Table 2. Subgroup analysis in the systematic review of the prevalence of postpartum depression, India, 2000–2015.
Study characteristic | No. of women | No. of studies | Pooled prevalence, % (95% CI) | P | P for meta-regression |
---|---|---|---|---|---|
All | 20 043 | 38 | 22 (19–25) | ||
Region | |||||
East | 11911 | 3 | 23 (12-35) | < 0.05 | 0.63 |
West | 1 968 | 9 | 21 (15–28) | 0.66 | |
North | 2 579 | 7 | 15 (10–21) | 0.20 | |
South | 3 062 | 16 | 26 (19–32) | Ref. | |
North-east | 100 | 1 | 18 (10–26) | 0.81 | |
South-west | 423 | 2 | 23 (19–27) | 0.70 | |
Settinga | |||||
Hospital | 11 898 | 29 | 23 (19–28) | < 0.05 | Ref. |
Community | 7 557 | 7 | 17 (13–22) | 0.41 | |
Areaa | |||||
Urban | 11 093 | 24 | 24 (19–29) | < 0.05 | Ref. |
Rural | 8 362 | 12 | 17 (14–21) | 0.16 | |
Study instrument | |||||
EPDS | 12 840 | 29 | 24 (20–28) | < 0.05 | Ref. |
Othersb | 7 203 | 9 | 17 (13–22) | 0.22 | |
Weeks postpartum | |||||
≥ 2 | 11 257 | 30 | 19 (17–22) | < 0.05 | Ref. |
< 2 | 8 599c | 8 | 30 (20–39) | 0.29 | |
Age of participants, yearsd | |||||
≤ 25 | 3 743 | 19 | 20 (16–24) | < 0.05 | Ref. |
> 25 | 15 441 | 15 | 21 (16–26) | 0.25 | |
Study quality score | |||||
≤ 5 | 9 666 | 21 | 22 (18–27) | < 0.05 | Ref. |
> 5 | 10 377 | 17 | 21 (18–25) | 0.59 | |
Publication year | |||||
2000–2005 | 1 387 | 6 | 19 (11–27) | < 0.05 | 0.91 |
2006–2010 | 6 641 | 6 | 27 (23–32) | 0.89 | |
2011–2015 | 12 015 | 26 | 21 (18–24) | Ref. |
CI: confidence interval; EPDS: Edinburgh postnatal depression scale; Ref.: reference category.
a Prabhu51 et al. and Affonso et al.56 did not provide information on study setting.
b Includes diagnostic and statistical manual of mental disorders 4th edition (DSM-IV); 9-item patient health questionnaire; primary care evaluation of mental disorders; Beck depression inventory; M.I.N.I. international neuropsychiatric interview plus DSM-IV; Kessler 10-item scale; and clinical interview schedule‒revised.
c Numbers do not total 20 043 as the number of women varies according to the time of assessment postpartum.
d Dhiman et al.,34 Prakash et al.,36 Manjunath et al.44 and Prabhu et al.51 either did not provide the age of mothers or sufficient data for the analysis.