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中国广州移民妇女产后抑郁的患病率及相关因素。

Prevalence and associated factors of postpartum depression among immigrant women in Guangzhou, China.

机构信息

Department of rehabilitation, Nanhai Hospital, Southern Medical University, Foshan, China.

General Practice Center, Nanhai Hospital, Southern Medical University, Foshan, China.

出版信息

BMC Pregnancy Childbirth. 2020 Apr 25;20(1):247. doi: 10.1186/s12884-020-02946-4.

Abstract

BACKGROUND

Although there has been mounting research on postpartum depression (PPD), the impact of immigration on PPD has remained quite unexplored. The purpose of this study is to investigate the prevalence and associated factors of PPD among immigrant women living in Guangzhou at 6 weeks postpartum.

METHODS

A cross-sectional study was conducted involving 1230 immigrant women in a tertiary hospital of Guangzhou from December 2016 to December 2017 at 6 weeks postpartum. The Chinese version of Edinburgh Postnatal Depression Scale and a structured questionnaire regarding associated factors were administered to all participants. Multivariate logistic regression was used to determine factors that were significantly associated with PPD.

RESULTS

The prevalence of PPD among immigrant women at 6 weeks postpartum was 34.0%. A multivariate logistic regression model identified significant obstetric and social factors as: living in Guangzhou for less than 2 years, insufficient family income, poor social support and marital relationship.

CONCLUSION

Prevalence of PPD among immigrant women from Guangzhou at 6 weeks postpartum is high. The development of PPD among immigrant women is associated with individual and social factors. There's an urgent need for healthcare providers to take a more active role in engaging immigrant women in their psychological needs.

摘要

背景

尽管已有越来越多的研究关注产后抑郁症(PPD),但移民对 PPD 的影响仍未得到充分探索。本研究旨在调查广州产后 6 周的移民妇女中 PPD 的流行情况及其相关因素。

方法

本研究采用横断面研究,于 2016 年 12 月至 2017 年 12 月在广州一家三级医院纳入 1230 名移民妇女进行调查。所有参与者均接受了中文版爱丁堡产后抑郁量表和一份关于相关因素的结构化问卷。采用多变量 logistic 回归分析确定与 PPD 显著相关的因素。

结果

产后 6 周移民妇女的 PPD 患病率为 34.0%。多变量 logistic 回归模型确定了显著的产科和社会因素,包括在广州居住时间少于 2 年、家庭收入不足、社会支持和婚姻关系差。

结论

广州产后 6 周移民妇女的 PPD 患病率较高。移民妇女 PPD 的发生与个体和社会因素有关。医疗保健提供者迫切需要更积极地参与满足移民妇女的心理需求。

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