Almeida Lígia Moreira, Costa-Santos Cristina, Caldas José Peixoto, Dias Sónia, Ayres-de-Campos Diogo
Instituto de Saúde Pública. Faculdade de Medicina da Universidade do Porto. Porto, Portugal.
Centro de Investigação em Tecnologias e Serviços de Saúde. Faculdade de Medicina da Universidade do Porto. Porto, Portugal.
Rev Saude Publica. 2016 Jun 27;50. doi: 10.1590/S1518-8787.2016050005617.
To assess the influence of I mmigration on the psychological health of women after childbirth.
In this cross-sectional study, immigrant and Portuguese-native women delivering in the four public hospitals of the metropolitan area of Porto, Portugal, were contacted by telephone between February and December 2012 during the first postpartum month to schedule a home visit and fill in a questionnaire. Most immigrant (76.1%) and Portuguese mothers (80.0%) agreed to participate and with the visits, thus a total of 89 immigrants and 188 Portuguese women were included in the study. The questionnaire included the application of four validated scales: Mental Health Inventory-5, Edinburgh Postpartum Depression Scale, Perceived Stress Scale, and Scale of Satisfaction with Social Support. Statistical analysis included t-test and Chi-square or Fisher's test, and logistic regression models.
Immigrants had an increased risk of postpartum depression (OR = 6.444, 95%CI 1.858-22.344), and of low satisfaction with social support (OR = 6.118, 95%CI 1.991-18.798). We did not perceive any associations between migrant state, perceived stress, and impoverished mental health.
Immigrant mothers have increased vulnerabilities in the postpartum period, resulting in an increased risk of postpartum depression and lesser satisfaction with the received social support.
评估移民对产后女性心理健康的影响。
在这项横断面研究中，2012年2月至12月期间，在葡萄牙波尔图大都市区的四家公立医院分娩的移民妇女和葡萄牙本地妇女在产后第一个月通过电话联系，安排家访并填写问卷。大多数移民母亲（76.1%）和葡萄牙母亲（80.0%）同意参与并接受家访，因此共有89名移民妇女和188名葡萄牙妇女纳入研究。问卷包括应用四个经过验证的量表：心理健康量表-5、爱丁堡产后抑郁量表、感知压力量表和社会支持满意度量表。统计分析包括t检验、卡方检验或费舍尔检验以及逻辑回归模型。
移民产后抑郁风险增加（比值比=6.444，95%置信区间1.858-22.344），对社会支持满意度低的风险增加（比值比=6.118，95%置信区间1.991-18.798）。我们未发现移民身份、感知压力与心理健康受损之间存在任何关联。
移民母亲在产后阶段更易出现问题，导致产后抑郁风险增加，对所获得的社会支持满意度较低。
