Prevalence and Risk Factors for Postpartum Depressive Symptoms Among Women Enrolled in WIC
Prevalence and Risk Factors for Postpartum Depressive Symptoms Among Women Enrolled in WIC
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DOI：
10.1007/s10995-013-1224-y
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发表时间：
2013-12-01
影响因子：
2.3
通讯作者：
Ghandour, Reem M.
中科院分区：
文献类型：
--
作者：
Pooler, Jennifer;Perry, Deborah F.;Ghandour, Reem M.
本研究的目的是确定最近活产的妇女，特别是参加并有资格参加妇女、婴儿和儿童特殊补充营养计划 (WIC) 的妇女，产后抑郁症状 (PDS) 的患病率和相关性。 2006-2008 年 22 个州的妊娠风险评估和监测系统数据（n = 75,234）被用来通过两问题筛查来估计 PDS 的患病率。使用逻辑回归评估 PDS 与受访者人口统计、风险因素和行为以及 WIC 计划资格和参与之间的关联。 PDS 的总体患病率在 WIC 参与者中为 13.8%：19.8%，在符合 WIC 资格的非参与者中为 16.3%，在不符合该计划资格的女性中为 6.8%。 PDS 患病率在年轻、受教育程度较低和较贫穷的女性、以及在怀孕期间从事危险行为（吸烟和酗酒）、意外怀孕和在怀孕期间经历过亲密伴侣暴力的女性中较高。控制这些因素后，WIC 参与者和符合资格但未参加该计划的女性之间的 PDS 几率没有差异（aOR 1.08，95% CI 0.97-1.22），但 WIC 参与者比不符合资格的女性报告 PDS 的可能性显着更高（aOR 1.65，95% CI 1.39-1.95）。 WIC 每年为超过 100 万孕妇提供服务，其中五分之一可能患有 PDS。 WIC 有独特的机会来筛选并推荐接受产后 WIC 福利的新妈妈。
The objectives of this study were to determine the prevalence and correlates of postpartum depressive symptoms (PDS) among women with a recent live birth and specifically among women participating in and eligible for the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). Pregnancy Risk Assessment and Monitoring System data from 22 states in 2006-2008 (n = 75,234) were used to estimate the prevalence of PDS using a two-question screener. Associations between PDS and respondent demographics, risk factors and behaviors, and WIC program eligibility and participation were assessed using logistic regression. Overall prevalence of PDS was 13.8 %:19.8 % among WIC participants, 16.3 % among non-participants eligible for WIC, and 6.8 % of women not eligible for the program. PDS prevalence was higher among younger, less educated, and poorer women, as well as those engaging in risky behaviors during pregnancy (smoking and binge drinking), and those with an unintended pregnancy and who experienced intimate partner violence during pregnancy. Controlling for these factors, the odds of PDS were no different between WIC participants and women eligible but not participating in the program (aOR 1.08, 95 % CI 0.97-1.22), but WIC enrollees were significantly more likely than ineligible women to report PDS (aOR 1.65, 95 % CI 1.39-1.95). WIC serves more than 1 million pregnant women each year, one-fifth of whom may experience PDS. WIC has a unique opportunity to screen and provide referrals to new mothers receiving postpartum WIC benefits.