Department of Nursing, Hoseo University, Asan, Korea (the Republic of).
Department of Nursing, Doowon University of Technology, Anseong, Korea (the Republic of)
BMJ Open. 2023 Jul 27;13(7):e068282. doi: 10.1136/bmjopen-2022-068282.
This study identifies depressive symptoms and the factors that could explain its presence in breastfeeding people.
This study is a cross-sectional study from national survey data.
Data were derived from the 2019 Korean Community Health Survey. The study subjects were breastfeeding people under the age of 50.
Depressive symptoms in breastfeeding people were classified according to the Patient Health Questionnaire-9 (PHQ-9) score. Physical and health behaviours were considered as factors related to depressive symptoms. A multilevel logistic regression analysis was used.
Among 497 participants, 19.4% (n=97) of breastfeeding people were depressed. We found that depressive symptoms were associated with age (31-35, OR: 0.79, 95% CI: 0.67 to 0.94; 35-49, OR: 0.42, 95% CI: 0.32 to 0.56), rural setting (OR: 0.62, 95% CI: 0.51 to 0.76), economic activity (OR: 0.75, 95% CI: 0.61 to 0.91) and physical health (diabetus mellitus or hypertension, OR: 5.17, 95% CI: 3.78 to 7.06).
This study implies that socioeconomic factors, physical health and health behaviours may influence depressive symptoms in breastfeeding people. These findings should be used as descriptive data to support the development of education programmes to help breastfeeding people.
本研究旨在确定母乳喂养人群中抑郁症状及其相关因素。
本研究为基于全国调查数据的横断面研究。
数据来源于 2019 年韩国社区健康调查。研究对象为年龄在 50 岁以下的母乳喂养人群。
根据患者健康问卷-9（PHQ-9）评分对母乳喂养人群的抑郁症状进行分类。将身体和健康行为视为与抑郁症状相关的因素。采用多水平逻辑回归分析。
在 497 名参与者中，19.4%（n=97）的母乳喂养人群存在抑郁症状。研究发现，抑郁症状与年龄（31-35 岁：OR=0.79，95%CI：0.67-0.94；35-49 岁：OR=0.42，95%CI：0.32-0.56）、农村环境（OR=0.62，95%CI：0.51-0.76）、经济活动（OR=0.75，95%CI：0.61-0.91）和身体健康（糖尿病或高血压，OR=5.17，95%CI：3.78-7.06）相关。
本研究表明，社会经济因素、身体健康和健康行为可能会影响母乳喂养人群的抑郁症状。这些发现可以作为描述性数据，为支持制定帮助母乳喂养人群的教育计划提供依据。
