Jean Hailes Research Unit, School of Public Health and Preventive Medicine, Monash University, Clayton, Australia.
J Affect Disord. 2012 Sep;140(1):97-101. doi: 10.1016/j.jad.2012.03.029. Epub 2012 Apr 27.
To establish the prevalence and correlates of the perinatal common mental disorders of depression and anxiety (PCMD) and alcohol dependence (AD) in men in northern Viet Nam.
A cross-sectional study of men whose wives were >28weeks pregnant or mothers of newborns recruited from randomly-selected rural and urban communes. Data sources were Structured Clinical Interviews for DSM IV; CAGE assessment of alcohol use and study-specific questionnaires. Odds ratios and 95% CIs were calculated by multiple logistic regressions.
Overall, 231/360 eligible men were recruited, of whom 17.7% [95% CI, 12.8-22.7] were diagnosed with a PCMD; 33.8% [95% CI, 27.9-40.1] with AD (CAGE score≥2) and 6.9% [95% CI, 4.3-11.0] with co-morbid PCMD and AD. PCMD were associated with experiences of coincidental life adversity, intimate partner violence, age>30; an unwelcome pregnancy and primiparity. AD was more common among men with low education, living in the poorest households and in unskilled work.
Common mental disorders and AD are prevalent, but currently unrecognised among men in northern Viet Nam whose wives are pregnant or have recently given birth.
在越南北部，确定围产期常见精神障碍（抑郁和焦虑）和酒精依赖（AD）在男性中的流行率及其相关因素。
本横断面研究招募了妻子怀孕 28 周以上或新生儿母亲的农村和城市随机选择的男性。数据来源是 DSM-IV 的结构临床访谈；酒精使用的 CAGE 评估和特定于研究的问卷。通过多因素逻辑回归计算比值比和 95%置信区间。
共有 360 名符合条件的男性中的 231 名被招募，其中 17.7%[95%置信区间，12.8-22.7]被诊断为围产期常见精神障碍；33.8%[95%置信区间，27.9-40.1]为 AD（CAGE 评分≥2），6.9%[95%置信区间，4.3-11.0]为共病性围产期常见精神障碍和 AD。围产期常见精神障碍与偶然生活逆境、亲密伴侣暴力、年龄>30、不欢迎的怀孕和初产妇经历有关。AD 在受教育程度较低、生活在最贫困家庭和从事非熟练工作的男性中更为常见。
在越南北部，男性常见的精神障碍和 AD 很普遍，但目前尚未被其怀孕或刚分娩的妻子所认识。
