Depression symptom prevalence and demographic risk factors among US women during the first 2 years postpartum
Depression symptom prevalence and demographic risk factors among US women during the first 2 years postpartum
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DOI：
10.1111/j.1552-6909.2007.00191.x
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发表时间：
2007-11-01
影响因子：
1.8
通讯作者：
Declercq, Eugene
中科院分区：
文献类型：
--
作者：
Mayberry, Linda J.;Horowitz, June Andrews;Declercq, Eugene
目的：检查抑郁症状发生率和严重程度的差异以及与抑郁评级相关的因素。参与者：对 1,359 名在过去 2 年内生下单胎活产婴儿的美国妇女进行横断面样本。设计：使用爱丁堡产后抑郁量表在线收集数据，以筛查抑郁症状，作为“倾听母亲”的一部分，这是一项由纽约市分娩连接赞助并由 Harris Interactive 在 2002 年 5 月至 6 月期间进行的全国性调查。结果：有证据表明，在产后头两年内，轻度和中度至重度抑郁症状持续存在。年龄、收入、教育和就业与抑郁症状严重程度呈显着负相关，而胎次与抑郁症状严重程度呈显着正相关。种族与抑郁症状的严重程度无关。结论：根据研究结果，对育龄妇女进行长期筛查是合理的。调查管理的便捷性表明医疗保健提供者和研究人员进行在线抑郁症筛查的潜力。此外，从这项大规模全国调查中确定的风险因素，特别是低龄产妇、低收入、低教育程度、没有全职工作以及多产，值得在临床实践和未来研究中进行评估。
Objective: To examine differences in depression symptom rates and severity and factors associated with depression ratings.Participants: Cross-sectional sample of 1,359 American women who had delivered a single, live infant within the previous 2 years.Design: Data were collected using the Edinburgh Postnatal Depression Scale online to screen for depression symptoms as part of Listening to Mothers, a national survey sponsored by Childbirth Connection of New York City and administered by Harris Interactive between May and June 2002.Results: Evidence of continued mild and moderate-to-severe depression symptom rates throughout the first 2 years postpartum was found. Age, income, education, and employment had significant negative associations with depression symptom severity, and parity had a significant positive association with depression symptom severity. Race was not associated with depression symptom severity.Conclusions: Long-term screening for childbearing women is justified based on the study findings. The ease in survey administration suggests potential for online depression screening by health care providers and researchers. Furthermore, risk factors identified from this large-scale national survey, specifically young maternal age, low income, low education, not being employed full time, and multiparity, merit evaluation in clinical practice and future research.