Sanghera Raman, Wong Sabrina T, Brown Helen
Fraser Health Authority, Public Health Nurse, Newton Public Health Unit, #200 7337 137th Street, Surrey, BC, V3W 1A4, Canada.
University of British Columbia School of Nursing and Centre for Health Services and Policy Research, Co-Director of BC node of the Canadian Primary Care Sentinel Surveillance Network, T201 2211 Wesbrook Mall, Vancouver, BC, V6T 2B5, Canada.
BMC Pregnancy Childbirth. 2015 Jul 22;15:151. doi: 10.1186/s12884-015-0568-2.
Depression is the leading cause of disability for childbearing women. We examined three specific research questions among Punjabi-speaking women residing in the Fraser Health Authority: 1) What are the prevalence rates of prenatal depressive symptoms? 2) Do Punjabi-speaking women have a higher likelihood of reporting depressive symptoms compared to English-speaking women after controlling for age, level of education and financial worries, and 3) Given the same level of exposure to level of education and financial worries, do Punjabi-speaking women have the same likelihood of reporting depressive symptoms?
Data originated from the Fraser Health Authority prenatal registration database consisting of pregnant women (n = 9684) who completed a prenatal registration form between June 2009 and August 2010; 9.1 % indicated speaking Punjabi. The Whooley Depression Screen measured depressive symptoms. Chi-square tests and logistic multiple regression were used to examine the rates of reporting depressive symptoms among Punjabi-speaking women compared to English-speaking women.
Punjabi-speaking women are at a higher risk for perinatal depressive symptoms. Women needing an interpreter were more likely to report prenatal depressive symptoms compared to English-speaking women. All registrants who reported financial worries had four and a half times the odds of reporting depressive symptoms. The impact of financial worries was significantly greater in the English-speaking women compared to the Punjabi-speaking women needing an interpreter.
Using an established screening device, Punjabi-speaking women were found to be at higher risk for prenatal depressive symptoms.
抑郁症是育龄妇女致残的主要原因。我们针对居住在菲沙卫生局辖区内说旁遮普语的女性研究了三个具体问题：1）产前抑郁症状的患病率是多少？2）在控制年龄、教育程度和经济担忧因素后，说旁遮普语的女性报告抑郁症状的可能性是否高于说英语的女性？3）在教育程度和经济担忧程度相同的情况下，说旁遮普语的女性报告抑郁症状的可能性是否相同？
数据来源于菲沙卫生局产前登记数据库，该数据库包含2009年6月至2010年8月期间填写产前登记表的孕妇（n = 9684）；9.1%的人表示说旁遮普语。使用Whooley抑郁筛查量表测量抑郁症状。采用卡方检验和逻辑多元回归分析，比较说旁遮普语的女性与说英语的女性报告抑郁症状的比例。
说旁遮普语的女性围产期抑郁症状风险更高。与说英语的女性相比，需要翻译的女性更有可能报告产前抑郁症状。所有报告有经济担忧的登记者报告抑郁症状的几率是其他人的4.5倍。与需要翻译的旁遮普语女性相比，经济担忧对说英语女性的影响要大得多。
通过使用既定的筛查工具，发现说旁遮普语的女性产前抑郁症状风险更高。
