Sun Mei, Cao Fanfan, Peng Jiayuan, Tang Jingfei, He Yuqing, Zeng Yi, Tan Xiangmin, Zhao Qian
School of Nursing, Xinjiang Medical University, 567 Shangde North Road, Urumqi 830017, Xinjiang, China.
Xiangya School of Nursing, Central South University, 172 Tongzipo Road Yuelu District, Changsha, Hunan 410013, China.
Depress Anxiety. 2024 Oct 1;2024:8841423. doi: 10.1155/2024/8841423. eCollection 2024.
Postpartum depression (PPD) significantly affects the welfare of mothers, infants, families, and communities. Mothers in rural areas often face low incomes, poor social security, low education levels, and inadequate medical services. These specific cultural, social, and economic aspects have led to a worsening of PPD in rural areas. However, the current situation of PPD among women in rural areas of China is still insufficiently explored. This study aims to explore the prevalence and risk factors of PPD among women in low-income developing rural areas of China. A cross-sectional design was used in this study. Edinburgh Postnatal Depression Scale (EPDS) was applied to evaluate PPD symptoms. General demographic questionnaire, obstetrics-/pediatrics-related questionnaire, and psychosocial-related questionnaire were adopted. Abuse Assessment Screen (AAS) was utilized to assess experienced intimate partner violence during pregnancy and postpartum. Social Support Rating Scale (SSRS) was utilized to measure their levels of social support. Of the 467 participants, the overall prevalence of PPD among women in rural areas of China was 16.5%, and the average EPDS score was 8.35 (SD = 4.50). PPD occurred most frequently at 7-9 months postpartum (33.8%). Six factors associated with PPD were whether the sex of the baby was in line with the family's expectations, monthly income of partners, social support, IPV during pregnancy and childbirth, and negative life events in the last 1 year, as well as physical and mental exhaustion from caring for a baby. This study sheds light on the prevalence and various risk factors associated with PPD among women residing in low-income developing rural areas of China. The findings highlighted the need for targeted interventions and support systems designed to address the specific socioeconomic and cultural difficulties encountered by rural mothers.
产后抑郁症（PPD）严重影响母亲、婴儿、家庭和社区的福祉。农村地区的母亲往往面临低收入、社会保障差、教育水平低和医疗服务不足的问题。这些特定的文化、社会和经济因素导致农村地区产后抑郁症情况恶化。然而，中国农村地区女性产后抑郁症的现状仍未得到充分研究。本研究旨在探讨中国低收入农村贫困地区女性产后抑郁症的患病率及危险因素。本研究采用横断面设计。应用爱丁堡产后抑郁量表（EPDS）评估产后抑郁症症状。采用一般人口学问卷、妇产科/儿科相关问卷和心理社会相关问卷。采用虐待评估筛查（AAS）评估孕期和产后经历的亲密伴侣暴力。采用社会支持评定量表（SSRS）测量她们的社会支持水平。在467名参与者中，中国农村地区女性产后抑郁症的总体患病率为16.5%，爱丁堡产后抑郁量表平均得分为8.35（标准差=4.50）。产后抑郁症最常发生在产后7至9个月（33.8%）。与产后抑郁症相关的六个因素是婴儿性别是否符合家庭期望、伴侣月收入、社会支持、孕期和分娩期间的亲密伴侣暴力、过去1年的负面生活事件，以及照顾婴儿导致的身心疲惫。本研究揭示了中国低收入农村贫困地区女性产后抑郁症的患病率及各种危险因素。研究结果凸显了需要有针对性的干预措施和支持系统，以解决农村母亲所面临的特定社会经济和文化困难。
