Kuo Wen-Hung, Wilson Tracey E, Holman Susan, Fuentes-Afflick Elena, O'Sullivan Mary Jo, Minkoff Howard
Department of Preventive Medicine and Community Health, State University of New York Downstate Medical Center, Brooklyn, New York, USA.
J Immigr Health. 2004 Oct;6(4):145-53. doi: 10.1023/B:JOIH.0000045252.10412.fa.
The aim of this was to examine rates and determinants of depressive symptomatology in the immediate postpartum period among Hispanic women in the United States. A total of 3952 Hispanic women who had delivered infants (parturients) were interviewed in postpartum wards in Miami, New York City and San Francisco. Symptoms of depression were regressed onto a series of social, psychological, and socioeconomic variables. Results showed that 42.6% of participants were probable cases of depression (CES-D > or = 16). Depression was negatively associated with perceived level of social support (adjusted OR = 0.59, 95% CI: 0.53-0.67) and health insurance coverage (adjusted OR = 0.68, 95% CI: 0.49-0.95), but not with the degree of acculturation or immigration status. It was found that depressive symptoms are common among Hispanic parturients. Pregnant Hispanic women should be carefully monitored for signs of depression and appropriate preventive measures are needed.
此项研究旨在调查美国西班牙裔女性产后即刻抑郁症状的发生率及其决定因素。研究人员在迈阿密、纽约市和旧金山的产后病房对总共3952名生育过婴儿的西班牙裔女性（产妇）进行了访谈。将抑郁症状与一系列社会、心理和社会经济变量进行回归分析。结果显示，42.6%的参与者可能患有抑郁症（CES-D≥16）。抑郁与感知到的社会支持水平（调整后的OR = 0.59，95%CI：0.53 - 0.67）和医疗保险覆盖情况（调整后的OR = 0.68，95%CI：0.49 - 0.95）呈负相关，但与文化适应程度或移民身份无关。研究发现，抑郁症状在西班牙裔产妇中很常见。怀孕的西班牙裔女性应接受抑郁症迹象的仔细监测，并需要采取适当的预防措施。
