家庭支持与孕产妇分娩前后抑郁风险:基于Oaxaca与Fairlie分解方法  

Family support and maternal depression risk before and after delivery: based on the Oaxaca and Fairlie decomposition methods

作　　者：胡美丽[1] HU Meili(Obstetrics and Gynecology Department,Baoding Maternal and Child Health Hospital,Baoding 071000,China)

机构地区：[1]保定市妇幼保健院妇产科,河北保定071000

出　　处：《南京医科大学学报（社会科学版）》2022年第2期144-150,共7页Journal of Nanjing Medical University（Social Sciences）

基　　金：保定市科学技术研究与发展指导计划项目“孕产妇抑郁调查与干预系统构建研究”(1941ZF072)。

摘　　要：孕产妇抑郁风险是世界范围的健康挑战,家庭支持是影响孕产妇抑郁风险的重要因素,但其在分娩前后孕产妇抑郁波动中的作用和贡献却鲜有研究。文章基于调查数据,结合回归、分解等方法,分析家庭支持因素在孕产妇分娩前后抑郁状况波动中的贡献程度。结果显示,家庭支持状况显著影响孕产妇抑郁风险,孕妇在分娩后,其抑郁风险会显著下降,家庭支持、医疗状况因素合计贡献了下降幅度约50%,家庭支持因素贡献度较大(约30%),超过了医疗因素贡献度(约20%),照护状况、医护水平、公婆关系三个变量作用显著。家庭支持是孕产妇抑郁风险的重要防治因素,家庭支持系统建设应是全生命周期妇女健康发展战略的重要内容。Maternal depression risk is a worldwide health challenge,and family support is an important factor affecting maternal depression risk;However,its role and contribution in the fluctuation of maternal depression before and after delivery is rarely studied. Based on the survey data,combined with regression and decomposition analysis methods,this study analyzed the contribution degree of family support factors to the fluctuation of maternal depression before and after delivery. The results showed that family support significantly affected the risk of maternal depression. The risk of depression decreased significantly after delivery. The combined contribution of family support factors and medical factors accounted for 50%. The contribution of family support factors is larger(about 30%)than that of medical factors(about 20%). The main factors include care status,medical care level and parents-in-law relationship. Family support plays critical role in preventing maternal depression,and the construction of family support system should be an important part of the development strategy of women’s health throughout the life cycle.

关 键 词：孕产妇 抑郁风险 家庭支持 

分 类 号：C923[社会学—人口学]