[Prevalence of postnatal depression in women attending public hospitals in Durango, Mexico]. / Prevalencia de depresión posnatal en mujeres atendidas en hospitales públicos de Durango, México.

OBJECTIVE: To determine the prevalence of postnatal depression and associated epidemiological features in a population of women from Durango, Mexico. METHODS: Applying a cross-sectional design in public hospitals from Durango, we studied 178 women during their 1 to 13 weeks postpartum. The Edinburg Postnatal Depression Scale was applied and depression was evaluated by using the DSM-IV criteria. In addition, socio-demographic, clinical, and psychosocial data from participants were obtained. RESULTS: Of the 178 women, 58 were depressed (32.6%). The prevalence of depression was significantly higher in women with low level of education, with more than 3 years of living with her partner, and in rural, non-insured women. Multivariate analysis showed that postnatal depression was significantly associated with previous depression, history of postnatal depression, depression, anxiety and stress during pregnancy, stress after pregnancy, trauma, bad relationship with partner, abandonment by partner, unwanted pregnancy, family problems, and living without partner. CONCLUSIONS: The prevalence of postnatal depression in women living in Durango, Mexico, is high. Several socio-demographic, clinical, and psychosocial factors appear to contribute to this condition.

Prevalence of dementia and Alzheimer's disease in elders of nursing homes and a senior center of Durango City, Mexico.

BACKGROUND: Epidemiological reports about dementia and Alzheimer's disease (AD) in elderly people from developing countries are scarce. Therefore, we sought to determine the prevalences of dementia and AD in a population of nursing home residents and senior center attendees of Durango City, Mexico, and to determine whether any socio-demographic characteristics from the subjects associated with dementia or AD exist. METHODS: One hundred and fifty-five residents of two nursing homes and 125 attendees of a senior center were examined for dementia and Alzheimer's disease. All subjects were tested by the mini-mental state examination, and those who scored twenty-four or less underwent psychiatric and neurological evaluations. Diagnosis of dementia, AD and vascular dementia (VaD) was based on the DSM-IV criteria. Socio-demographic characteristics from each participant were also obtained. RESULTS: Residents of nursing homes found to suffer from dementia were 25 out of 155 (16.1%). Eighteen of them (11.6%) had AD, and seven (4.5%) had VaD. None of the attendees of the senior center suffered from dementia. Dementia (pooled AD and VaD cases) correlated with white ethnicity (OR = 3.2; 95%CI = 1.28-8.31), and a history of unemployment (OR = 6.46; 95%CI = 1.42-25.97), while AD correlated with journeymen occupations (OR = 4.55; 95%CI = 1.00-19.29). CONCLUSION: Prevalence of dementia in residents of nursing homes found in this study is much lower than reported from more industrialized countries. AD was more frequent than VaD. Ethnicity and occupation showed effects on the prevalence figures. The prevalence of dementia found has implications for the optimum kind of health care that nursing homes should provide to their residents.

Prevalencia de depresión posnatal en mujeres atendidas en hospitales públicos de Durango, México / Prevalence of postnatal depression in women attending public hospitals in Durango, Mexico

Objetivo: Determinar la prevalencia de depresión posnatal y las características epidemiológicas asociadas en una población de mujeres en Durango, México. Métodos: Mediante estudio transversal en hospitales públicos de Durango, se estudiaron 178 mujeres con una a 13 semanas posparto. Se les aplicó la Escala de Depresión Posnatal de Edinburgh, y la depresión se evaluó utilizando los criterios del DSM-IV. Además, se obtuvieron datos sociodemográficos, clínicos y psicosociales de las participantes. Resultados: De 178 mujeres, 58 se encontraban deprimidas (32.6 %). Se observaron frecuencias significativamente mayores de depresión en mujeres con escasa escolaridad, con más de tres años de vida con su pareja, no aseguradas y residentes del medio rural. El análisis multivariado mostró que la depresión posnatal se asoció significativamente con depresión previa, antecedente de depresión posnatal, depresión, ansiedad y estrés durante el embarazo, estrés después del embarazo, trauma, mala relación o abandono de la pareja, embarazo no deseado, problemas familiares, y vivir sin la pareja. Conclusiones: La prevalencia de la depresión posnatal en las mujeres estudiadas fue alta. Diversos factores sociodemográficos, clínicos y psicosociales contribuyeron a la depresión.

OBJECTIVE: To determine the prevalence of postnatal depression and associated epidemiological features in a population of women from Durango, Mexico. METHODS: Applying a cross-sectional design in public hospitals from Durango, we studied 178 women during their 1 to 13 weeks postpartum. The Edinburg Postnatal Depression Scale was applied and depression was evaluated by using the DSM-IV criteria. In addition, socio-demographic, clinical, and psychosocial data from participants were obtained. RESULTS: Of the 178 women, 58 were depressed (32.6%). The prevalence of depression was significantly higher in women with low level of education, with more than 3 years of living with her partner, and in rural, non-insured women. Multivariate analysis showed that postnatal depression was significantly associated with previous depression, history of postnatal depression, depression, anxiety and stress during pregnancy, stress after pregnancy, trauma, bad relationship with partner, abandonment by partner, unwanted pregnancy, family problems, and living without partner. CONCLUSIONS: The prevalence of postnatal depression in women living in Durango, Mexico, is high. Several socio-demographic, clinical, and psychosocial factors appear to contribute to this condition.