广州市天河区外来女性产后抑郁症的流行病学研究  

Epidemiological study of postpartum depression among migrant women at Tianhe District of Guangzhou

作　　者：邓爱文[1] 熊日波[1] 姜婷婷[1] 罗映萍[1] 魏东[2] 

机构地区：[1]南方医科大学第三附属医院康复治疗部,广州市510630 [2]南方医科大学南方医院检验科,广州市510515

出　　处：《实用医学杂志》2014年第10期1648-1651,共4页The Journal of Practical Medicine

基　　金：广州市医药卫生科技项目(编号:20131A011181)

摘　　要：目的:了解广州市天河区外来女性产后抑郁症(postpartum depression,PPD)的发生率及危险因素,为本地区外来女性PPD的防治提供理论依据。方法:采用流行病学调查使用的抑郁自评量表(CESD)、社会支持评定量表(SSRS)以及PPD影响因素调查表对广州市天河区3家医院2013年5-12月分娩的2 021例外来产妇进行调查。结果:天河区外来女性PPD筛查率为18.31%,单因素分析显示夫妻出生地不一致、居住时间、新生儿疾患、婴儿性别、家庭月收入等5个因素与PPD的关系有统计学意义(P<0.05);多因素Logistic回归分析显示夫妻出生地不一致、居住时间、新生儿疾患、婴儿性别是PPD的危险因素,家庭月收入与PPD呈负相关,OR值为0.680;外来女性中PPD产妇SSRS总分、主观支持分、客观支持分、对支持利用度均低于正常组,差异有统计学意义(P<0.05)。结论:广州市天河区外来女性PPD发生率较高,应加大对流动育龄人口的健康教育,完善社会支持体系,从而防治PPD的发生。Objective To investigate the prevalence and risk factors of postpartum depression among female immigrants at Tianhe district of Guangzhou. Methods A total of 2021 migrant women postpartum in three hospitals at Tianhe district of Guangzhou were screened with Center for Epidemiological Survey Depression Scale,（CES-D）, Social Support Rating Scale（SSRS） and self-made related factors questionnaire from May to December, 2013. Results This study showed postpartum depression affected 18.31% of migrant women at Tianhe district of Guangzhou. Unconditional logistic regression analysis showed a significant correlation of PPD with birth place, residence time,newborn disease,fetus gender and household income（P〈0.05）. Multivariate logistic regression analysis identified birth place,residence time,newborn disease,fetus gender as the risk factors for PPD,household income was negatively correlated with the incidence of PPD with OR value of 0.680;Compared with healthy female immigrants, the total score of social support rating scale,the score of objective support,subjective support and social utilization degree were significantly reduced respectively in female immigrants with PPD. Conclusion The prevalence of PPD was high at Tianhe district of Guangzhou,health education and comprehensive social support system should be offered in order to prevent PPD.

关 键 词：产后抑郁 外来女性 流行病 

分 类 号：R714.6[医药卫生—妇产科学]