Prevalence and risk factors of postpartum depression in a population- based sample of women in Tangxia Community, Guangzhou
Prevalence and risk factors of postpartum depression in a population- based sample of women in Tangxia Community, Guangzhou
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DOI：
10.1016/s1995-7645(14)60030-4
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发表时间：
2014-03-01
影响因子：
3.1
通讯作者：
Chen, Wang-Zhong
中科院分区：
文献类型：
--
作者：
Deng, Ai-Wen;Xiong, Ri-Bo;Chen, Wang-Zhong
目的：目的了解广州市塘厦社区产后抑郁症（PPD）的患病情况，并分析其危险因素。研究方法：采用中文版爱丁堡产后抑郁量表、汉密尔顿抑郁量表和社会支持评定量表对广州市塘厦社区1 823名产妇进行筛查。采用文献访谈结合专家咨询的方法，自制调查问卷进行危险因素评价。采用SPSS16.0统计软件进行t检验和Logistic回归分析。结果：广州市棠下社区PPD患病率为27.37%。多因素Logistic回归分析显示，分娩方式、独生子女、婆媳关系、胎儿性别是产后抑郁症的危险因素，而居住条件与产后抑郁症的发生呈负相关，OR值为0.82。产后抑郁症患者的社会支持评定量表总分、客观支持、主观支持和社会利用度评分均显著低于非产后抑郁症患者。结论：PPD的发病率略高于中国其他地区。在地域文化背景下识别危险因素，制定健康促进计划，对提高产妇的幸福感具有重要意义。
Objective: To investigate the prevalence and analyze the risk factors of postpartum depression (PPD) in Tangxia Community, Guangzhou, a community representative of the process of urbanization in China. Methods: A total of 1 823 delivery women in Tangxia Community, Guangzhou were screened with the Chinese Version of Edinburgh Postnatal Depression Scale, Hamilton Depression Scale and Social Support Rating Scale. The risk factors were evaluated by self-made questionnaire based on literature interview combined with expert consultation. The data collected were analyzed using Student's t test and logistic regression in SPSS16.0. Results: The prevalence of PPD in Tangxia Community; Guangzhou was 27.37%. Mutivariant logistic regression analysis identified mode of delivery, puerperant from one-child family, relationship between mother-in-law and daughter-in-law and fetus gender as the risk factors of PPD while housing condition was negatively correlated with the incidence of PPD with OR value of 0.82. The the total score of social support rating scale, the score of objective support, subjective support and social utilization degree were significantly reduced in women with PPD in contrast with women without PPD. Conclusions: The incidence of PPD was slightly higher than other regions of China. It's of great importance to distinguish risk factors in regional culture context and develop health promotion program in order to enhance the well-being of delivery women.