Medical School, Hangzhou Normal University, Hangzhou 310036, China.
Faculty of Human Sciences, Waseda University, Tokorozawa 3591192, Japan.
Psychiatry Res. 2017 Nov;257:533-539. doi: 10.1016/j.psychres.2017.07.058. Epub 2017 Aug 24.
The aim of this study is to investigate the associations between social capital and antenatal depression among Chinese primiparas. A cross-sectional design was used and a questionnaire survey was conducted with 1471 participants using the intercept method at the provincial hospital in Zhejiang in 2016. Antenatal depression was evaluated using the Edinburgh Postnatal Depression Scale (EPDS) and social capital was assessed by the Chinese version of Social Capital Assessment Questionnaire (C-SCAQ). The prevalence of antenatal depression was assessed among Chinese primiparas in their third trimesters. The antenatal depression prevalence among sub-groups with lower social trust (ST), social reciprocity (SR), social network (SN), and social participation (SP) were significantly higher than those among higher score sub-groups. In the fully adjusted model, primiparas' antenatal depression was significantly associated with ST, SR, SN, and SP. Compared to the structural social capital, the cognitive social capital was a more crucial dimension to the prevalence of antenatal depression. For future community pregnancy health care management programs in China, it might be beneficial to add more social capital related intervention.
本研究旨在探讨社会资本与中国初产妇产前抑郁之间的关系。采用横断面设计，于 2016 年采用拦截法在浙江省某省级医院对 1471 名参与者进行问卷调查。采用爱丁堡产后抑郁量表（EPDS）评估产前抑郁，采用中文版社会资本评估问卷（C-SCAQ）评估社会资本。评估了中国初产妇在妊娠晚期的产前抑郁患病率。社会信任度（ST）、社会互惠性（SR）、社会网络（SN）和社会参与度（SP）较低的亚组的产前抑郁患病率明显高于评分较高的亚组。在完全调整模型中，初产妇的产前抑郁与 ST、SR、SN 和 SP 显著相关。与结构社会资本相比，认知社会资本是产前抑郁患病率的一个更重要维度。对于中国未来的社区妊娠保健管理项目，增加与社会资本相关的干预可能是有益的。
