孕产妇产后抑郁的危险因素及健康素养情况调查

Survey of maternal health literacy and its relationship with postpartum depression

ES评分 0

DOI
刊名
Journal of International Psychiatry
年,卷(期) 2025, 52(1)
作者
作者单位

苏州高新区人民医院精神科

摘要
【摘要】目的 研究孕产妇产后抑郁的危险因素,并观察健康素养情况。方法 选择2022年8月至2023年8月在我市四家二级以上综合医院进行产检及分娩的孕产妇2914人,其中产后抑郁共431人,非产后抑郁共2483人。收集一般资料,包括年龄、文化程度、居住地、家庭收入、夫妻感情、分娩方式、新生儿健康状况,同时根据产后母婴健康素养评估问卷观察健康素养情况,通过非条件Logistic逐步回归分析孕产妇发生产后抑郁的危险因素。结果 产后抑郁组年龄≥35岁、家庭收入中等及以下、夫妻感情差、剖腹产、新生儿不健康比例显著高于非产后抑郁组(P<0.05),产后抑郁组卫生服务利用、健康促进、疾病预防得分显著低于非产后抑郁组(P<0.05)。多因素Logistic回归分析显示,年龄≥35岁、家庭收入中等及以下、夫妻感情差、新生儿不健康、卫生服务利用得分、健康促进得分、疾病预防得分是孕产妇发生产后抑郁的危险因素(P<0.05)。结论 年龄、家庭收入、夫妻感情、新生儿健康状况、卫生服务利用得分、健康促进得分、疾病预防得分是孕产妇发生产后抑郁的影响因素,临床需对以上因素密切关注。
Abstract
【Abstract】Objective Study the risk factors for postpartum depression in pregnant women and observe the status of health literacy. Methods 2914 pregnant and postpartum women who underwent prenatal examinations and delivery at four second level or above comprehensive hospitals in our city from August 2022 to August 2023, including 431 cases of postpartum depression and 2483 cases of non postpartum depression. Collect general information, including age, educational level, place of residence, family income, marital relationship, delivery method, and newborn health status. At the same time, observe the health literacy status based on the postpartum maternal and infant health literacy assessment questionnaire,The risk factors of postpartum depression in pregnant women were analyzed by unconditional Logistic stepby-step regression. Results The proportion of age ≥35 years old, middle family income and below, poor couple affection, cesarean section and unhealthy newborn in postpartum depression group were significantly higher than those in non-postpartum depression group (P < 0.05), and the scores of health service utilization, health promotion and disease prevention in postpartum depression group were significantly lower than those in non-postpartum depression group (P < 0.05). Multivariate Logistic regression analysis showed that age ≥35 years old, middle family income and below, poor relationship between husband and wife, unhealthy newborn, health service utilization score, health promotion score and disease prevention score were risk factors for postpartum depression (P < 0.05). Conclusion Age, family income, husband and wife affection, newborn health status, health service utilization score, health promotion score and disease prevention score are the influencing factors of postpartum depression, and clinical attention should be paid to these factors.
关键词
【关键词】孕产妇;产后抑郁;健康素养;危险因素
KeyWord
【Key words】 Pregnant women; Postpartum depression; Health literacy; Risk factor
基金项目
页码 169-172
  • 参考文献
  • 相关文献
  • 引用本文

刘松柏. 孕产妇产后抑郁的危险因素及健康素养情况调查 [J]. 国际精神病学杂志. 2025; 52; (1). 169 - 172.

  • 文献评论

相关学者

相关机构