Chang Fung-Wei, Lee Wen-Ying, Liu Yueh-Ping, Yang Jing-Jung, Chen Shu-Pin, Cheng Kuan-Chen, Lin Yan-Cen, Ho Te-Wei, Chiu Feng-Hsiang, Hsu Ren-Jun, Liu Jui-Ming
Department of Obstetrics & Gynecology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
Department of Pathology, Chi Mei Medical Center, Tainan, Taiwan; Department of Pathology, College of Medicine, Taipei Medical University, Taipei, Taiwan.
J Affect Disord. 2016 Nov 1;204:174-9. doi: 10.1016/j.jad.2016.06.043. Epub 2016 Jun 22.
Understanding mothers' economic conditions and postpartum depression (PPD) is important for determining how they will take care of themselves and their infants during the postnatal period, especially for low-income families. This study examined the relationship between economic conditions and PPD to elucidate the effect of economic contraction on PPD.
Our population-based nationwide study used 2000-2013 the National Health Insurance Research Database of Taiwan. A total of 1240 newly diagnosed PPD patients were recruited. We used the database of the Directorate General of Budget, Accounting, and Statistics of Executive Yuan of Taiwan for national economic indicators. The correlation between economic indicators and PPD was examined.
The PPD incidence was positively correlated with yearly unemployment rate, consumer price index, and gross domestic product. During the great recession of 2008-2009, PPD was positively correlated with inflation rate. Consumer price index had a positive correlation with PPD incidence per month when comparing PPD in 2010 with the economic indicators during the great recession.
As this retrospective study evaluated macroeconomic indicators, it is unclear whether the macroeconomic indicators' effect on PPD totally reflects the effect of true personal economic status on PPD.
There was a significant association between PPD and economic conditions. This study shows that mothers' familial environment plays an important role in the development of PPD. The impact of the worldwide economic downturn of the great recession on women is persistent. This useful finding may give health policy planners a hint of early discovering and dealing with PPD when worldwide economic downturn.
了解母亲的经济状况与产后抑郁症（PPD）对于确定她们在产后如何照顾自己和婴儿非常重要，尤其是对于低收入家庭。本研究探讨了经济状况与产后抑郁症之间的关系，以阐明经济收缩对产后抑郁症的影响。
我们基于人群的全国性研究使用了2000 - 2013年台湾国民健康保险研究数据库。共招募了1240名新诊断的产后抑郁症患者。我们使用台湾行政院主计总处的数据库获取国家经济指标。研究了经济指标与产后抑郁症之间的相关性。
产后抑郁症发病率与年度失业率、消费者物价指数和国内生产总值呈正相关。在2008 - 2009年的大衰退期间，产后抑郁症与通货膨胀率呈正相关。将2010年的产后抑郁症与大衰退期间的经济指标进行比较时，消费者物价指数与每月产后抑郁症发病率呈正相关。
由于这项回顾性研究评估的是宏观经济指标，尚不清楚宏观经济指标对产后抑郁症的影响是否完全反映了真实个人经济状况对产后抑郁症的影响。
产后抑郁症与经济状况之间存在显著关联。本研究表明，母亲的家庭环境在产后抑郁症的发生发展中起着重要作用。大衰退期间全球经济衰退对女性的影响是持久的。这一有用的发现可能会给卫生政策制定者一些提示，即在全球经济衰退时尽早发现和处理产后抑郁症。
