Nguyen Ai T, Nguyen Kien Dang, Minh Le Hieu, Nguyen Thanh D, W Meyrowitsch Dan, C Bygbjerg Ib, Søndergaard Jens, Nguyen Hanh T T, A Vinter Christina, S Linde Ditte, M Gammeltoft Tine, Rasch Vibeke
Faculty of Public Health, Thai Binh University of Medicine and Pharmacy, Thai Binh, Vietnam.
Department of Obstetrics & Gynecology, Thai Binh University of Medicine and Pharmacy, Thai Binh, Vietnam.
PLoS One. 2024 Dec 5;19(12):e0314608. doi: 10.1371/journal.pone.0314608. eCollection 2024.
This study from Northern Vietnam aims to assess the association between social support and symptoms of depression among pregnant women screened for gestational diabetes mellitus (GDM).
A cross-sectional study was conducted among 823 pregnant women in Thai Binh, Vietnam. The women were screened for GDM and structured questionnaire were used to collect data on social support factors, GDM factors, and symptoms of depression. The diagnosis of GDM was based on the 2-hour 75-g OGTT according to WHO 2013 criteria. The Edinburg Postpartum Depression Scale (EPDS) with a cut-off of 10 and the Multidimensional Perceived Social Support Scale (MSPSS) were used to assess depression symptoms and perceived social support, respectively. Logistic regression analysis was conducted to measure the associations between social support, GDM-related factors, and symptoms of depression. The relationship between social support score and symptoms of depression was evaluated using Spearman's correlation. The strength of the associations were measured by adjusted odds ratios (aOR) with 95% confidence intervals (CI).
The prevalence rates of GDM and symptoms of depression were 22.2% (95%CI: 19.4-25.2) and 23.0% (95%CI: 20.1-26.0), respectively. Women who had moved away from their commune of birth and women who reported another person than their husband to be the primary person to confide in had increased odds of depression (aOR = 1.74; 95%CI:1.19-2.56 and aOR = 2.36; 95%CI:1.48-3.75, respectively). A reported lack of social support was strongly associated with increased odds of depression symptoms among both women with gestational diabetes mellitus (aOR = 6.16, 95% CI:2.35-16.12) and without gestational diabetes mellitus (aOR = 2.81; 95%CI: 1.67-4.75). When analysing the correlation between social support and depression symptoms, a negative correlation was found, with decreasing depression scores as the social support score increased.
The prevalence of symptoms of depression was high in our study, and women in Northern Vietnam who feel well-supported socially are less likely to report symptoms of depression. This finding applies both to women with and without GDM.
这项来自越南北部的研究旨在评估接受妊娠期糖尿病（GDM）筛查的孕妇的社会支持与抑郁症状之间的关联。
在越南太平省的823名孕妇中开展了一项横断面研究。对这些女性进行GDM筛查，并使用结构化问卷收集关于社会支持因素、GDM因素和抑郁症状的数据。GDM的诊断依据世界卫生组织2013年标准的2小时75克口服葡萄糖耐量试验（OGTT）。分别使用临界值为10的爱丁堡产后抑郁量表（EPDS）和多维感知社会支持量表（MSPSS）来评估抑郁症状和感知到的社会支持。进行逻辑回归分析以衡量社会支持、GDM相关因素与抑郁症状之间的关联。使用Spearman相关性评估社会支持得分与抑郁症状之间的关系。关联强度通过调整后的优势比（aOR）及95%置信区间（CI）来衡量。
GDM和抑郁症状的患病率分别为22.2%（95%CI：19.4 - 25.2）和23.0%（95%CI：20.1 - 26.0）。搬离出生地公社的女性以及报告除丈夫外的其他人是主要倾诉对象的女性患抑郁症的几率增加（aOR分别为1.74；95%CI：1.19 - 2.56和aOR为2.36；95%CI：1.48 - 3.75）。报告缺乏社会支持与患有妊娠期糖尿病的女性（aOR = 6.16，95%CI：2.35 - 16.12）和未患有妊娠期糖尿病的女性（aOR = 2.81；95%CI：1.67 - 4.75）抑郁症状几率增加密切相关。在分析社会支持与抑郁症状之间的相关性时，发现呈负相关，随着社会支持得分增加，抑郁得分降低。
在我们的研究中，抑郁症状的患病率很高，在越南北部，感觉获得良好社会支持的女性报告抑郁症状的可能性较小。这一发现适用于患有和未患有GDM的女性。
