Feng Y H, Yue H X, Zhan Y L, Shi Y J, Chen Y L, Wang Y W, Wu S S, Cai S Y, Jiang Y
State Key Laboratory of Experimental Hematology, National Clinical Research Center for Blood Diseases, Institute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Tianjin 300020, China.
School of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2021 May 10;42(5):853-858. doi: 10.3760/cma.j.cn112338-20200827-01102.
To understand the mental health status of pregnant women in the third trimester of pregnancy, and explore the influencing factors. The general demographic information and pregnancy information of 575 pregnant women in the Chinese Pregnant Women Cohort Study were collected. The mental health status of pregnant women in the third trimester was investigated by using Edinburgh Postpartum Depression Scale, Self-Rating Anxiety Scale and University of California at Los Angeles. Multivariate unconditional logistic regression was used to analyze the influencing factors for mental health of pregnant women. In the third trimester of pregnancy, the incidence of depression was 16.52%, the incidence of anxiety was 11.13%, and the incidence of feeling loneliness was 26.26%. Logistic regression analysis showed that compared with those with education level of junior high school below, those with education level of college or bachelor's degree (=0.418, 95%: 0.184-0.950) and master's degree or above (=0.116, 95%: 0.027-0.503) were less likely to feel loneliness. Pregnant women with higher annual family income (10 000 RMB yuan) were less likely to suffer from depression (≥20 <10: =0.527, 95%: 0.279-0.998), anxiety (10-20 <10: =0.363, 95%: 0.180-0.731; ≥20 <10: =0.271, 95%: 0.132-0.554) and feeling loneliness (≥20 <10: =0.477, 95%: 0.276-0.826). The education level and family income have impacts on the mental health status of pregnant women in the third trimester. Medical staff should give targeted psychological advice to pregnant women to improve their mental health status.
了解孕晚期孕妇的心理健康状况，并探讨其影响因素。收集了中国孕妇队列研究中575名孕妇的一般人口学信息和妊娠信息。采用爱丁堡产后抑郁量表、自评焦虑量表和加利福尼亚大学洛杉矶分校量表对孕晚期孕妇的心理健康状况进行调查。采用多因素非条件logistic回归分析孕妇心理健康的影响因素。孕晚期，抑郁发生率为16.52%，焦虑发生率为11.13%，孤独感发生率为26.26%。logistic回归分析显示，与初中及以下文化程度者相比，大专或本科学历者（=0.418，95%可信区间：0.184 - 0.950）和硕士及以上学历者（=0.116，95%可信区间：0.027 - 0.503）感到孤独的可能性较小。家庭年收入较高（≥20 000元）的孕妇患抑郁（10 000 - 20 000元<10 000元：=0.527，95%可信区间：0.279 - 0.998）、焦虑（10 000 - 20 000元<10 000元：=0.363，95%可信区间：0.180 - 0.731；≥20 000元<10 000元：=0.271，95%可信区间：0.132 - 0.554）和孤独感（≥20 000元<10 000元：=0.477，95%可信区间：0.276 - 0.826）的可能性较小。文化程度和家庭收入对孕晚期孕妇的心理健康状况有影响。医务人员应针对孕妇给予有针对性的心理指导，以改善其心理健康状况。
