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Socio-Demographic and Reproductive Factors Associated with Depression Among Postmenopausal Women in Obio/Akpor Local Government Area, Rivers State

Tamunobelema Anita Brown, Priscilla Nyekpunwo Ogbonda, Salome Amarachi Ike-, Wegbom, Anthony Ike Wegbom

Abstract

Depression is a common but under-recognised mental health problem among postmenopausal women, particularly in low- and middle-income countries where mental health services are limited. In Nigeria, community-based evidence on factors associated with depression in this population remains scarce. This study assessed the reproductive and socio-demographic factors associated with depression among postmenopausal women in Obio/Akpor Local Government Area, Rivers State, Nigeria. A community-based cross-sectional study was conducted among 341 postmenopausal women aged 51 years and above, selected through multistage sampling. Data were collected using an interviewer-administered questionnaire comprising socio-demographic characteristics, reproductive history, and the Patient Health Questionnaire-9 (PHQ-9). Descriptive statistics, chi-square tests, and ordinal logistic regression were performed. Statistical significance was set at p < 0.05. Of the 341 respondents, 24.6% had no depression, while 27.3%, 21.7%, 15.8%, and 10.6% had mild, moderate, moderately severe, and severe depression, respectively. Marital status, educational level, employment status, monthly income, physical activity, history of miscarriage, and type of menopause were significantly associated with depression. In the multivariable analysis, being widowed (aPOR = 1.45), unemployed (aPOR = 1.92), having a history of miscarriage (aPOR = 1.42), and experiencing surgical or medical menopause (aPOR = 1.85) increased the odds of higher depression severity, while tertiary education (aPOR = 0.54), higher income (aPOR = 0.42), and physical activity (aPOR = 0.71) were protective. This study showed evidence of a high burden of depressive symptoms among postmenopausal women and identified significant reproductive and socio-demographic factors associated with depression. Our findings have implications for strengthening mental health policies and the need to integrate mental health screening into routine care for postmenopausal women.

Keywords

depressionpostmenopausal womenreproductive historysocio-demographic factorsPHQ-9Nigeria

References

Akinsulore, A., Temidayo, A. M., Oloniniyi, I. O., Olalekan, B. O., & Yetunde, O. B. (2021). Pregnancy-related anxiety symptoms and associated factors amongst pregnant women attending a tertiary hospital in south-west Nigeria. South African Journal of Psychiatry, 27, 1616. https://doi.org/10.4102/sajpsychiatry.v27i0.1616 Alqahtani, A. H., Al-Khedair, K., Al-Jeheiman, R., Al-Turki, H. A., & Al-Qahtani, N. H. (2018). Anxiety and depression during pregnancy in women attending clinics in a University Hospital in Eastern province of Saudi Arabia: Prevalence and associated factors. International Journal of Women's Health, 10, 101–108. https://doi.org/10.2147/IJWH.S167890 Baron, E., Hanlon, C., Mall, S., Honikman, S., Breuer, E., & Kathree, T. (2016). Mental health in primary care in five low- and middle-income countries: A situational analysis. BMC Health Services Research, 16, 53. https://doi.org/10.1186/s12913-016-1312-5 Bromberger, J. T., Epperson, C. N., & Avis, N. E. (2017). Does risk for depression vary by stage of the menopausal transition? Journal of Women's Health, 26(3), 223–225. https://doi.org/10.1089/jwh.2016.6105 Cui, L., Wang, Y., & Zhang, X. (2025). Prevalence and determinants of depressive symptoms among postmenopausal women with osteoporosis: A cross-sectional study. BMC Women's Health, 25(1), 45. https://doi.org/10.1186/s12905-025-0045-6 Eze, G. O., Uche, O. A., & Onwuchekwa, C. (2025). Prevalence and determinants of depression among postmenopausal women with osteoporosis in southeast Nigeria. BMC Women's Health, 25(1), 45. https://doi.org/10.1186/s12905-025-0045-7 Georgakis, M. K., Thomopoulos, T. P., Diamantaras, A. A., Kalogirou, E. I., Skalkidou, A., Daskalopoulou, S. S., & Petridou, E. T. (2019). Association of age at menopause and duration of reproductive period with depression after menopause: A systematic review and meta-analysis. JAMA Psychiatry, 76(2), 139–149. https://doi.org/10.1001/jamapsychiatry.2018.3654 Gureje, O., Oladeji, B. D., & Abiona, T. (2015). The natural history of depression in the elderly: The Ibadan Study of Ageing. Psychological Medicine, 45(16), 3419–3428. https://doi.org/10.1017/S0033291715001571 Gureje, O., Oladeji, B. D., & Abiona, T. (2020). The Ibadan Study of Ageing: Longitudinal trends in mental health and disability. International Journal of Geriatric Psychiatry, 35(8), 845–853. https://doi.org/10.1002/gps.5310 Li, Y., Yu, Q., Ma, L., Sun, Z., & Yang, X. (2024). Prevalence of depression in perimenopausal and postmenopausal women worldwide: A systematic review and meta-analysis. Journal of Affective Disorders, 347, 8–16. https://doi.org/10.1016/j.jad.2023.11.045 Mikkelsen, K., Stojanovska, L., Polenakovic, M., Bosevski, M., & Apostolopoulos, V. (2017). Exercise and mental health. Maturitas, 106, 48–56. https://doi.org/10.1016/j.maturitas.2017.09.003 Ogunjuyigbe, P. O., Liasu, A., & Akinlo, A. (2020). Socio-cultural factors influencing perception and management of menopause among Yoruba women in southwest Nigeria. African Journal of Reproductive Health, 24(1), 92–102. https://doi.org/10.29063/ajrh2020/v24i1.10 Omigbodun, O., Bella-Awusah, T., & Gureje, O. (2019). Mental health of women in Nigeria: A review of the literature from the past decade. Global Mental Health, 6, e17. https://doi.org/10.1017/gmh.2019.15 Osaikhuwuomwan, J. A., Osemwenkha, A. P., & Iribhogbe, P. E. (2021). Age at natural menopause and menopausal symptoms among Nigerian women in a tertiary hospital. Nigerian Journal of Clinical Practice, 24(6), 889–895. https://doi.org/10.4103/njcp.njcp_345_20 Pérez, C., Guarnizo, M., & Rodríguez, A. (2021). Socioeconomic inequalities in health-related quality of life among postmenopausal women in Latin America. Salud Pública de México, 63(2), 123–130. https://doi.org/10.21149/11658 Santoro, N., Epperson, C. N., & Mathews, S. B. (2021). Menopausal symptoms and their management. Endocrinology and Metabolism Clinics of North America, 50(2), 297– 315. https://doi.org/10.1016/j.ecl.2020.10.001 Tani, F. R., Bamia, C., & Trichopoulou, A. (2022). Socioeconomic status and depression in older adults: Evidence from the Survey of Health, Ageing and Retirement in Europe. Aging & Mental Health, 26(4), 679–688. https://doi.org/10.1080/13607863.2021.1921234 Thompson, O., & Ajayi, I. (2016). Prevalence of antenatal depression and associated risk factors among pregnant women attending antenatal clinics in Abeokuta North Local Government Area Nigeria. Depression Research and Treatment, 2016, 1–15. https://doi.org/10.1155/2016/1234567 Wegbom, A. I., Edet, C. K., Ogba, A. A., Osaro, B. O., Harry, A. M., Pepple, B. G., & Fagbamigbe, A. F. (2023). Determinants of depression, anxiety, and stress among pregnant women attending tertiary hospitals in urban centers, Nigeria. Women, 3(1), 41–52. https://doi.org/10.3390/women3010041 World Health Organization. (2017). Depression and other common mental disorders: Global health estimates. WHO. https://www.who.int/publications/i/item/depression-global- health-estimates Zhai, Y., Zhang, H., & Liu, D. (2024). Marital status and depression: A cross-country analysis of seven nations. Journal of Affective Disorders, 345, 112–120. https://doi.org/10.1016/j.jad.2024.02.003 Zhang, X., Li, Y., & Liu, D. (2023). Marital status and depression among middle-aged and older adults in China: The mediating roles of social support and loneliness. International Journal of Environmental Research and Public Health, 20(4), 3201. https://doi.org/10.3390/ijerph20043201

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