Interactions among alcohol dependence, perinatal common mental disorders and violence in couples in rural Vietnam: a cross-sectional study using structural equation modeling

摘要: Background: There is increasing recognition that perinatal common mental disorders (PCMDs) are prevalent in women low and lower-middle income countries emerging evidence PCMDs alcohol abuse occur men these settings. Domestic violence associated with both men. The aim of this study was to examine the relationships among PCMDs, domestic couples a rural, low-income setting. Methods: A cross-sectional, population-based undertaken randomly selected communes Ha Nam Hanoi, Vietnam. All sites who were at least 28 weeks pregnant or mothers 4 – 6 week old babies recruitment period eligible. husbands consented join also invited participate. Data sources study-specific questions standardised measures: assessed by psychiatrist-administered Structured Clinical Interviews for DSM IV disorders, dependence (AD) CAGE questionnaire (cut-off ≥2). Structural Equation Modeling used test direct, indirect mutual simultaneously hypothesised model. Results: In total 364/392 (93%) eligible agreed Of these, 360 married, 230 (64%) their participated yield sample analyses. Overall, 7.4% (95% CI: 4.6-11.6) wife husband diagnosed PCMD; 41.2% 35.1-47.8) one member had PCMD. Comorbid PCMD AD observed 6.9% 4.3-11.0) men, but did not women. After controlling other psychosocial risk factors comorbid increased 4.7 times probability PCMDS wives via intimate partner violence. increase husbands. Conclusions: These data provide have significant adverse effect on health rural areas This indicates strategies prevent treat will be more effective if paired initiatives reduce violent behaviours