Department of Epidemiology and Preventive Medicine, Ehime University Graduate School of Medicine, Ehime, Japan; Research Promotion Unit, Translational Research Center, Ehime University Hospital, Ehime, Japan; Center for Data Science, Ehime University, Ehime, Japan.
Department of Epidemiology and Preventive Medicine, Ehime University Graduate School of Medicine, Ehime, Japan; Research Promotion Unit, Translational Research Center, Ehime University Hospital, Ehime, Japan; Center for Data Science, Ehime University, Ehime, Japan.
Psychiatry Res. 2020 Sep;291:113224. doi: 10.1016/j.psychres.2020.113224. Epub 2020 Jun 11.
Epidemiological evidence on the role of socioeconomic status on postpartum depressive symptoms has been inconsistent. The present prospective study investigated the relationship between employment, job type, income, and education and postpartum depressive symptoms. Subjects were 1316 Japanese women. The subjects were asked to complete an Edinburgh Postnatal Depression Scale (EPDS) between three and four months postpartum. Postpartum depressive symptoms were defined as EPDS score ≥ 9. The prevalence of postpartum depressive symptoms was 8.2%. Compared with unemployment, holding a sales job was independently related to a reduced risk of postpartum depressive symptoms: the adjusted odds ratio (OR) was 0.13 (95% CI: 0.01-0.66). Compared with a household income under four million yen per year, a household income of six million yen or more per year was independently inversely associated with postpartum depressive symptoms: the adjusted OR was 0.33 (95% CI: 0.16-0.63). Compared with less than 13 years of education, both 13 or 14 years and 15 years or more were independently inversely related to postpartum depressive symptoms: the adjusted ORs were 0.40 (95% CI: 0.23-0.69) and 0.48 (95% CI: 0.28-0.82), respectively. Holding a sales job, higher household income and higher educational levels may be inversely associated with postpartum depressive symptoms.
关于社会经济地位对产后抑郁症状影响的流行病学证据一直不一致。本前瞻性研究调查了就业、工作类型、收入和教育与产后抑郁症状之间的关系。研究对象为 1316 名日本女性。在产后 3-4 个月时，要求研究对象完成爱丁堡产后抑郁量表（EPDS）。产后抑郁症状定义为 EPDS 得分≥9 分。产后抑郁症状的患病率为 8.2%。与失业相比，从事销售工作与降低产后抑郁症状的风险独立相关：调整后的优势比（OR）为 0.13（95%CI：0.01-0.66）。与年收入低于 400 万日元的家庭相比，年收入 600 万日元或以上的家庭与产后抑郁症状呈独立负相关：调整后的 OR 为 0.33（95%CI：0.16-0.63）。与受教育年限少于 13 年相比，受教育年限为 13 年或 14 年以及 15 年或以上均与产后抑郁症状呈独立负相关：调整后的 OR 分别为 0.40（95%CI：0.23-0.69）和 0.48（95%CI：0.28-0.82）。从事销售工作、家庭收入较高和教育程度较高可能与产后抑郁症状呈负相关。
Zotero 插件