School of Population and Public Health and the Child and Family Research Institute, University of British Columbia, Vancouver, BC, Canada.
Am J Obstet Gynecol. 2012 Dec;207(6):489.e1-8. doi: 10.1016/j.ajog.2012.09.022. Epub 2012 Sep 28.
The objective of the study was to compare risk factors for postpartum depression among women exposed vs not exposed to intimate partner violence and to assess the timing of abuse in relation to postpartum depression.
This was a retrospective cohort study utilizing data from the Canadian Maternity Experiences Survey, a telephone survey at 5-10 months postpartum. Survey questions were adapted from the Canadian Violence Against Women Survey and the Edinburgh Post-Natal Depression Scale.
Among abused women, younger (15-19 years), and older (35 years old and older), age was associated with postpartum depression, adjusted odds ratio (aOR, 2.29; 95% confidence interval [CI], 1.17-4.51) and (aOR, 2.33; 95% CI, 1.02-5.34) as was unemployment (aOR, 1.41; 95% CI, 1.06-1.84), foreign birth (aOR, 2.04; 95% CI, 1.35-3.09], and low income (aOR, 1.68; 95% CI, 1.25-2.25) among nonabused women. Postpartum depression was significantly associated with abuse occurring only prior to pregnancy (aOR, 3.28; 95% CI, 1.86-5.81), starting postpartum (aOR, 4.76; 95% CI, 1.41-16.02), and resuming postpartum (aOR, 3.81; 95% CI, 1.22-11.88).
Among pregnant women, subgroups defined by abuse exposure differ in their risk profile for postpartum depression.
本研究旨在比较遭受亲密伴侣暴力和未遭受亲密伴侣暴力的女性产后抑郁的危险因素，并评估虐待发生时间与产后抑郁的关系。
这是一项回顾性队列研究，利用了加拿大孕产经历调查的数据，该调查是在产后 5-10 个月进行的电话调查。调查问题改编自加拿大暴力侵害妇女调查和爱丁堡产后抑郁量表。
在受虐待的女性中，年龄在 15-19 岁和 35 岁及以上的女性与产后抑郁有关，调整后的优势比（aOR，2.29；95%置信区间[CI]，1.17-4.51）和（aOR，2.33；95% CI，1.02-5.34），以及失业（aOR，1.41；95% CI，1.06-1.84）、外国出生（aOR，2.04；95% CI，1.35-3.09）和低收入（aOR，1.68；95% CI，1.25-2.25）与未受虐待的女性有关。产后抑郁与仅在怀孕前发生的虐待（aOR，3.28；95% CI，1.86-5.81）、产后开始发生的虐待（aOR，4.76；95% CI，1.41-16.02）和产后恢复发生的虐待（aOR，3.81；95% CI，1.22-11.88）显著相关。
在孕妇中，根据暴露于虐待的不同亚组，其产后抑郁的风险特征存在差异。
