Household water insecurity, depression and quality of life among postnatal women living in urban Nepal
Household water insecurity, depression and quality of life among postnatal women living in urban Nepal
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DOI：
10.2166/wh.2015.166
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发表时间：
2016-04-01
影响因子：
2.3
通讯作者：
Sharma, Jyoti
中科院分区：
文献类型：
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作者：
Aihara, Yoko;Shrestha, Salina;Sharma, Jyoti
目的：这项观察性研究旨在评估与家庭供水有关的痛苦，并检查尼泊尔产后妇女家庭水不安全与心理健康之间的关系。方法：总共有300名妇女同意参与这项研究，其中267名妇女在出院后1个月能够参与随访。通过修改家庭粮食不安全获取量表，我们制定了家庭水不安全量表(HWIs；总分范围0-24分)。结果：HWI的Cronbach‘s系数α为中等可接受。心理健康用产后抑郁和身体健康相关生活质量(HRQOL)进行评估。高智商的得分中位数为8分，超过60%的参与者回答说，他们有时或经常担心水不够，只用少量水，缺乏卫生，没有足够的时间养育孩子。多元回归模型显示，与HWIS得分较低的妇女相比，因家庭用水不安全而产生高水平压力的妇女患抑郁症的几率更大，身体HRQOL得分更低。结论：研究结果表明，改善水安全对于促进发展中国家的孕产妇心理健康是必要的。
Objectives: This observational study aimed to assess distress related to the household water supply and to examine the relationship between household water insecurity and psychological health among Nepali postnatal women. Methods: In total, 300 women consented to participate in the study, of which 267 women were able to participate in a follow-up 1 month after discharge. We developed a household water insecurity scale (HWIS; total score range 0-24 points) by adapting the household food insecurity access scale. Results: The Cronbach's coefficient alpha for the HWIS was moderately acceptable. Psychological health was assessed in terms of postnatal depression and physical health-related quality of life (HRQOL). The median score of the HWIS was 8, and more than 60% of the participants answered that they sometimes or often worried about not having enough water, used only small amounts of water, had a lack of hygiene, and had insufficient time for childrearing. Multiple regression models showed that women with high levels of stress derived from household water insecurity had greater odds of probable depression and lower physical HRQOL scores than did women with low HWIS scores. Conclusion: The results suggest that improving water security is necessary to foster maternal psychological health in developing countries.