Dataset Information

Qualitative cross-sectional study of the perceived causes of depression in South Asian origin women in Toronto.

ABSTRACT:

Objective

To explore how South Asian origin women in Toronto, Canada, understand and explain the causes of their depression.

Design

Cross-sectional in-depth qualitative interviews.

Setting

Outpatient service in Toronto, Ontario.

Participants

Ten women with symptoms of depression aged between 22 and 65 years of age. Seven were from India, two from Sri Lanka and one from Pakistan. Four were Muslim, three Hindu and three Catholic. Two participants had university degrees, one a high school diploma and seven had completed less than a high school education. Eight were married, one was unmarried and one a widow.

Results

Three main factors emerged from the participant narratives as the causes of depression: family and relationships, culture and migration and socioeconomic. The majority of the participants identified domestic abuse, marital problems and interpersonal problems in the family as the cause of their depression. Culture and migration and socioeconomic factors were considered contributory. None of our study participants reported spiritual, supernatural or religious factors as causes of depression.

Conclusion

A personal-social-cultural model emerged as the aetiological paradigm for depression. Given the perceived causation, psycho-social treatment methods may be more acceptable for South Asian origin women.

SUBMITTER: Ekanayake S

PROVIDER: S-EPMC3282289 | biostudies-literature | 2012

REPOSITORIES: biostudies-literature

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Publications

Qualitative cross-sectional study of the perceived causes of depression in South Asian origin women in Toronto.

Ekanayake Samanthika S Ahmad Farah F McKenzie Kwame K

BMJ open 20120215 1

<h4>Objective</h4>To explore how South Asian origin women in Toronto, Canada, understand and explain the causes of their depression.<h4>Design</h4>Cross-sectional in-depth qualitative interviews.<h4>Setting</h4>Outpatient service in Toronto, Ontario.<h4>Participants</h4>Ten women with symptoms of depression aged between 22 and 65 years of age. Seven were from India, two from Sri Lanka and one from Pakistan. Four were Muslim, three Hindu and three Catholic. Two participants had university degrees ...[more]

PMID: 22337816

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Project description:BACKGROUND:Caesarean section is considered a relatively preferable and safe method of delivery as compared to normal delivery. Since the last decade, its prevalence has increased in both developed and developing countries. In the context of developing countries viz., South Asia (the highest populated region) and South-East Asia (the third-highest populated region), where a significant proportion of home deliveries were reported,however, the preference for, caesarean delivery and its associated factors are not well understood. OBJECTIVE:To study the caesarean delivery in the South and South-East Asian countries and to determine the factors associated with the preference for caesarean delivery. METHODOLOGY:Demographic and Health Survey Data on from ever-married women of nine developing countries of South and South-East Asia viz., Vietnam, India, Maldives, Timor-Leste, Nepal, Indonesia, Pakistan, Bangladesh, and Cambodia have been considered. Both bivariate and binary logistic regression models were used to estimate the propensity of a woman undergoing for caesarean delivery and to assess the influence of maternal socioeconomic characteristics towards the preference for caesarean delivery. RESULTS:Obtained results have shown an inclination of caesarean delivery among urban than rural women and are quite conspicuous, but is found to be underestimated mostly among rural women. Caesarean delivery in general is mostly predisposed among women whose baby sizes are either very large or smaller than average, have a higher level of education and place of delivery is private medical institutions. The logistic regression also revealed the influence of maternal socioeconomic characteristics towards the preference for caesarean delivery. Based on nine South and South-East Asian countries an overall C-section prevalence of 13%, but based on institutional births its increase to 19%. The forest plot demonstrated that a significant inclination of C-section among urban than rural regions. In Meta-Analysis, very high and significant heterogeneity among countries is observed, but confirms that in terms of prevalence of C-section all of the countries follow independent pattern. CONCLUSION:Study of seven urban and four rural regions of nine South and South- East Asian countries showed, a significant inclination towards the caesarean delivery above the more recent outdated WHO recommended an optimal range of 10-15%and are associated maternal socioeconomic characteristics. In order to control unwanted caesarean delivery, the government needs to develop better healthcare infrastructure and along with more antenatal care related schemes to reduce the risks associated with increased caesarean delivery.

Dataset Information

Qualitative cross-sectional study of the perceived causes of depression in South Asian origin women in Toronto.

Objective

Design

Setting

Participants

Results

Conclusion

Publications

Qualitative cross-sectional study of the perceived causes of depression in South Asian origin women in Toronto.

Similar Datasets

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