Impact of unintended pregnancy on maternal mental health: a causal analysis using follow up data of the Panel Study on Korean Children (PSKC).
Impact of unintended pregnancy on maternal mental health: a causal analysis using follow up data of the Panel Study on Korean Children (PSKC).
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DOI：
10.1186/s12884-015-0505-4
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发表时间：
2015-04-03
影响因子：
3.1
通讯作者：
Khang YH
中科院分区：
文献类型：
--
作者：
Bahk J;Yun SC;Kim YM;Khang YH
怀孕意愿对母婴健康结果很重要。本研究旨在探讨2008年韩国生育妇女的怀孕意愿与母亲抑郁和育儿压力之间的因果关系。本研究是对2008年至2010年韩国儿童小组研究前瞻性收集数据的回顾性评价。使用倾向评分匹配和治疗加权逆概率方法进行因果分析。此外，中介分析，以测试婚姻冲突，父亲的参与，在儿童保育，和母亲的婴儿发育的知识之间的关系意外怀孕和不良孕产妇心理健康的缓解效果。结果显示，意外怀孕对母亲抑郁和养育压力的总体影响具有统计学意义。意外怀孕与母亲抑郁的几率增加20-22%，抑郁评分增加0.28-0.39，育儿压力评分增加0.85-1.16相关。婚姻冲突和父亲参与育儿对母亲抑郁、母亲抑郁评分和亲职压力评分的影响具有一定的解释力。意外怀孕增加了母亲抑郁和养育压力的风险。努力提高父亲参与育儿和减少婚姻冲突可能有助于减轻意外怀孕对围产期孕产妇心理健康的不利影响。本文的在线版本（doi：10.1186/s12884-015-0505-4）包含补充材料，可供授权用户使用。
Pregnancy intention is important for maternal and child health outcomes. The purpose of this study was to examine the causal relation between pregnancy intention and maternal depression and parenting stress in Korean women who gave birth during 2008. This study is a retrospective evaluation of prospectively collected data from the Panel Study on Korean Children from 2008 to 2010. Causal analyses were conducted using propensity score matching and inverse probability of treatment weighted methods. In addition, mediation analyses were performed to test mitigating effects of marital conflict, fathers’ participation in childcare, and mothers’ knowledge of infant development on the relation between unintended pregnancy and adverse maternal mental health. Results showed that the overall effect of an unintended pregnancy on maternal depression and parenting stress was statistically significant. An unintended pregnancy was associated with 20–22% greater odds of maternal depression, 0.28–0.39 greater depression score, and 0.85–1.16 greater parenting stress score. Relations between pregnancy intention and maternal depression, maternal depression score and parenting stress score were moderately explained by marital conflict and fathers’ participation in childcare. Unintended pregnancy contributed to increased risks of maternal depression and parenting stress. Efforts to increase fathers’ participation in childcare and decrease marital conflict might be helpful to mitigate adverse impacts of unintended pregnancy on perinatal maternal mental health. The online version of this article (doi:10.1186/s12884-015-0505-4) contains supplementary material, which is available to authorized users.
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DOI：
10.1111/j.1741-3737.2011.00885.x
发表时间：
2012-02-01
期刊：
Journal of marriage and the family
影响因子：
--
作者：
East PL;Chien NC;Barber JS
通讯作者：
Barber JS
影响因子：
12.7
作者：
Finer, Lawrence B.;Zolna, Mia R.
通讯作者：
Zolna, Mia R.
影响因子：
6.7
作者：
Carson, Claire;Redshaw, Maggie;Quigley, Maria A.
通讯作者：
Quigley, Maria A.
DOI：
10.1002/bdra.20132
发表时间：
2005-04-01
影响因子：
--
作者：
Han, JY;Nava-Ocampo, AA;Koren, G
通讯作者：
Koren, G
影响因子：
1.5
作者：
Hardee, K;Egglestont, E;Hull, TH
通讯作者：
Hull, TH