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dc.contributor.authorBhushan, Nivedita L
dc.contributor.authorKrupp, Karl
dc.contributor.authorJaykrishna, Poornima
dc.contributor.authorRavi, Kavitha
dc.contributor.authorKhan, Anisa
dc.contributor.authorShidhaye, Rahul
dc.contributor.authorKiplagat, Sandra
dc.contributor.authorSrinivas, Vijaya
dc.contributor.authorMadhivanan, Purnima
dc.date.accessioned2020-10-03T00:55:28Z
dc.date.available2020-10-03T00:55:28Z
dc.date.issued2020-03-07
dc.identifier.citationBhushan, 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.en_US
dc.identifier.issn0933-7954
dc.identifier.pmid32146484
dc.identifier.doi10.1007/s00127-020-01854-4
dc.identifier.urihttp://hdl.handle.net/10150/647619
dc.description.abstractPurpose 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.en_US
dc.language.isoenen_US
dc.publisherSPRINGER HEIDELBERGen_US
dc.rightsCopyright © Springer-Verlag GmbH Germany, part of Springer Nature 2020.en_US
dc.rights.urihttp://rightsstatements.org/vocab/InC/1.0/en_US
dc.subjectAntenatal anxietyen_US
dc.subjectCommunity Health Workersen_US
dc.subjectSocial supporten_US
dc.titleThe association between social support through contacts with Accredited Social Health Activists (ASHAs) and antenatal anxiety among women in Mysore, India: a cross-sectional studyen_US
dc.typeArticleen_US
dc.identifier.eissn1433-9285
dc.contributor.departmentUniv Arizona, Mel & Enid Zuckerman Coll Publ Hlth, Dept Hlth Promot Scien_US
dc.contributor.departmentUniv Arizona, Coll Med, Div Infect Disen_US
dc.contributor.departmentUniv Arizona, Coll Med, Dept Family & Community Meden_US
dc.identifier.journalSocial psychiatry and psychiatric epidemiologyen_US
dc.description.note12 month embargo; published: 07 March 2020en_US
dc.description.collectioninformationThis 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.en_US
dc.eprint.versionFinal accepted manuscripten_US
dc.source.journaltitleSocial psychiatry and psychiatric epidemiology
dc.source.countryUnited States
dc.source.countryUnited States
dc.source.countryGermany


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