摘要
目的了解北京市朝阳区孕产妇抑郁发生情况及其影响因素,为预防和减少妊娠期抑郁提供科学依据。方法采用患者健康问卷抑郁量表(PHQ-9)对在北京市朝阳区助产机构产检的9416例孕产妇,进行抑郁状况评估,并收集研究对象一般情况信息,应用χ^(2)检验进行单因素分析,应用Logistic回归进行多因素分析。结果 9416例孕产妇抑郁检出率为35.60%。其中,年龄小于25岁(49.32%)、高中及以下文化程度(46.59%)、无固定职业(43.92%)、外地户籍(38.28%)以及既往有过流产史(37.96%)的孕产妇抑郁的检出率较高;多因素Logistic回归分析显示,年龄<25岁相对于≥35岁组,OR值为1.594;既往流产史相对于无流产史,OR值为1.117,高中及以下和大学/专科文化程度相对于研究生及以上,OR值分别为1.671和1.228;无固定职业相对于企事业单位,OR值为1.256;外地户籍相对于本地户籍,OR值为1.272。结论北京市朝阳区孕产妇抑郁发生率较高,今后须加强孕产妇心理筛查,对筛查异常的孕产妇及时进行干预和转诊。
Objective To investigate the epidemiologic characteristics and risk factors of depression among pregnant women in Chaoyang district of Beijing,and to provide scientific evidence for preventing pregnancy depression.Methods A total of 9416 pregnant women in Chaoyang district of Beijing were selected as study objects during January and February 2019.PHQ-9 was used for depression evaluation and general information of participants were collected.χ^(2) and logistic regression were used for data analysis.Results Among 9416 pregnant women,the incidence of depression was 35.60% and higher incidences were found in groups under 25 years old(49.32%),high school or lower graduates(46.59%),non-local people(38.28%),unemployment(43.92%),and women with abortion history(37.96%).Multivariate logistic regression analysis showed that the OR value was 1.594 in pregnant women under 25 years old,1.117 for pregnant women with previous abortion history,1.671 and 1.228 respectively for pregnant women with high school and college degree compared with graduate degree,1.256 for temporary workers,1.272 for non-local pregnant women.Conclusion The incidence of maternal depression in Chaoyang District of Beijing was high.Psychological screening of pregnant women should be strengthened in future,and those with abnormal pregnant screening should be intervened in time.
作者
沈蕊
王立聪
周晓兰
刘秀玲
陈小劲
SHEN Rui;WANG Li-cong;ZHOU Xiao-lan;LIU Xiu-ling;CHEN Xiao-jin(Maternal and Child Health Care Hospital of Chaoyang District,Beijing 100021,China)
出处
《中国健康教育》
北大核心
2021年第1期33-36,47,共5页
Chinese Journal of Health Education
基金
北京市朝阳区精神卫生特色服务项目(2019010)。
关键词
孕产妇
抑郁
影响因素
心理保健
Pregnant women
Depression
Factor
Mental health care
