Abstract

THE DETERMINANTS OF PERINATAL DEPRESSION (PND) IN TEBET MERDEKA, JAKARTA AND SINDANGBARANG, BOGOR INDONESIA

Objective: Depression during pregnancy and post-partum is more prevalent in low-middle-income countries (LIMCs). The studies are scarce in these countries, especially in South-East Asia region. The aim of our study was to identify determinants of depression among post-partum mothers. Methods: This cross-sectional study was conducted in 2016 among 347 subjects living in three areas in Jakarta and Bogor city, Indonesia. A mother who gave birth within 4 to 16 weeks was included in this study. The perinatal depression (PND) and its determinant were assessed using a structured questionnaire and Edinburgh Postnatal Depression Scale (EPDS). Logistic regression with the level of significance of <0.05 were employed to measure the association between variables. Result: PND proportion was lower in suburb's area compared to the urban. Mothers who perceived their health status as poor health were more likely to develop PND compared to those who felt that their health is on the prime level (Odds ratio, OR= 3.81, 95 % confidence interval [CI] = 1.7 -8.22,  p=0.001). Psychological violence was also strongly correlated to PND. PND had a strong association to mother’s perception of her own health. Conclusion: PND has strong association with mother’s perceived health condition. This result supported previous studies, which suggest that physical health affects depression.