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哈拉雷一个城市高密度郊区产后抑郁症的患病率及其相关因素

Prevalence and the correlates of postnatal depression in an urban high density suburb of Harare.

作者信息

January J, Chivanhu H, Chiwara J, Denga T, Dera K, Dube T, Chikwasha V, Chikwanha T M

出版信息

Cent Afr J Med. 2015 Jan-Apr;61(1-4):1-4.

Abstract

INTRODUCTION

Postnatal depression is a common cause of morbidity but is rarely diagnosed or managed in busy primary care settings in most resource limited countries like Zimbabwe.

OBJECTIVES

This study sought to determine the prevalence of postnatal depression and establish factors associated with postnatal depression.

METHODS

The study utilized a cross-sectional descriptive design where 295 consenting women (mean age=25.4 years; SD= 5.6 years) attending post natal care services at Mbare Polyclinic were recruited. Data were collected using the validated Shona version of the Edinburgh Postnatal Depression Scale (EPDS) questionnaire. Associations between variables were computed using the chi-square test statistic and where appropriate the Fisher’s exact statistic.

RESULTS

Prevalence for postnatal depression was 34.2% among women in the study. Univariate analysis revealed that there were no statistically significant associations between mother’s age (p=0.120), parity (p=0.396), marital status (p=0.523), level of education (p=0.805), and age of child (p=0.489) and postnatal depression.

CONCLUSION

Findings from this study indicate that there is a high prevalence of postnatal depression in women in Mbare, Zimbabwe. This therefore calls for further studies to identify and address the causes of postnatal depression among women attending postnatal care in Zimbabwe.

摘要

引言

产后抑郁症是发病的常见原因,但在大多数资源有限的国家,如津巴布韦,在繁忙的基层医疗环境中很少被诊断或处理。

目的

本研究旨在确定产后抑郁症的患病率,并确定与产后抑郁症相关的因素。

方法

该研究采用横断面描述性设计,招募了295名在姆巴雷综合诊所接受产后护理服务的同意参与的女性(平均年龄 = 25.4岁;标准差 = 5.6岁)。使用经过验证的绍纳语版爱丁堡产后抑郁量表(EPDS)问卷收集数据。使用卡方检验统计量计算变量之间的关联,并在适当情况下使用费舍尔精确统计量。

结果

研究中的女性产后抑郁症患病率为34.2%。单因素分析显示,母亲的年龄(p = 0.120)、产次(p = 0.396)、婚姻状况(p = 0.523)、教育程度(p = 0.805)和孩子年龄(p = 0.489)与产后抑郁症之间没有统计学上的显著关联。

结论

本研究结果表明,津巴布韦姆巴雷的女性产后抑郁症患病率很高。因此,需要进一步研究以确定并解决津巴布韦接受产后护理的女性产后抑郁症的原因。

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