McGarry Joanne, Kim Han, Sheng Xiaoming, Egger Marlene, Baksh Laurie
Utah Pregnancy Risk Assessment Monitoring System at the Utah Department of Health, University of Utah, Salt Lake City, UT 84114, USA.
J Midwifery Womens Health. 2009 Jan-Feb;54(1):50-6. doi: 10.1016/j.jmwh.2008.07.003.
The objective of this analysis was to investigate the demographic differences between women who report postpartum depression symptoms (PPDS) and seek help versus those who report symptoms but who do not seek help, using data from the Utah Pregnancy Risk Assessment Monitoring System (PRAMS) 2004 dataset. Overall, 14.7% of Utah women reported experiencing PPDS in 2004. Sixty percent of the women who reported having PPDS did not seek help. Seeking help for depression during pregnancy was associated with help-seeking behavior postpartum (adjusted odds ratio [aOR] = 0.1; 95% confidence interval [CI], 0.04-0.2). Other factors associated with seeking help included having an infant admitted to the intensive care unit (aOR = 0.4; 95% CI, 0.2-0.9) and rural residency (aOR = 0.3; 95% CI, 0.2-0.7). Nonwhite women were 12.1 times (95% CI, 3.0-48.5) more likely to not seek help for depression compared to white women. Further, Hispanic women (aOR = 3.2; 95% CI, 1.3-8.1) and women who experienced emotional abuse had increased odds of not seeking help (aOR = 2.9; 95% CI, 1.3-6.2). Nearly 15% of Utah women in this study reported PPDS, yet fewer than half sought help. Target populations, such as nonwhite, Hispanic, emotionally abused, and urban women, have been identified for public health interventions.
本分析的目的是利用犹他州妊娠风险评估监测系统（PRAMS）2004年数据集的数据，调查报告有产后抑郁症状（PPDS）并寻求帮助的女性与报告有症状但未寻求帮助的女性之间的人口统计学差异。总体而言，2004年犹他州14.7%的女性报告经历过PPDS。报告有PPDS的女性中，60%未寻求帮助。孕期寻求抑郁帮助与产后寻求帮助行为相关（调整优势比[aOR]=0.1；95%置信区间[CI]，0.04 - 0.2）。与寻求帮助相关的其他因素包括婴儿入住重症监护病房（aOR = 0.4；95% CI，0.2 - 0.9）和农村居住（aOR = 0.3；95% CI，0.2 - 0.7）。与白人女性相比，非白人女性不寻求抑郁帮助的可能性高12.1倍（95% CI，3.0 - 48.5）。此外，西班牙裔女性（aOR = 3.2；95% CI，1.3 - 8.1）和遭受情感虐待的女性不寻求帮助的几率增加（aOR = 2.9；95% CI，1.3 - 6.2）。本研究中近15%的犹他州女性报告有PPDS，但寻求帮助的不到一半。已确定非白人、西班牙裔、遭受情感虐待的女性和城市女性等目标人群进行公共卫生干预。
