Department of Healthcare Management, Eulji University, Sungnam-si 13135, Gyeonggi-do, Korea.
Department of Preventive Medicine, Yonsei University College of Medicine, Seoul 03722, Korea.
Int J Environ Res Public Health. 2021 Jan 8;18(2):437. doi: 10.3390/ijerph18020437.
We investigated the association between urinary incontinence and postpartum depression. Data were extracted from the Korean National Health Insurance Service-National Sample Cohort and included women who delivered between 2004 and 2013. Postpartum depression was determined using diagnostic codes during the six-month postpartum period. Urinary incontinence was identified as having a prescription of incontinence drugs or a diagnosis. Cox proportional hazard models were used to calculate adjusted hazard ratios. Of the 83,066 women, 5393 (6.49%) had urinary incontinence and 691 (0.83%) had postpartum depression. Postpartum depression was higher among women with urinary incontinence, aged 15-19 years, ≥40 years old, the lowest income level, and who underwent cesarean section delivery. In the combined analysis, women with urinary incontinence and cesarean section had an approximately three times higher risk of postpartum depression compared with those without urinary incontinence and with spontaneous delivery. Women without urinary incontinence and cesarean section, and those with urinary incontinence and spontaneous delivery were at higher risk of postpartum depression compared with the reference group. Urinary incontinence and cesarean section delivery were significantly associated with postpartum depression during the first six months after childbirth. Therefore, further research should be conducted to evaluate whether urinary incontinence contributes to postpartum depression.
我们调查了尿失禁与产后抑郁症之间的关联。数据来自韩国国家健康保险服务-国家样本队列，包括 2004 年至 2013 年分娩的女性。产后抑郁症通过产后六个月期间的诊断代码确定。尿失禁的识别标准是有尿失禁药物的处方或诊断。使用 Cox 比例风险模型计算调整后的风险比。在 83066 名女性中，5393 名（6.49%）患有尿失禁，691 名（0.83%）患有产后抑郁症。患有尿失禁、年龄在 15-19 岁、≥40 岁、收入最低水平以及接受剖宫产分娩的女性中，产后抑郁症的发生率更高。在联合分析中，与没有尿失禁和自然分娩的女性相比，患有尿失禁和剖宫产的女性产后抑郁症的风险增加了约三倍。与对照组相比，没有尿失禁和剖宫产的女性以及有尿失禁和自然分娩的女性产后抑郁症的风险更高。尿失禁和剖宫产与产后六个月内的产后抑郁症显著相关。因此，应进一步研究评估尿失禁是否会导致产后抑郁症。
