新冠疫情期间可能患有抑郁症或焦虑症的中国孕妇寻求心理健康服务的意向：横断面网络调查研究
Intentions to Seek Mental Health Services During the COVID-19 Pandemic Among Chinese Pregnant Women With Probable Depression or Anxiety: Cross-sectional, Web-Based Survey Study.
作者信息
Wang Qian, Song Bo, Di Jiangli, Yang Xue, Wu Anise, Lau Joseph, Xin Meiqi, Wang Linhong, Mo Phoenix Kit-Han
机构信息
National Center for Women and Children's Health, Chinese Centers for Disease Control and Prevention, Beijing, China.
Center for Health Behaviours Research, School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, Hong Kong.
出版信息
JMIR Ment Health. 2021 Feb 11;8(2):e24162. doi: 10.2196/24162.
BACKGROUND
Mental health problems are prevalent among pregnant women, and it is expected that their mental health will worsen during the COVID-19 pandemic. Furthermore, the underutilization of mental health services among pregnant women has been widely documented.
OBJECTIVE
We aimed to identify factors that are associated with pregnant women's intentions to seek mental health services. We specifically assessed pregnant women who were at risk of mental health problems in mainland China.
METHODS
A web-based survey was conducted from February to March, 2020 among 19,515 pregnant women who were recruited from maternal health care centers across various regions of China. A subsample of 6248 pregnant women with probable depression (ie, those with a score of ≥10 on the 9-item Patient Health Questionnaire) or anxiety (ie, those with a score of ≥5 on the 7-item General Anxiety Disorder Scale) was included in our analysis.
RESULTS
More than half (3292/6248, 52.7%) of the participants reported that they did not need mental health services. Furthermore, 28.3% (1770/6248) of participants felt that they needed mental health services, but had no intentions of seeking help, and only 19% (1186/6248) felt that they needed mental health services and had intentions of seek help. The results from our multivariate logistic regression analysis showed that age, education level, and gestational age were factors of not seeking help. However, COVID-19-related lockdowns in participants' cities of residence, social support during the COVID-19 pandemic, and trust in health care providers were protective factors of participants' intentions to seek help from mental health services.
CONCLUSIONS
Interventions that promote seeking help for mental health problems among pregnant women should also promote social support from health care providers and trust between pregnant women and their care providers.
背景
心理健康问题在孕妇中普遍存在，预计在新冠疫情期间她们的心理健康状况会恶化。此外，孕妇心理健康服务利用不足的情况已被广泛记录。
目的
我们旨在确定与孕妇寻求心理健康服务意愿相关的因素。我们特别评估了中国大陆有心理健康问题风险的孕妇。
方法
2020年2月至3月，对从中国各地区妇幼保健中心招募的19515名孕妇进行了一项基于网络的调查。我们的分析纳入了6248名可能患有抑郁症（即9项患者健康问卷得分≥10分）或焦虑症（即7项广泛性焦虑障碍量表得分≥5分）的孕妇子样本。
结果
超过一半（3292/6248，52.7%）的参与者表示他们不需要心理健康服务。此外，28.3%（1770/6248）的参与者认为他们需要心理健康服务，但无意寻求帮助，只有19%（1186/6248）的参与者认为他们需要心理健康服务并打算寻求帮助。我们的多因素逻辑回归分析结果表明，年龄、教育水平和孕周是不寻求帮助的因素。然而，参与者居住城市与新冠疫情相关的封锁措施、新冠疫情期间的社会支持以及对医疗服务提供者的信任是参与者寻求心理健康服务帮助意愿的保护因素。
结论
促进孕妇寻求心理健康问题帮助的干预措施还应促进医疗服务提供者的社会支持以及孕妇与其护理提供者之间的信任。
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