The disability associated with depression and its impact on maternal and child health has important implications for public health policy. While the prevalence of postnatal depression is high, there are no prevalence data on antenatal depression in South Africa. The purpose of this study was to determine the prevalence and correlates of depressed mood in pregnancy in Cape Town peri-urban settlements.

This study reports on baseline data collected from the Philani Mentor Mothers Project, a community-based, cluster-randomized controlled trial on the outskirts of Cape Town, South Africa. The PMMP aims to evaluate the effectiveness of a home-based intervention for preventing and managing illnesses related to HIV, TB, alcohol use and malnutrition in pregnant mothers and their infants. Participants were 1062 pregnant women from Khayelitsha and Mfuleni, Cape Town. Measures included the Edinburgh Postnatal Depression Scale (EPDS), the Derived AUDIT-C, indices for social support with regards to partner and parents, and questions concerning sociodemographics,intimate partner violence, and the current pregnancy. Data were analysed using bivariate analyses followed by logistic regression.

Authors: Mary Hartley (Department of Psychology, Stellenbosch University, Matieland, Stellenbosch, South Africa), Mark Tomlinson, PhD, (Department of Psychology, Stellenbosch University, Matieland, Stellenbosch, South Africa), Erin Greco (Semel Institute for Neuroscience and Human Behavior, Center for Community Health, University of California, Los Angeles, USA),  W Scott Comulada (Semel Institute for Neuroscience and Human Behavior, Center for Community Health, University of California, Los Angeles, USA), Jacqueline Stewart ((Department of Psychology, Stellenbosch University, Matieland, Stellenbosch, South Africa) , Ingrid Le Roux, MD, (Philani Maternal, Child Health and Nutrition Programme, Elonwabeni, Cape Town, South Africa), Nokwanele Mbewu (Philani Maternal, Child Health and Nutrition Programme, Elonwabeni, Cape Town, South Africa), Mary Jane Rotheram-Borus, PhD (Department of Psychiatry and Biobehavioral Sciences, Semel Institute, University of California at Los Angeles).

To the access the full report, please contact svetlana@ilifalabantwana.co.za or markt@sun.ac.za.

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