Research Center for Public Health and Nutrition, Research Organization for Health, National Research and Innovation Agency, Bogor, Indonesia.
J Prev Med Public Health. 2023 May;56(3):272-281. doi: 10.3961/jpmph.22.534. Epub 2023 May 7.
Young mothers are vulnerable to postpartum depression due to role transition-related stress. Understanding the causes underlying these stressors is essential for developing effective interventions.
This study analyzed the 2018 Indonesian Basic Health Research data. The Mini International Neuropsychiatric Interview was used to assess postpartum depression symptoms in mothers aged 15-24 years with infants aged 0-6 months. In 1285 subjects, the risk factors for postpartum depression were evaluated using multivariate logistic regression.
The overall prevalence of depression in the 6 months postpartum was 4.0%, with a higher prevalence in urban areas (5.7%) than in rural areas (2.9%). Urban and rural young mothers showed distinct postpartum depression risk factors. In urban areas, living without a husband (odds ratio [OR], 3.82; 95% confidence interval [CI], 1.24 to 11.76), experiencing preterm birth (OR, 4.67; 95% CI, 1.50 to 14.50), having pregnancy complications (OR, 3.03; 95% CI, 1.20 to 7.66), and having postpartum complications (OR, 5.23; 95% CI, 1.98 to 13.80) were associated with a higher risk of postpartum depression. In rural areas, postpartum depression was significantly associated with a smaller household size (OR, 3.22; 95% CI, 1.00 to 10.38), unwanted pregnancy (OR, 4.40; 95% CI, 1.15 to 16.86), and pregnancy complications (OR, 3.41; 95% CI, 1.31 to 8.88).
In both urban and rural contexts, postpartum depression relates to the availability of others to accompany young mothers throughout the postpartum period and offer support with reproductive issues. Support from the family and the healthcare system is essential to young mothers' mental health. The healthcare system needs to involve families to support young mothers' mental health from pregnancy until the postpartum period.
年轻母亲由于角色转变相关的压力而易患产后抑郁症。了解这些压力源的根本原因对于制定有效的干预措施至关重要。
本研究分析了 2018 年印度尼西亚基本健康研究数据。使用迷你国际神经精神访谈（Mini International Neuropsychiatric Interview）评估年龄在 15-24 岁、婴儿年龄在 0-6 个月的母亲产后 6 个月内的抑郁症状。在 1285 名受试者中，使用多变量逻辑回归评估产后抑郁症的危险因素。
产后 6 个月内抑郁的总患病率为 4.0%，城市地区（5.7%）高于农村地区（2.9%）。城市和农村年轻母亲表现出不同的产后抑郁危险因素。在城市地区，与丈夫分居（比值比 [OR]，3.82；95%置信区间 [CI]，1.24 至 11.76）、早产（OR，4.67；95%CI，1.50 至 14.50）、妊娠并发症（OR，3.03；95%CI，1.20 至 7.66）和产后并发症（OR，5.23；95%CI，1.98 至 13.80）与产后抑郁症风险增加相关。在农村地区，较小的家庭规模（OR，3.22；95%CI，1.00 至 10.38）、意外怀孕（OR，4.40；95%CI，1.15 至 16.86）和妊娠并发症（OR，3.41；95%CI，1.31 至 8.88）与产后抑郁症显著相关。
在城市和农村地区，产后抑郁症与在整个产后期间陪伴年轻母亲并为生殖问题提供支持的人员的可用性有关。家庭和医疗保健系统的支持对年轻母亲的心理健康至关重要。医疗保健系统需要让家庭参与进来，从怀孕到产后期间支持年轻母亲的心理健康。
