Murray Linda, Dunne Michael P, Van Vo Thang, Anh Phuong Nguyen Thi, Khawaja Nigar G, Cao Thanh Ngoc
School of Public Health and Social Work, Queensland University of Technology (QUT), Victoria Park Rd, Kelvin Grove, Queensland, 4059, Australia.
School of Medicine, University of Tasmania, 1/17 Liverpool St, Hobart, Tasmania, 7000, Australia.
BMC Pregnancy Childbirth. 2015 Sep 30;15:234. doi: 10.1186/s12884-015-0662-5.
This study investigated the prevalence and socio-cultural correlates of postnatal mood disturbance amongst women 18-45 years old in Central Vietnam. Son preference and traditional confinement practices were explored as well as factors such as poverty, parity, family and intimate partner relationships and infant health.
A cross-sectional study was conducted in twelve randomly selected Commune Health Centres from urban and rural districts of Thua Thien Hue Province, Vietnam. Mother-infant dyads one to six months postpartum were invited to participate. Questionnaires from 431 mothers (urban n = 216; rural n = 215) assessed demographic and family characteristics, traditional confinement practices, son preference, infant health and social capital. The Edinburgh Postnatal Depression Scale (EPDS) and WHO5 Wellbeing Index indicated depressive symptoms and emotional wellbeing. Data were analysed using general linear models.
Using an EPDS cut-off of 12/13, 18.1% (n = 78, 95% CI 14.6-22.1) of women had depressive symptoms (20.4% urban; 15.8% rural). Contrary to predictions, infant gender and traditional confinement were unrelated to depressive symptoms. Poverty, food insecurity, being frightened of family members, and intimate partner violence increased both depressive symptoms and lowered wellbeing. The first model accounted for 30.2% of the variance in EPDS score and found being frightened of one's husband, husband's unemployment, breastfeeding difficulties, infant diarrhoea, and cognitive social capital were associated with higher EPDS scores. The second model had accounted for 22% of the variance in WHO5 score. Living in Hue city, low education, poor maternal competence and a negative family response to the baby lowered maternal wellbeing.
Traditional confinement practices and son preference were not linked to depressive symptoms among mothers, but were correlates of family relationships and wellbeing. Poverty, food insecurity, violence, infant ill health, and discordant intimate and family relationships were linked with depressive symptoms in Central Vietnam.
本研究调查了越南中部18至45岁女性产后情绪障碍的患病率及其社会文化相关因素。研究探讨了重男轻女观念和传统坐月子习俗，以及贫困、生育次数、家庭和亲密伴侣关系、婴儿健康等因素。
在越南承天顺化省城乡随机选取的12个公社卫生中心开展了一项横断面研究。邀请产后1至6个月的母婴二元组参与研究。431名母亲（城市216名；农村215名）的问卷评估了人口统计学和家庭特征、传统坐月子习俗、重男轻女观念、婴儿健康和社会资本。爱丁堡产后抑郁量表（EPDS）和世界卫生组织5维度幸福指数用于评估抑郁症状和情绪健康状况。数据采用一般线性模型进行分析。
以EPDS临界值12/13为标准，18.1%（n = 78，95%置信区间14.6 - 22.1）的女性有抑郁症状（城市为20.4%；农村为15.8%）。与预期相反，婴儿性别和传统坐月子习俗与抑郁症状无关。贫困、粮食不安全、害怕家庭成员以及亲密伴侣暴力会增加抑郁症状并降低幸福感。第一个模型解释了EPDS得分30.2%的方差，发现害怕丈夫、丈夫失业、母乳喂养困难、婴儿腹泻以及认知社会资本与较高的EPDS得分相关。第二个模型解释了世界卫生组织5维度幸福指数得分22%的方差。居住在顺化市、低教育水平、母亲能力差以及家庭对婴儿的负面反应会降低母亲的幸福感。
传统坐月子习俗和重男轻女观念与母亲的抑郁症状无关，但与家庭关系和幸福感相关。在越南中部，贫困、粮食不安全、暴力、婴儿健康不佳以及亲密和家庭关系不和谐与抑郁症状有关。
