The association between social support through contacts with Accredited Social Health Activists (ASHAs) and antenatal anxiety among women in Mysore, India: a cross-sectional study
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Bhushan, Nivedita LKrupp, Karl
Jaykrishna, Poornima
Ravi, Kavitha
Khan, Anisa
Shidhaye, Rahul
Kiplagat, Sandra
Srinivas, Vijaya
Madhivanan, Purnima
Affiliation
Univ Arizona, Mel & Enid Zuckerman Coll Publ Hlth, Dept Hlth Promot SciUniv Arizona, Coll Med, Div Infect Dis
Univ Arizona, Coll Med, Dept Family & Community Med
Issue Date
2020-03-07
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SPRINGER HEIDELBERGCitation
Bhushan, N. L., Krupp, K., Jaykrishna, P., Ravi, K., Khan, A., Shidhaye, R., ... & Madhivanan, P. (2020). The association between social support through contacts with Accredited Social Health Activists (ASHAs) and antenatal anxiety among women in Mysore, India: a cross-sectional study. Social Psychiatry and Psychiatric Epidemiology, 1-11.Rights
Copyright © Springer-Verlag GmbH Germany, part of Springer Nature 2020Collection Information
This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.Abstract
Purpose In India, antenatal anxiety prevalence estimates range from 6 to 48%. Social support is strongly associated with mental wellbeing, yet most studies have examined the impact of support from partners and family members rather than peers, community members, or health care providers. This study explores the supportive role of Accredited Social Health Activists (ASHA) contacts for antenatal anxiety. Methods Data were analyzed from the Saving Children, Improving Lives project, a quasi-experimental study conducted among rural, pregnant women in India. Regression models were used to estimate adjusted prevalence ratios (aPRs) and 95% confidence intervals for the relationship frequency of ASHA contacts and antenatal anxiety. Antenatal anxiety was measured using a subscale of the Edinburgh Postnatal Depression Scale. Results The sample consisted of 480 pregnant women. Reported antenatal anxiety prevalence was 27% (95% CI 23%, 31%). Participants who were more frequently visited by ASHAs at home (aPR: 0.90; 95% CI 0.76, 0.98) and more frequently accompanied by ASHAs to their antenatal care visits (aPR: 0.86, 95% CI 0.78, 0.95) were less likely to report antenatal anxiety. ASHA home visits were protective for the most vulnerable women (primigravida and those experiencing domestic violence) and ASHA accompaniment to antenatal care visits was equally protective for all women. Conclusions ASHAs are valued for their contribution towards maternal health education and linking women of reproductive age to healthcare services. Our findings additionally suggest the important role ASHAs play in providing social support to pregnant women, particularly those who are most vulnerable to experiencing antenatal anxiety.Note
12 month embargo; published: 07 March 2020ISSN
0933-7954EISSN
1433-9285PubMed ID
32146484Version
Final accepted manuscriptae974a485f413a2113503eed53cd6c53
10.1007/s00127-020-01854-4
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