Sha Tingting, Yan Yan, Gao Xiao, Xiang Shiting, He Qiong, Zeng Guangyu, Liu Shiping, Li Hongyan, Tan Shan, Yan Qiang
Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha 410078, China.
Kaifu District Health Bureau, Changsha 410008, China.
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2017 Oct 28;42(10):1191-1197. doi: 10.11817/j.issn.1672-7347.2017.10.011.
To investigate the current status of the postpartum depression in Kaifu District in Changsha, and to explore the influential factors for postpartum depression. Methods: We selected the mothers, who had a delivery and met the inclusion criteria in Changsha during 2015, as the participants and established a prospective birth cohort study. The social demographic characteristics and health-related information for the mothers and their families were collected by using self-made questionnaire. The mothers' depression symptoms after one month postpartum were assessed by the Edinburgh Postnatal Depression Scale. We used the structural equation model to analyze the influential factors for postpartum depression. Results: A total of 961 cases were investigated. 82 of them whose scores of EPDS were≥9 points, and the incidence of PPD was 8.2%. The results of structural equation model revealed the influential factors and their correlations with postpartum depression. It has been shown that maternal age, maternal education level, per capita income of family, intention of pregnancy, pregnancy-related complications, mode of conception, mode of delivery, feeding patterns, birth weight, baby gender, and infant illness could exert effects on postpartum depression. Conclusion: The incidence of postpartum depression in Kaifu District is at a low level and the structural equation model can be applied to analyze the influential factors and their relations with postpartum depression.
调查长沙市开福区产后抑郁的现状，并探讨产后抑郁的影响因素。方法：选取2015年在长沙分娩且符合纳入标准的产妇作为研究对象，建立前瞻性出生队列研究。通过自制问卷收集产妇及其家庭的社会人口学特征和健康相关信息。产后1个月时采用爱丁堡产后抑郁量表评估产妇的抑郁症状。采用结构方程模型分析产后抑郁的影响因素。结果：共调查961例。其中82例爱丁堡产后抑郁量表评分≥9分，产后抑郁发生率为8.2%。结构方程模型结果揭示了产后抑郁的影响因素及其相互关系。结果显示，产妇年龄、文化程度、家庭人均收入、怀孕意愿、妊娠相关并发症、受孕方式、分娩方式、喂养方式、出生体重、婴儿性别及婴儿患病情况等均可对产后抑郁产生影响。结论：开福区产后抑郁发生率处于较低水平，结构方程模型可用于分析产后抑郁的影响因素及其相互关系。
