| 冯雅慧,岳和欣,湛永乐,石英杰,陈云利,王雅文,吴散散,蔡姝雅,江宇.孕妇孕晚期心理健康现状及其影响因素的研究[J].Chinese journal of Epidemiology,2021,42(5):853-858 |
| 孕妇孕晚期心理健康现状及其影响因素的研究 |
| Study on mental health status of pregnant women and its influencing factors in the third trimester |
| Received:August 27, 2020 |
| DOI：10.3760/cma.j.cn112338-20200827-01102 |
| KeyWord: 孕期 心理健康 影响因素 |
| English Key Word: Pregnancy Mental health Influencing factor |
| FundProject:中国医学科学院医学与健康科技创新工程（2019-I2M-2-007） |
| Author Name | Affiliation | E-mail | | Feng Yahui | State Key Laboratory of Experimental Hematology, National Clinical Research Center for Blood Diseases, Institute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Tianjin 300020, China | | | Yue Hexin | School of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China | | | Zhan Yongle | School of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China | | | Shi Yingjie | School of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China | | | Chen Yunli | School of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China | | | Wang Yawen | School of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China | | | Wu Sansan | School of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China | | | Cai Shuya | School of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China | | | Jiang Yu | School of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China | jiangyu@pumc.edu.cn |
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| Abstract: |
| 目的 了解孕妇孕晚期焦虑、抑郁和孤独等心理健康现状，并探究其影响因素。方法 以中国孕产妇队列研究·协和项目中的575名孕妇为研究对象，在孕早期收集孕妇的一般人口学特征和妊娠信息，采用爱丁堡产后抑郁量表、焦虑自评量表和孤独感自评量表随访调查其孕晚期的心理健康状况，应用多因素非条件logistic回归分析孕妇心理健康的影响因素。结果 研究对象孕晚期抑郁的发生率为16.52%，焦虑的发生率为11.13%，孤独的发生率为26.26%。Logistic回归分析结果显示，与初中及以下文化程度孕妇相比，大专或本科（OR=0.418，95%CI：0.184~0.950）及硕士及以上（OR=0.116，95%CI：0.027~0.503）文化程度的孕妇，其出现孤独的可能性较低；家庭年收入（万元）较高的孕妇出现抑郁（≥20 vs. <10：OR=0.527，95%CI：0.279~0.998）、焦虑（10~20 vs. <10：OR=0.363，95%CI：0.180~0.731；≥20 vs.<10：OR=0.271，95%CI：0.132~0.554）及孤独（≥20 vs. <10：OR=0.477，95%CI：0.276~0.826）的可能性均较低。结论 孕妇的文化程度和家庭年收入对于孕晚期的心理健康状况有影响，医护人员应加强开展针对性的孕期心理指导，以改善孕妇孕期的心理健康情况。 |
| English Abstract: |
| Objective To understand the mental health status of pregnant women in the third trimester of pregnancy, and explore the influencing factors.Methods The general demographic information and pregnancy information of 575 pregnant women in the Chinese Pregnant Women Cohort Study were collected. The mental health status of pregnant women in the third trimester was investigated by using Edinburgh Postpartum Depression Scale, Self-Rating Anxiety Scale and University of California at Los Angeles. Multivariate unconditional logistic regression was used to analyze the influencing factors for mental health of pregnant women.Results In the third trimester of pregnancy, the incidence of depression was 16.52%, the incidence of anxiety was 11.13%, and the incidence of feeling loneliness was 26.26%. Logistic regression analysis showed that compared with those with education level of junior high school below, those with education level of college or bachelor's degree (OR=0.418, 95%CI:0.184-0.950) and master's degree or above (OR=0.116, 95%CI:0.027-0.503) were less likely to feel loneliness. Pregnant women with higher annual family income (10 000 RMB yuan) were less likely to suffer from depression (≥ 20 vs. <10:OR=0.527, 95%CI:0.279-0.998), anxiety (10-20 vs. <10:OR=0.363, 95%CI:0.180-0.731; ≥ 20 vs. <10:OR=0.271, 95%CI:0.132-0.554) and feeling loneliness (≥ 20 vs. <10:OR=0.477, 95%CI:0.276-0.826).Conclusions The education level and family income have impacts on the mental health status of pregnant women in the third trimester. Medical staff should give targeted psychological advice to pregnant women to improve their mental health status. |
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