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印度尼西亚西爪哇省青少年母亲的伊斯兰宗教信仰、社会支持、婚姻满意度与产后抑郁之间的关联:一项横断面研究。

Association between Islamic religiosity, social support, marriage satisfaction, and postpartum depression in teenage mothers in West Java, Indonesia: A cross-sectional study.

作者信息

Nurbaeti Irma, Lestari Kustati Budi, Syafii Moch

机构信息

Nursing Program, Faculty of Health Sciences Universitas Islam Negeri Syarif Hidayatullah Jakarta, Indonesia.

University of Al Zaytun, Indramayu, Indonesia.

出版信息

Belitung Nurs J. 2023 Aug 28;9(4):313-321. doi: 10.33546/bnj.2661. eCollection 2023.

Abstract

BACKGROUND

Postpartum depression is a prevalent mental health issue among mothers after giving birth. Adolescent mothers are believed to have a higher rate of postpartum depression than adult mothers. However, research on postpartum depression among teenage mothers in Indonesia remains limited. This research gap emphasizes the need for more comprehensive studies to address the mental health and well-being of postpartum mothers in Indonesia, especially among adolescents.

OBJECTIVE

This study aimed to investigate the correlations between Islamic religiosity, social support, marital satisfaction, and postpartum depression in teenage mothers in Indonesia.

METHODS

A cross-sectional study was conducted involving 203 adolescent postpartum mothers selected through cluster sampling. Data were collected using validated questionnaires from July to August 2020 in Cianjur and Sukabumi districts, West Java Province, Indonesia. Descriptive statistics, chi-square, and multiple logistic regression were employed for data analysis.

RESULTS

The study revealed that 35.96% of teenage mothers experienced symptoms of postpartum depression. Among the variables studied, marriage satisfaction ( = 0.002), education level ( = 0.012), family income ( = 0.003), number of children ( = 0.044), and baby weight at birth ( = 0.0001) were significantly associated with postpartum depression. However, social support ( = 0.688) and religiosity ( = 0.788) showed no significant association with postpartum depression. Multiple logistic regression analysis further confirmed that marriage satisfaction ( = 0.001; OR = 0.365; 95% CI 0.197 - 0.676), family income ( = 0.001; OR = 0.326; 95% CI = 0.165 - 0.644), and the number of children ( = 0.026; OR = 3.68; 95% CI = 1.173 - 11.547) were the most significant factors associated with postpartum depression.

CONCLUSION

The study highlighted a high prevalence of postpartum depression among adolescent mothers. Marital satisfaction, family income, and the number of children were identified as key factors associated with postpartum depression in this population. These findings emphasize the importance of considering these factors in nursing and midwifery practice to provide targeted support and interventions, ultimately improving the mental health outcomes for teenage mothers during the postpartum period.

摘要

背景

产后抑郁症是产后母亲中普遍存在的心理健康问题。据信,青少年母亲的产后抑郁症发病率高于成年母亲。然而,印度尼西亚青少年母亲产后抑郁症的研究仍然有限。这一研究空白凸显了开展更全面研究以解决印度尼西亚产后母亲,尤其是青少年产后母亲心理健康和福祉问题的必要性。

目的

本研究旨在调查印度尼西亚青少年母亲的伊斯兰宗教信仰、社会支持、婚姻满意度与产后抑郁症之间的相关性。

方法

采用整群抽样法选取203名青少年产后母亲进行横断面研究。2020年7月至8月在印度尼西亚西爪哇省芝安祖尔和苏卡布米地区,使用经过验证的问卷收集数据。采用描述性统计、卡方检验和多元逻辑回归进行数据分析。

结果

研究显示,35.96%的青少年母亲有产后抑郁症症状。在研究的变量中,婚姻满意度(P = 0.002)、教育水平(P = 0.012)、家庭收入(P = 0.003)、子女数量(P = 0.044)和婴儿出生体重(P = 0.0001)与产后抑郁症显著相关。然而,社会支持(P = 0.688)和宗教信仰(P = 0.788)与产后抑郁症无显著关联。多元逻辑回归分析进一步证实,婚姻满意度(P = 0.001;OR = 0.365;95%CI 0.197 - 0.676)、家庭收入(P = 0.001;OR = 0.326;95%CI = 0.165 - 0.644)和子女数量(P = 0.026;OR = 3.68;95%CI = 1.173 - 11.547)是与产后抑郁症最显著相关的因素。

结论

该研究突出了青少年母亲中产后抑郁症的高发病率。婚姻满意度、家庭收入和子女数量被确定为该人群产后抑郁症的关键相关因素。这些发现强调了在护理和助产实践中考虑这些因素以提供有针对性的支持和干预措施的重要性,最终改善青少年母亲产后时期的心理健康状况。

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