depressive symptoms and posttraumatic stress disorder as determinants of preference weights for attributes of obstetric care among ethiopian women抑郁症和创伤后应激障碍因素属性偏好权重的产科护理在埃塞俄比亚的妇女中.pdfVIP

Depressive Symptoms and Posttraumatic Stress Disorder as Determinants of Preference Weights for Attributes of Obstetric Care among Ethiopian Women 1 2 3 4 1 Magdalena M. Paczkowski *, Margaret E. Kruk , Fasil Tessema , Ayalew Tegegn , Sandro Galea 1 Department of Epidemiology, Mailman School of Public Health, Columbia University, New York City, New York, United States of America, 2 Department of Health Policy and Management, Mailman School of Public Health, Columbia University, New York, New York, United States of America, 3 Department of Epidemiology, College of Public Health and Medical Sciences, Jimma University, Jimma, Ethiopia, 4 Psychiatry and Behavioral Science Department, Howard University College of Medicine, Washington, District of Columbia, United States of America Abstract Background: Mental health, specifically mood/anxiety disorders, may be associated with value for health care attributes, but the association remains unclear. Examining the relation between mental health and attributes in a context where quality of care is low and exposure to suboptimal health conditions is increased, such as in Sub Saharan Africa (SSA), may elucidate the association. Methodology/Principal Findings: We assessed whether preference weights for obstetric care attributes varied by mental health among 1006 women from Jimma Zone, Ethiopia, using estimates obtained through a discrete choice experiment (DCE), a method used to elicit preferences. Facilities were described by several attributes including provider attitude and performance and drug/equipment availability. Mental health measures included depressive symptoms and posttraumatic stress disorder (PTSD). We used Bayesian models to estimate preference weights for attributes and linear models to