Center for Experimental Economics in Education, Shaanxi Normal University, Xi'an 710119, China.
School of Public Health, Xi'an Medical University, Xi'an 710021, China.
Int J Environ Res Public Health. 2020 Dec 18;17(24):9489. doi: 10.3390/ijerph17249489.
This study explored how maternal and infant illness correlated with the risk of postpartum depression in the Chinese Qinba Mountains region. In total, 131 villages comprising 435 families with infants (≤6 months old) were randomly sampled. We collected data on maternal and infant illnesses and maternal health knowledge level. The Depression, Anxiety, and Stress Scale-21 was used to measure the risk of postpartum depression. We used descriptive statistics and multivariate logistic regression for the analysis. Infant overall health status was a risk factor for postpartum depression (odds ratio (OR) = 1.90, 95% Confidence Interval (95% CI) = 1.103.28), whereas maternal overall health status was not correlated with postpartum depression (OR = 1.36, 95% CI = 0.553.39). For specific illnesses, infants experiencing over two common illnesses in the past two weeks (OR = 1.98, 95% CI = 1.133.45) and mothers experiencing over two common pains within two weeks after delivery (OR = 1.77, 95% CI = 1.023.08) were risk factors for postpartum depression, whereas infants with mild and severe stunted growth, maternal C-section, and postpartum body mass index (normal or overweight) were not correlated with it (all > 0.050). Maternal health knowledge was an important moderator of maternal and infant illnesses on the risk of postpartum depression. In conclusion, maternal and infant illness were essential factors for the risk of postpartum depression in a poor rural region in western China, which may be mainly affected by the feeling of uncertainty of illness. Improved maternal and infant health and enhanced maternal health knowledge might alleviate the risk of postpartum depression.
本研究旨在探讨中国秦巴山区母婴疾病与产后抑郁风险的相关性。共随机抽取了 131 个村庄的 435 个有婴儿（≤6 个月）的家庭。我们收集了母婴疾病和产妇健康知识水平的数据。采用抑郁、焦虑和压力量表-21 来衡量产后抑郁的风险。我们使用描述性统计和多变量逻辑回归进行分析。婴儿整体健康状况是产后抑郁的一个危险因素（比值比（OR）=1.90，95%置信区间（95%CI）=1.103.28），而母亲整体健康状况与产后抑郁无关（OR=1.36，95%CI=0.553.39）。对于特定疾病，在过去两周内经历过两次以上常见疾病的婴儿（OR=1.98，95%CI=1.133.45）和分娩后两周内经历过两次以上常见疼痛的母亲（OR=1.77，95%CI=1.023.08）是产后抑郁的危险因素，而婴儿轻度和重度发育迟缓、母亲剖腹产和产后体重指数（正常或超重）与产后抑郁无关（均>0.050）。产妇健康知识是母婴疾病对产后抑郁风险的一个重要调节因素。总之，母婴疾病是中国西部贫困农村地区产后抑郁风险的重要因素，这可能主要受疾病不确定性的影响。改善母婴健康和增强产妇健康知识可能会降低产后抑郁的风险。
