中国广州 COVID-19 大流行期间女性产后抑郁症的患病率及相关因素：一项横断面研究。
Prevalence and factors associated with postpartum depression during the COVID-19 pandemic among women in Guangzhou, China: a cross-sectional study.
机构信息
Department of gynecology &obstetrics, The Third Affiliated Hospital of Southern Medical University, 183#West Zhongshan Avenue, Guangzhou, Guangdong province, China.
Department of rehabilitation, Nanhai Hospital, Southern Medical University, 28#Liguan Road, Lishui County, Foshan City, Guangdong Province, China.
出版信息
BMC Psychiatry. 2020 Nov 25;20(1):557. doi: 10.1186/s12888-020-02969-3.
BACKGROUND
The 2019 coronavirus disease (COVID-19) is a public health emergency of international concern. To date, there are limited studies that have investigated the impact of COVID-19 pandemic on mental health among female population. Therefore, the study aims to investigate the prevalence of postpartum depression (PPD) and it's related factors among women in Guangzhou, China, during the COVID-19 pandemic.
METHODS
A cross-sectional study was performed from 30th March 2020 to 13th April 2020 using anonymous online questionnaire among 864 women at 6-12 weeks postpartum. The Chinese version of Edinburgh Postnatal Depression Scale and a 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 women at 6-12 weeks postpartum was 30.0%. A multivariate logistic regression model identified significant factors as: immigrant women, persistent fever, poor social support, concerns about contracting COVID-19 and certain precautionary measures.
CONCLUSIONS
The findings suggest the need for policies and interventions to not only mitigate the psychological impacts but also target disadvantaged sub-groups of women following childbirth during the COVID-19 pandemic.
背景
2019 年冠状病毒病（COVID-19）是国际关注的公共卫生突发事件。迄今为止，有限的研究调查了 COVID-19 大流行对女性人口心理健康的影响。因此，本研究旨在调查 COVID-19 大流行期间中国广州产后妇女产后抑郁症（PPD）的患病率及其相关因素。
方法
2020 年 3 月 30 日至 4 月 13 日，采用匿名在线问卷对 864 名产后 6-12 周的妇女进行了横断面研究。所有参与者均接受了中文版爱丁堡产后抑郁量表和一份与相关因素有关的问卷。采用多变量 logistic 回归确定与 PPD 显著相关的因素。
结果
产后 6-12 周妇女 PPD 的患病率为 30.0%。多变量 logistic 回归模型确定了以下显著因素：移民妇女、持续发热、社会支持差、担心感染 COVID-19 和某些预防措施。
结论
研究结果表明，有必要制定政策和干预措施，不仅减轻心理影响，而且针对 COVID-19 大流行期间产后弱势妇女群体。
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