Prevalence and Risk Factors of Maternal Anxiety in Late Pregnancy in China.
Prevalence and Risk Factors of Maternal Anxiety in Late Pregnancy in China.
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DOI：
10.3390/ijerph13050468
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发表时间：
2016-05-04
影响因子：
--
通讯作者：
Li B
中科院分区：
文献类型：
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作者：
Kang YT;Yao Y;Dou J;Guo X;Li SY;Zhao CN;Han HZ;Li B
目的：大量研究表明，产妇心理健康不良会对新生儿产生不良后果。鉴于产前焦虑的潜在高患病率和很少在中国人中进行的研究，作者希望了解孕妇产前焦虑的患病率和相关因素，为有效降低产前焦虑提供科学依据。研究方法：2015年1月至2015年3月在长春妇产科医院进行了一项横断面研究，招募了467名至少38周妊娠的参与者。采用焦虑自评量表（SAS）测量围产期焦虑。采用χ2检验和Logistic回归分析产前焦虑的相关因素。结果：在467名参与者中，产前焦虑的患病率为20.6%（96/467）。在对妇女的社会人口特征（例如，多因素Logistic回归分析显示，文化程度（≤ 9岁）、预期自然分娩、孕期贫血、妊高征、家庭关系不和谐、生活满意度与产前焦虑有显著相关性。结论：改善孕妇的健康状况，加强产前教育和心理干预，对预防或减少产前焦虑的发生具有重要意义。
Objective: A large number of studies have shown the adverse neonatal outcomes of maternal psychological ill health. Given the potentially high prevalence of antenatal anxiety and few studies performed among Chinese people, the authors wanted to investigate the prevalence of antenatal anxiety and associated factors among pregnant women and to provide scientific basis to reduce prenatal anxiety effectively. Methods: A cross-sectional study was carried out at the Changchun Gynecology and Obstetrics Hospital from January 2015 to march 2015, with 467 participants of at least 38 weeks’ gestation enrolled. Antenatal anxiety was measured using the Self-Rating Anxiety Scale (SAS). χ2 test and logistic regression analysis were performed to evaluate the association of related factors of antenatal anxiety. Results: Among the 467 participants, the prevalence of antenatal anxiety was 20.6% (96 of 467). After adjustment for women’s socio-demographic characteristics (e.g., area, age, household income), multivariate logistical regression analysis revealed that antenatal anxiety showed significant relationship with education level lower than middle school (years ≤ 9), expected natural delivery, anemia during pregnancy, pregnancy-induced hypertension syndrome, disharmony in family relationship and life satisfaction. Conclusions: It is important to prevent or reduce antenatal anxiety from occurring by improving the health status of pregnant women and strengthening prenatal-related education and mental intervention.