影响伊朗西南部亚苏杰一家医院收治母亲产后心理健康的社会经济因素。
Socioeconomic factors affecting postpartum mental health in mothers referred to a hospital in yasuj, Southwestern Iran.
作者信息
Manzouri Leila, Karami Marzieh, Seyed-Nezhad Maryam, Moradi-Joo Mohammad
机构信息
Social Determinants of Health Research Center, Yasuj University of Medical Sciences, Yasuj, Iran.
School of Medicine, Yasuj University of Medicine Sciences, Yasuj, Iran.
出版信息
BMC Pregnancy Childbirth. 2025 Jul 12;25(1):761. doi: 10.1186/s12884-025-07879-4.
BACKGROUND
Postpartum mental health is a significant concern for maternal well-being, influencing both the mother and her child. This study aimed to determine the social and economic factors affecting postpartum mental health in mothers referred to a hospital in southwestern (Imam Sajjad, Yasuj) Iran.
METHODS
In this cross-sectional (descriptive-analytical) study. Based on census, all of 120 mothers who had referred to the referral hospital of gynecology and obstetrics of yasuj, southwestern Iran, during a 6-month period in 2024 were studied. To determine mental health status, the Depression, Anxiety, Stress scale 21 questionnaire (DASS21), which is a self-assessment tool for depression, anxiety, and stress, was used. Data were analyzed using ordinal regression in SPSS version 21.
RESULTS
Mean age of the participants was 25.82 ± 5.93 years. Urban residence (estimate: -1.16, 95% CI: -2.29 to - 0.04), IHIO insurance coverage (estimate: -2.22, 95% CI: -4.37 to - 0.07), rental housing (estimate: 18.08, 95% CI: 17.09-19.06) had a significant effect on maternal depression. Also, rental housing (estimate: -13.32, 95% CI: -14.22 to -12.42) and low-income level (estimate: 1.61, 95% CI: 0.02-3.19) had a significant effect on maternal anxiety. Participants' age (estimate: 0.10, 95% CI: 0.01 - 0.18), literacy level below high school (estimate: -2.94, 95% CI: -5.80 to - 0.096), employment status (estimate: 4.35-5.018), low-income level (estimate: 2.382, 95% CI: 0.77-3.98), and household head debt (estimate: 0.97, 95% CI: 0.11-1.80) had a significant effect on maternal participants' stress.
CONCLUSION
Given that, several socioeconomic factors can affect the mental health of mothers after childbirth, the necessity of screening of mental health during pregnancy and postpartum must be mentioned and further studies need to be conducted to assess the mental health status of women in preconception counseling. On the other hands, assessing the mental health status with different valid and reliable tools would improve accuracy and allows for comparison of results.
背景
产后心理健康是影响母亲幸福感的重要因素，对母亲及其子女均有影响。本研究旨在确定影响伊朗西南部（亚苏季伊玛目萨贾德医院）转诊至某医院的母亲产后心理健康的社会和经济因素。
方法
在这项横断面（描述性分析）研究中。基于普查，对2024年6个月期间转诊至伊朗西南部亚苏季妇产科转诊医院的120名母亲进行了研究。为确定心理健康状况，使用了抑郁、焦虑、压力量表21问卷（DASS21），这是一种用于评估抑郁、焦虑和压力的自我评估工具。数据在SPSS 21版本中使用有序回归进行分析。
结果
参与者的平均年龄为25.82±5.93岁。城市居住（估计值：-1.16，95%置信区间：-2.29至-0.04）、伊朗健康保险组织（IHIO）保险覆盖（估计值：-2.22，95%置信区间：-4.37至-0.07）、租房（估计值：18.08，95%置信区间：17.09 - 19.06）对母亲抑郁有显著影响。此外，租房（估计值：-13.32，95%置信区间：-14.22至-12.42）和低收入水平（估计值：1.61，95%置信区间：0.02至3.19）对母亲焦虑有显著影响。参与者的年龄（估计值：0.10，95%置信区间：0.01至0.18）、高中以下文化程度（估计值：-2.94，95%置信区间：-5.80至-0.096）、就业状况（估计值：4.35 - 5.018）、低收入水平（估计值：2.382，95%置信区间：0.77至3.98）和户主债务（估计值：0.97，95%置信区间：0.11至1.80）对母亲参与者的压力有显著影响。
结论
鉴于若干社会经济因素会影响产后母亲的心理健康，必须提及孕期和产后进行心理健康筛查的必要性，并且需要进一步开展研究以评估孕前咨询中女性的心理健康状况。另一方面，使用不同有效且可靠的工具评估心理健康状况将提高准确性并便于结果比较。
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