School of Nursing, Wuhan University, Wuhan, Hubei, China.
Department of Thyroid and Parathyroid Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Transl Psychiatry. 2021 Oct 20;11(1):543. doi: 10.1038/s41398-021-01663-6.
Postpartum depression (PPD) is the most common psychological condition following childbirth, and may have a detrimental effect on the social and cognitive health of spouses, infants, and children. The aim of this study was to complete a comprehensive overview of the current literature on the global epidemiology of PPD. A total of 565 studies from 80 different countries or regions were included in the final analysis. Postpartum depression was found in 17.22% (95% CI 16.00-18.51) of the world's population. Meta-regression analysis showed that study size, country or region development, and country or region income were the causes of heterogeneity. Multivariable meta-regression analysis found that study size and country or area development were the most important predictors. Varied prevalence rates were noted in geographic regions with the highest rate found in Southern Africa (39.96%). Of interested was a significantly lower rate of PPD in developed countries or high-income countries or areas. Furthermore, the findings showed that there was a substantial difference in rates of PPD when marital status, educational level, social support, spouse care, violence, gestational age, breast feeding, child mortality, pregnancy plan, financial difficulties, partnership, life stress, smoking, alcohol intake, and living conditions were considered in the pooled estimates. Our results indicated that one out of every five women experiences PPD which is linked to income and geographic development. It is triggered by a variety of causes that necessitate the attention and committed intervention of primary care providers, clinicians, health authorities, and the general population.
产后抑郁症(PPD)是产后最常见的心理疾病,可能对配偶、婴儿和儿童的社会和认知健康产生不利影响。本研究旨在全面概述全球产后抑郁症的流行病学研究。最终分析共纳入了来自 80 个不同国家或地区的 565 项研究。产后抑郁症在全球人口中的发病率为 17.22%(95%CI 16.00-18.51)。Meta 回归分析表明,研究规模、国家或地区发展程度和国家或地区收入是异质性的原因。多变量 Meta 回归分析发现,研究规模和国家或地区发展程度是最重要的预测因素。在地理区域中,发病率存在差异,南部非洲的发病率最高(39.96%)。有趣的是,发达国家或高收入国家或地区的 PPD 发病率显著较低。此外,研究结果表明,在考虑婚姻状况、教育水平、社会支持、配偶照顾、暴力、胎龄、母乳喂养、儿童死亡率、妊娠计划、经济困难、伙伴关系、生活压力、吸烟、饮酒和生活条件等因素时,PPD 的发生率存在显著差异。我们的研究结果表明,每五名女性中就有一名患有产后抑郁症,这与收入和地理发展有关。它由多种原因引发,需要初级保健提供者、临床医生、卫生当局和普通大众的关注和积极干预。