武汉城区农村流入人口产后抑郁影响因素研究  

Influential Factors of Postpartum Depression and Associated Factors among Rural-to-urban Migrant Women in Wuhan

作　　者：汪静[1,2] 张妤 倪泽敏 聂绍发[2] 

机构地区：[1]武汉市江岸区妇幼保健院,武汉430016 [2]华中科技大学同济医学院公共卫生学院流行病与卫生统计学系,武汉430030

出　　处：《华中科技大学学报（医学版）》2015年第5期598-602,共5页Acta Medicinae Universitatis Scientiae et Technologiae Huazhong

基　　金：武汉市卫计委科研项目(No.WG13C09)

摘　　要：目的了解武汉地区农村流入人口产后抑郁现况及社会支持情况,探讨其相关影响因素。方法采用简单随机抽样方法,使用爱丁堡产后抑郁量表（EPDS）和社会支持评定量表,以面对面结构式访谈形式对武汉地区农村流入人口产后抑郁现况、社会支持情况及抑郁影响因素进行调查。结果回收有效问卷516份（有效率97.36%）。武汉地区农村流入人口产后抑郁检出率为37.21%,多因素Logistic回归分析的结果显示无医疗保险（OR=1.56,95%CI：1.01~2.45）、照看孩子感觉累（OR=3.18,95%CI：2.01~4.85）、丈夫对妻子关心程度一般（OR=2.72,95%CI：1.57~4.72）和根本不关心（OR=3.23,95%CI：1.05~9.91）、对居住条件不满意（OR=10.81,95%CI：1.21~14.37）、生活中存在压力事件（OR=2.71,95%CI：1.70~4.29）是农村流入人口发生产后抑郁的危险因素;产后抑郁组产妇社会支持各项得分均显著低于正常组妇女。结论武汉地区农村流入人口产后抑郁发生率较高,且产后抑郁的发生与多个因素密切相关,增加农村流动妇女的社会支持度可在一定程度上减少该群体产后抑郁的发生。Objective To investigate the prevalence of postpartum depression（PPD）and social support for this disease in rural-to-urban migrant women in Wuhan district and explore the influential factors.Methods The prevalence,social support and influential factors of PPD were surveyed in rural-to-urban migrant postpartum women in Wuhan in a face-to-face manner by using simple random sampling,the Edinburgh postnatal depression scale（EPDS）and Social Support Rating Scale（SSRS）scale.Results The prevalence of PPD among Wuhan rural-to-urban migrant females was 37.21%.The logistic regression indicated that no medical insurance（OR=1.56,95%CI：1.01-2.45）,feeling tired of taking care of baby（OR=3.18,95% CI：2.01-4.85）,dissatisfied with husband＇s care（little care from husband OR=2.72,95% CI：1.57-4.72;no care from husband OR=3.23,95% CI：1.05-9.91）,dissatisfied with the dwelling condition（OR=10.81,95%CI：1.21-14.37）and stressful life events（OR=2.71,95% CI：1.70-4.29）were significantly associated with the occurrence of PPD.Additionally,the scores of social support among migrant females with PPD were significantly lower than those in health migrant females.ConclusionThere is a high prevalence of PPD among rural-to-urban migrant postpartum women in Wuhan district.Multiple factors are associated with PPD.Improving social support may reduce the occurrence of PPD to some extent in this population.

关 键 词：流入人口 产后抑郁 社会支持 EPDS抑郁量表 危险因素 

分 类 号：R181.3[医药卫生—流行病学]