Kita Yuri, Koyama Teruhide, Tabuchi Takahiro, Shizawa Miho
Graduate School of Nursing for Health Care Science, Kyoto Prefectural University of Medicine, Kyoto 602-8566, Japan.
Department of Epidemiology for Community Health and Medicine, Kyoto Prefectural University of Medicine, Kyoto 602-0841, Japan.
Healthcare (Basel). 2025 Jun 13;13(12):1422. doi: 10.3390/healthcare13121422.
: In Japan, new challenges are emerging, such as declining birth rates, an increase in age at childbirth, postpartum depression, and child abuse. : This study examines the factors influencing maternal consultation behavior at public institutions using some of the data from the Japan COVID-19 and Society Internet Survey (JACSIS). A total of 6227 women (1380 pregnant and 4847 postpartum) were analyzed through logistic regression. : The results showed different factors influencing consultations between pregnant women and postpartum women. Among pregnant women, different trends were observed between primigravidae and multigravidae, indicating that primigravidae aged ≥40 years and multigravidae with multiple childbirths tend to seek consultations more frequently. In postpartum women, psychological distress (K6), adverse childhood experiences (ACEs), and social support networks significantly influenced consultation behavior. Postpartum women with extensive support networks (≥3 confidants) exhibited higher consultation rates. In contrast, those with elevated Edinburgh Postnatal Depression Scale (EPDS) and Mother-to-Infant Bonding Scale (MIBS-J) scores were less likely to seek help, potentially due to mental health stigma. : This study showed that pregnant and postpartum women facing physical, mental, family, or relationship issues are seeking consultations and receiving thorough support. On the other hand, since some pregnant and postpartum women refrained from seeking consultation, it is necessary to further consider support measures that make it easier for all pregnant and postpartum women to seek advice in the future.
在日本，新的挑战正在出现，如出生率下降、生育年龄增加、产后抑郁和虐待儿童等问题。本研究利用日本新冠疫情与社会互联网调查（JACSIS）的部分数据，探讨影响公共机构中孕产妇咨询行为的因素。通过逻辑回归分析了总共6227名女性（1380名孕妇和4847名产后女性）的数据。结果显示，影响孕妇和产后女性咨询行为的因素有所不同。在孕妇中，初产妇和经产妇呈现出不同的趋势，表明年龄≥40岁的初产妇和多胎经产妇更倾向于频繁寻求咨询。在产后女性中，心理困扰（K6）、童年不良经历（ACEs）和社会支持网络显著影响咨询行为。拥有广泛支持网络（≥3个知己）的产后女性咨询率更高。相比之下，爱丁堡产后抑郁量表（EPDS）和母婴联结量表（MIBS-J）得分较高的女性寻求帮助的可能性较小，这可能是由于心理健康污名化所致。本研究表明，面临身体、心理、家庭或人际关系问题的孕妇和产后女性正在寻求咨询并获得全面支持。另一方面，由于一些孕妇和产后女性避免寻求咨询，未来有必要进一步考虑采取支持措施，使所有孕妇和产后女性更容易寻求建议。
