The PHQ-9 used has not been psychometrically validated locally in this sample.
Conclusion: We found a high prevalence of depressive symptoms among respondents. These risk factors identified merit further investigation. Comprehensive mental health screening needs to be integrated in primary and community health services on the possible presence of depression.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10038142 | PMC |
| http://dx.doi.org/10.1016/j.jadr.2022.100424 | DOI Listing |
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