Citation

de Castro F, Place JM, Villalobos A, Allen-Leigh B. Salud Publica Mex. 2015; 57(2): 144-154.

Vernacular Title

Sintomatología depresiva materna en México: prevalencia nacional, atención y perfiles poblacionales de riesgo.

Affiliation

Departamento de Métodos en Salud Pública, Dirección de Salud Reproductiva, Centro de Investigaciones en Salud Poblacional, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.

Copyright

(Copyright © 2015, Instituto Nacional de Salud Publica)

DOI

unavailable

PMID

26235775

Abstract

OBJECTIVE: This study estimates the prevalence of depressive symptomatology (DS) in women with children younger than five years of age, examines detection and care rates and probabilities of developing DS based on specific risk profiles.

MATERIALS AND METHODS: The sample consists of 7 187 women with children younger than five drawn from the Ensanut 2012.

RESULTS: DS prevalence is 19.91%, which means at least 4.6 million children live with mothers who experience depressive symptoms indicative of moderate to severe depression. Rates of detection (17.06%) and care (15.19%) for depression are low. DS is associated with violence (OR=2.34; IC95% 1.06-5.15), having ≥4 children, having a female baby, older age of the last child, low birth weight, food insecurity, and sexual debut <15 years old (p<0.01). Accumulated probability of DS, taking into consideration all risk factors measured, is 69.76%. It could be reduced to 13.21% through prevention efforts focused on eliminating violence, food insecurity, bias against having a female baby, and low birth weight.

CONCLUSIONS: DS is a compelling public health problem in Mexico associated with a well-defined set of risk factors that warrant attention and timely detection at various levels of care.

Language: es