天津市妊娠中期妇女焦虑症状现状及影响因素分析  

Analysis on current status of anxiety symptoms and influencing factors in second trimester women in Tianjin

作　　者：杨赜骁 吴芳[2] 李寰 张钰[1] 冯凌燕[1] YANG Zexiao;WU Fang;LI Huan;ZHANG Yu;FENG Lingyan(Administrative Office,Tianjin Municipal Women and Children's Health Care Center,Tianjin 300070,China;不详)

机构地区：[1]天津市妇女儿童保健中心办公室,天津300070 [2]天津市妇女儿童保健中心妇女保健科 [3]天津市妇女儿童保健中心信息科

出　　处：《中国慢性病预防与控制》2025年第1期41-46,共6页Chinese Journal of Prevention and Control of Chronic Diseases

基　　金：天津市卫生健康科技项目(TJWJ2022QN097)。

摘　　要：目的 了解天津市妊娠中期妇女焦虑症状现状及影响因素,为妊娠妇女焦虑的预防提供科学依据。方法 选取2021年7月至2022年6月参与天津市孕产妇心理状况筛查项目的孕妇为研究对象,在妊娠第14至27周使用焦虑自评量表(SAS)对孕妇焦虑症状进行评价,SAS得分大于50分判定为SAS异常。采用SPSS 26.0进行t检验、方差分析、χ^(2)检验、logistic回归分析及受试者工作特征(ROC)曲线绘制。结果 最终共纳入33 400名孕妇,SAS量表平均得分为(35.95±6.87)分,SAS异常率为3.35%。多因素logistic回归分析结果显示,非汉族(OR=1.556,95%CI:1.220~1.984),非天津户籍(OR=1.228,95%CI:1.077~1.401),分娩年龄<25岁(OR=2.024,95%CI:1.608~2.548)、25~30岁(OR=1.389,95%CI:1.153~1.673),文化程度初中及以下(OR=2.561,95%CI:1.884~3.481)、高中及中专(OR=2.012 95%CI:1.467~2.758),职业为待业(OR=1.179,95%CI:1.031~1.389),有吸烟史(OR=1.797,95%CI:1.450~2.227),有流产史(OR=1.306,95%CI:1.148~1.486),初次产检体质指数(BMI)为消瘦(OR=1.424,95%CI:1.160~1.749),有妊娠期高危因素(OR=5.373,95%CI:3.924~7.357)与妊娠妇女SAS异常高风险相关(P<0.05,P<0.01);初次产检BMI为肥胖(OR=0.799,95%CI:0.655~0.975)与妊娠妇女SAS异常低风险相关(P<0.05,P<0.01)。在包含社会及家庭因素、生活方式及孕产史因素和产科专科因素的模型中,ROC曲线下面积最大,为0.700(95%CI:0.686~0.714)。结论 妊娠中期妇女焦虑症状与孕妇社会及家庭因素、生活方式及孕产史因素、产科疾病等影响因素有关,应结合这一时期妊娠期妇女心理、生理特点,有针对性地制定预防措施。Objective To understand the current status and influencing factors of anxiety symptoms among pregnant women in the second trimester in Tianjin,and provide a scientific basis for the prevention of anxiety in the population in the future.Methods Pregnant women who received Maternal Psychological Status Screening Project in Tianjin from July 2021 to June 2022 were selected.The anxiety symptoms of pregnant women during the 14th to 27th week were evaluated using the Self-Rating Anxiety Scale(SAS).An SAS score greater than 50 was considered abnormal.SPSS 26.0 was used for t-test,analysis of variance,X test,logistic regression analysis,and receiver operating characteristic curve(ROC)plotting.Results A total of 33400 pregnant women were finally included,with an average SAS score of 35.95±6.87 and an abnormal SAS rate of 3.35%.The results of the logistic multi-factor regression model showed that non-Han ethnicity(0R=1.556,95%Cl:1.220-1.984),non-registered residence in Tianjin(OR=1.228,95%CI:1.077-1.401),giving birth at an age of less than 25 years(OR=2.024,95%CI:1.608-2.548),giving birth at an age of 25 to 30 years(OR=1.389,95%CI:1.153-1.673),educational level of junior high school or below(OR=2.561,95%CI:1.884-3.481),educational level of high school or technical secondary school(0R=2.012,95%CI:1.467-2.758),occupation of unemployed(OR=1.179,95%CI:1.031-1.389),history of smoking(OR=1.797,95%CI:1.450-2.227),history of abortion(OR=1.306,95%CI:1.148-1.486),initial prenatal examination body mass index(BMI)indicating thinness(OR=1.424,95%CI:1.160-1.749),presence of high-risk factors during pregnancy(0R=5.373,95%CI:3.924-7.357)were associated with abnormally high risk of SAS(P<0.05,P<0.01),while initial prenatal examination BMI indicating obesity(OR=0.799,95%CI:0.655-0.975)was associated with abnormally low risk of SAS(P<0.05).The model including sociodemographic and familial factors,lifestyle and reproductive history variables,as well as obstetric specialty considerations,during pregnancy has the highest area under curve(AUC w

关 键 词：妊娠中期 焦虑症状 影响因素 

分 类 号：R749.72[医药卫生—神经病学与精神病学]