Thesis (MA (Psychology))--University of Stellenbosch, 2010. / ENGLISH ABSTRACT: The purpose of this study was to determine the prevalence of antenatal distress in Cape Town periurban
settlements, and the social factors associated with it in this population. Participants were 756
pregnant women from Khayelitsha and Mfuleni, Cape Town. Each women was interviewed in her
home language using a structured questionnaire which included the Edinburgh Postnatal
Depression Scale (EPDS), measures for social support and alcohol use, and questions concerning
socio-demographics, intimate partner violence, and the current pregnancy. A threshold score of 14
and above on the EPDS was used to determine antenatal distress. Data were analysed using
descriptive statistics and bivariate analysis initially, followed by multivariate logistical regression.
Results indicated a prevalence of 46% for antenatal distress, which is substantially greater than the
prevalence found in high income countries. Women in their first trimester of pregnancy were more
likely to experience antenatal distress than were women in their second and third trimesters. The
strongest predictors of antenatal distress were poor partner support, intimate partner violence and
having a household income below R2000 per month. The high prevalence found in this study has
harmful implications for infant health in South Africa, and is reason to suggest that early screening
and intervention is crucial. More research is needed to develop and evaluate the effectiveness and
scalability of community-based interventions for maternal depression in South African peri-urban
settlements, as well as to establish the specific infant outcomes of antenatal distress in this
population. / AFRIKAANSE OPSOMMING: Hierdie studie het ten doel om die voorkoms van voorgeboorteangs in buitestedelike nedersettings
in Kaapstad te bepaal, sowel as die maatskaplike faktore wat met voorgeboorteangs by dié
populasie verband hou. Die studiedeelnemers was 756 swanger vroue van Khayelitsha en Mfuleni,
Kaapstad. ʼn Gestruktureerde vraelys is gebruik om met elke vrou ʼn onderhoud in haar huistaal te
voer. Die vraelys het die Edinburg-nageboortedepressieskaal (EPDS), maatstawwe vir maatskaplike
steun en alkoholgebruik, en vrae oor sosiodemografie, bedmaatgeweld en die vrou se huidige
swangerskap ingesluit. ʼn Drempeltelling van 14 en hoër op die EPDS is gebruik om
voorgeboorteangs te bepaal. Die data is aanvanklik met behulp van beskrywende statistiek en
tweeveranderlike analise ontleed, waarna dit aan meerveranderlike logistiese regressie onderwerp
is. Studieresultate toon ʼn 46%-voorkoms van voorgeboorteangs, wat beduidend hoër is as dié in
hoëinkomstelande. Vroue in hul eerste trimester van swangerskap blyk meer geneig te wees om
voorgeboorteangs te ervaar as vroue in hul tweede en derde trimester. Die sterkste voorspellers van
voorgeboorteangs is swak ondersteuning van lewensmaats, bedmaatgeweld en ʼn huishoudelike
inkomste onder R2 000 per maand. Die hoë voorkomssyfer van voorgeboorteangs waarop die
studie dui, het nadelige implikasies vir babagesondheid in Suid-Afrika, en maak vroeë toetsing en
ingryping noodsaaklik. Verdere navorsing word vereis om die doeltreffendheid en skaleerbaarheid
van gemeenskapsgegronde ingrypings vir moederdepressie in Suid-Afrikaanse buitestedelike
nedersettings te ontwikkel en te beoordeel, sowel as om die bepaalde uitwerkings van
voorgeboorteangs op pasgeborenes in dié populasie te bepaal
| Identifer | oai:union.ndltd.org:netd.ac.za/oai:union.ndltd.org:sun/oai:scholar.sun.ac.za:10019.1/5324 |
| Date | 12 1900 |
| Creators | Hartley, Mary |
| Contributors | Tomlinson, Mark, University of Stellenbosch. Faculty of Arts and Social Sciences. Dept. of Psychology. |
| Publisher | Stellenbosch : University of Stellenbosch |
| Source Sets | South African National ETD Portal |
| Language | en_ZA |
| Detected Language | Unknown |
| Type | Thesis |
| Format | ix, 91 p. |
| Rights | University of Stellenbosch |
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