Prevalence and Risk Factors of Postpartum Depression Among Women in Low-Income Developing Rural Areas: A Cross-Sectional Study in China

IF 4.7 2区 医学 Q1 PSYCHIATRY Depression and Anxiety Pub Date : 2024-10-01 DOI:10.1155/2024/8841423
Mei Sun, Fanfan Cao, Jiayuan Peng, Jingfei Tang, Yuqing He, Yi Zeng, Xiangmin Tan, Qian Zhao
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Abstract

Background: 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.

Aim: This study aims to explore the prevalence and risk factors of PPD among women in low-income developing rural areas of China.

Methods: 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.

Results: 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.

Conclusions: 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.

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低收入发展中农村地区妇女产后抑郁症的患病率和风险因素:中国的一项横断面研究
背景:产后抑郁症(PPD)严重影响母亲、婴儿、家庭和社区的福利。农村地区的母亲往往面临收入低、社会保障差、教育水平低和医疗服务不足等问题。这些特殊的文化、社会和经济因素导致了农村地区 PPD 的恶化。然而,对中国农村地区妇女 PPD 现状的了解还不够。 目的:本研究旨在探讨中国低收入发展中农村地区妇女 PPD 的患病率和风险因素。 研究方法本研究采用横断面设计。采用爱丁堡产后抑郁量表(EPDS)评估产后抑郁症状。采用一般人口学问卷、产科/儿科相关问卷和社会心理相关问卷。虐待评估筛查(AAS)用于评估孕期和产后遭受亲密伴侣暴力的情况。社会支持评定量表(SSRS)用于测量她们的社会支持水平。 结果显示在 467 名参与者中,中国农村地区妇女的 PPD 患病率为 16.5%,EPDS 平均得分为 8.35(SD = 4.50)。PPD最常发生在产后7-9个月(33.8%)。与 PPD 相关的六个因素是:婴儿的性别是否符合家庭的期望、伴侣的月收入、社会支持、怀孕和分娩期间的 IPV、过去 1 年中的负面生活事件以及照顾婴儿造成的身心疲惫。 结论本研究揭示了居住在中国低收入发展中农村地区的妇女中PPD的患病率及其相关的各种风险因素。研究结果突出表明,有必要针对农村母亲在社会经济和文化方面遇到的特殊困难,设计有针对性的干预措施和支持系统。
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来源期刊
Depression and Anxiety
Depression and Anxiety 医学-精神病学
CiteScore
15.00
自引率
1.40%
发文量
81
审稿时长
4-8 weeks
期刊介绍: Depression and Anxiety is a scientific journal that focuses on the study of mood and anxiety disorders, as well as related phenomena in humans. The journal is dedicated to publishing high-quality research and review articles that contribute to the understanding and treatment of these conditions. The journal places a particular emphasis on articles that contribute to the clinical evaluation and care of individuals affected by mood and anxiety disorders. It prioritizes the publication of treatment-related research and review papers, as well as those that present novel findings that can directly impact clinical practice. The journal's goal is to advance the field by disseminating knowledge that can lead to better diagnosis, treatment, and management of these disorders, ultimately improving the quality of life for those who suffer from them.
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