Yu Yunhan, Zhu Xidi, Xu Huilan, Hu Zhao, Zhou Wensu, Zheng Baohua, Yin Shilin
Department of Social Medicine and Health Management, Central South University Xiangya School of Public Health, Changsha, Hunan, China.
Department of Social Medicine and Health Management, Central South University Xiangya School of Public Health, Changsha, Hunan, China
BMJ Open. 2020 Sep 1;10(9):e038511. doi: 10.1136/bmjopen-2020-038511.
To evaluate the prevalence of depressive symptoms and its influencing factors in late pregnancy.
Cross-sectional study.
Fourteen community in urban areas of Hengyang City.
The study conducted from July to October 2019, and surveyed 813 women in late pregnancy who lived in urban areas of Hengyang for more than 6 months, signed an informed consent and were without cognitive disorders, severe mental illnesses or other serious diseases.
Perinatal depression symptoms were evaluated using the Patient Health Questionnaire-9, and perinatal anxiety symptoms were evaluated using the Generalised Anxiety Disorder-7 Scale. Sociodemographic variables, obstetric characteristics, lifestyle behaviours, family factors, social support, sleep quality and self-efficacy were obtained through structured questionnaires.
The prevalence of depression symptoms among pregnant women in late pregnancy was 9.2% (95% CI 7.2%-11.2%). Protective factor: age between 25 and 29 years (OR=0.398; 95% CI 0.16-0.991).
a normal relationship with her mother-in-law (OR=5.309; 95% CI 1.122-4.184), artificial insemination (OR=4.339; 95% CI 1.492-12.623), no exercise during pregnancy (OR=2.666; 95% CI 1.177-6.039), low self-efficacy (OR=4.253; 95% CI 1.518-11.916), low social support (OR=2.371; 95% CI 1.206-4.661), poor sleep quality (OR=2.134; 95% CI 1.131-4.027), existence of anxiety symptoms (OR=17.654; 95% CI 8.494-36.689).
The prevalence of depression symptoms is lower than that in developing countries, but due to the large population base of China, the problem should still be taken seriously. To prevent mental disorders of pregnant women, early screening for mental disorders, promotion of healthy lifestyles, mental healthcare during pregnancy and improved family and social support should be implemented during pregnancy nursing.
评估妊娠晚期抑郁症状的患病率及其影响因素。
横断面研究。
衡阳市城区的14个社区。
研究于2019年7月至10月进行，调查了813名居住在衡阳市城区6个月以上、签署知情同意书且无认知障碍、严重精神疾病或其他严重疾病的妊娠晚期妇女。
使用患者健康问卷-9评估围产期抑郁症状，使用广泛性焦虑障碍-7量表评估围产期焦虑症状。通过结构化问卷获取社会人口学变量、产科特征、生活方式行为、家庭因素、社会支持、睡眠质量和自我效能感。
妊娠晚期孕妇抑郁症状的患病率为9.2%（95%可信区间7.2%-11.2%）。保护因素：年龄在25至29岁之间（比值比=0.398；95%可信区间0.16-0.991）。
与婆婆关系正常（比值比=5.309；95%可信区间1.122-4.184）、人工授精（比值比=4.339；95%可信区间1.492-12.623）、孕期无运动（比值比=2.666；95%可信区间1.177-6.039）、自我效能感低（比值比=4.253；95%可信区间1.518-11.916）、社会支持低（比值比=2.371；95%可信区间1.206-4.661）、睡眠质量差（比值比=2.134；95%可信区间1.131-4.027）、存在焦虑症状（比值比=17.654；95%可信区间8.494-36.689）。
抑郁症状的患病率低于发展中国家，但由于中国人口基数大，该问题仍应引起重视。为预防孕妇精神障碍，在孕期护理中应实施精神障碍早期筛查、推广健康生活方式、孕期心理保健以及改善家庭和社会支持。
