Affiliated Shenzhen Maternity & Child Healthcare Hospital, Southern Medical University, No. 2004, Hongli Road, 518000, Shenzhen, Guangdong Province, China.
Shenzhen Kangning Psychiatric Hospital, No. 1080, Cuizhu Road, 518000, Shenzhen, Guangdong Province, China.
Matern Child Health J. 2022 Oct;26(10):2109-2117. doi: 10.1007/s10995-022-03482-7. Epub 2022 Aug 10.
This study was conducted to assess the real-world efficacy of a universal programme for the prevention of postpartum depression (PPD) in Shenzhen. Given the lack of evidence on routine PPD screening and intervention in China, it sought to provide insights for programme planning and implementation, particularly in relation to achievement of the targets set by the first national guidelines for PPD prevention and treatment.
Using routine health information system data, the PPD screening, referral and intervention rates for 2015-2019 were calculated and compared to the programmes targets. Trends of variables were tested by using trend χ.
The programme screened 137,761 to 178,857 women for PPD every year with the coverage among all postpartum women increased steadily from 71.1% to 82. 5% (χ = 10145.251, p < 0.001). The PPD-positive rate maintained between 4.06% and 4.89%. However, although referral messages were given to an increased percentage of PPD-positive women (χ = 1090.908, p < 0.001), the intervention rate (i.e., referral uptake) were far lower than the programme target of 80%.
This study demonstrated high efficacy of Shenzhen's comprehensive PPD prevention programme initiated in 2013. The resultant rise in the screening rate among all postpartum women, together with a high referral rate of those screened positive, have contributed to the city's relatively low PPD prevalence. PPD screening and intervention should be included as part of basic public health services to ensure universal coverage and specific strategies should be adopted to ensure referral uptake.
本研究旨在评估深圳市预防产后抑郁症（PPD）的通用方案在现实中的效果。鉴于中国缺乏常规 PPD 筛查和干预的证据，本研究旨在为项目规划和实施提供参考，特别是在实现首个全国 PPD 预防和治疗指南设定的目标方面。
利用常规健康信息系统数据，计算了 2015 年至 2019 年 PPD 的筛查、转介和干预率，并与方案目标进行了比较。采用趋势 χ 检验检验变量的趋势。
该方案每年对 137761 至 178857 名妇女进行 PPD 筛查，所有产后妇女的覆盖率从 71.1%稳步提高到 82.5%（χ²=10145.251，p<0.001）。PPD 阳性率维持在 4.06%至 4.89%之间。然而，尽管向更多的 PPD 阳性妇女发出了转介信息（χ²=1090.908，p<0.001），但干预率（即转介接受率）远低于方案设定的 80%目标。
本研究表明，深圳市 2013 年启动的综合性 PPD 预防方案效果显著。所有产后妇女筛查率的提高，以及对筛查阳性者的高转介率，有助于该市相对较低的 PPD 患病率。PPD 筛查和干预应作为基本公共卫生服务的一部分，以确保全民覆盖，并应采取具体策略确保转介接受率。
