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二孩政策下孕中期和孕晚期中国孕妇的妊娠相关焦虑及其显著相关因素。

Pregnancy-related anxiety among Chinese pregnant women in mid-late pregnancy under the two-child policy and its significant correlates.

机构信息

Medical School, Hangzhou Normal University, Hangzhou 311121, China.

Foreign Language Department, Tourism College of Zhejiang, Hangzhou 311231, China.

出版信息

J Affect Disord. 2020 Nov 1;276:272-278. doi: 10.1016/j.jad.2020.07.099. Epub 2020 Jul 18.

DOI:10.1016/j.jad.2020.07.099
PMID:32697709
Abstract

BACKGROUND

Pregnancy-related anxiety (PRA) is a global public health concern. This study aims to understand the PRA among Chinese pregnant women at mid-late pregnancy and to explore the significant correlates.

METHODS

The Chinese PRA scale was used to measure PRA among 342 pregnant women from Zhejiang Province in China at their mid- and late- pregnancy respectively.

RESULTS

The participants aged from 21 to 42 years old, and their mean age was 30. 1 (SD=4. 0). The average scores of the Chinese PRA scale at mid- and late- pregnancy were 1. 60 (SD=0. 33) and 1. 58 (SD=0. 33) respectively. Unplanned pregnancy (mid-pregnancy: β=0. 18, p<0. 001; late-pregnancy: β=0. 11, p = 0. 024) and gender of the first child being male (mid-pregnancy:β=-0. 20, p = 0. 001; late-pregnancy: β=-0. 14, p = 0. 016) were significantly correlated with PRA among pregnant women at mid- and late- pregnancy. Living with parents-in-law was not associated with the PRA overall and domain scores.

LIMITATIONS

This study was done among pregnant women at their mid-late pregnancy, and no follow-up was conducted at postpartum. The sample size of this study was relatively small which might affect the generalizability of the findings.

CONCLUSIONS

The current study found that the correlates of PRA at mid- and late-pregnancy were generally similar. For future studies, special attention should be paid to pregnant women who are in the condition of unplanned pregnancy and those who already have a female child to relieve their anxiety levels.

摘要

背景

妊娠相关焦虑(PRA)是一个全球性的公共卫生问题。本研究旨在了解中国中晚期孕妇的 PRA 情况,并探讨其显著相关因素。

方法

采用中文版 PRA 量表对中国浙江省的 342 名孕妇在妊娠中期和晚期分别进行 PRA 测量。

结果

参与者年龄在 21 至 42 岁之间,平均年龄为 30.1(SD=4.0)。妊娠中期和晚期中文版 PRA 量表的平均得分为 1.60(SD=0.33)和 1.58(SD=0.33)。非计划妊娠(妊娠中期:β=0.18,p<0.001;妊娠晚期:β=0.11,p=0.024)和第一胎为男孩(妊娠中期:β=-0.20,p=0.001;妊娠晚期:β=-0.14,p=0.016)与中晚期孕妇的 PRA 显著相关。与公婆同住与 PRA 总分及各维度得分均无关。

局限性

本研究仅在孕妇妊娠中期和晚期进行,产后未进行随访。本研究的样本量相对较小,可能影响研究结果的普遍性。

结论

本研究发现妊娠中期和晚期 PRA 的相关因素总体相似。未来的研究应特别关注非计划妊娠和已有女孩的孕妇,以缓解其焦虑水平。

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