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      Associations Between Spousal Relationship, Husband Involvement, and Postpartum Depression Among Postpartum Mothers in West Java, Indonesia

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          Abstract

          Introduction:

          Indonesia is actively promoting husband involvement in maternal health care, since it has been claimed to impact the wellbeing of mothers. This study aims to investigate the extent to which spousal relationship, husband involvement, and maternal health behavior affect postpartum depression among Indonesian mothers.

          Method:

          A survey was carried out among 336 postpartum mothers who received maternal care in 27 independent midwifery clinics in 7 regions of West Java Province, Indonesia. The measurement model of husband involvement comprising 4 dimensions, namely maternity care engagement, instrumental support, emotional support, and informational support were developed and validated using confirmatory factor analysis. The Quality of Marriage Index (QMI) and the Edinburgh Postnatal Depression Scale (EPDS) were also validated and used to measure spousal relationship and postpartum depressive symptoms. A structural equation model was specified to examine the association between spousal relationship, husband involvement, maternal healthy behavior, and postpartum depression.

          Results:

          The study confirms the assumption that the quality of the spousal relationship could determine husband’s involvement during pregnancy, childbirth, and postpartum (γ = .60, P < .001), eventually leading to better maternal healthy behavior (γ = .015, P < .001) and a decrease in postpartum depressive symptoms among mothers (γ = −.21, P < .001).

          Conclusions:

          The study results suggest the needs to promote comprehensive husband involvement to enhance the wellbeing of mothers. This can be achieved through couple interventions at the community level and the inclusion of a supportive role for husbands in the maternal and childcare guidebook offered during ANC visits.

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          Most cited references57

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          Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives

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                Author and article information

                Journal
                J Prim Care Community Health
                J Prim Care Community Health
                JPC
                spjpc
                Journal of Primary Care & Community Health
                SAGE Publications (Sage CA: Los Angeles, CA )
                2150-1319
                2150-1327
                28 March 2022
                Jan-Dec 2022
                : 13
                : 21501319221088355
                Affiliations
                [1 ]Mahidol University, Salaya, Phutthamonthon, Nakhon Pathom, Thailand
                [2 ]Poltekkes Kemenkes Tasikmalaya, Indonesia
                Author notes
                [*]Natthani Meemon, Department of Society and Health, Faculty of Social Sciences and Humanities, Mahidol University, Phutthamonthon 4 Rd., Salaya, Phutthamonthon, Nakhon Pathom 73170, Thailand. Email: natthani.mee@ 123456mahidol.ac.th
                Author information
                https://orcid.org/0000-0001-6909-6176
                https://orcid.org/0000-0003-3815-9992
                Article
                10.1177_21501319221088355
                10.1177/21501319221088355
                8966113
                35343810
                5f0cdd48-1ac7-4dcf-9201-d2a0ca2a8393
                © The Author(s) 2022

                This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License ( https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages ( https://us.sagepub.com/en-us/nam/open-access-at-sage).

                History
                : 6 January 2022
                : 25 February 2022
                : 1 March 2022
                Funding
                Funded by: The Faculty of Graduate Studies and Graduate Studies of Mahidol University Alumni Association, ;
                Categories
                Original Research
                Custom metadata
                January-December 2022
                ts1

                husband involvement,spousal relationship,postpartum depression,indonesia,siaga campaign

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