产后抑郁症及其对青少年母亲的社会文化影响:一个横截面研究
Chimwemwe Tembo1, Linda Portsmouth2, Sharyn Burns2
1Saint John of God Hospitaller Services Malawi, Mzuzu, Malawi.
PLOS global public health
|June 23, 2023
概括
在马拉维,近一半的青少年母亲患有产后抑郁症 (PND). 亲密伴侣暴力和缺乏家庭支持显著增加了PND风险,而卫生工作者的互动提供了保护.
科学领域:
- 生殖健康 生殖健康
- 孕产妇心理健康 孕产妇心理健康
- 青少年健康 青少年健康
背景情况:
- 青少年母亲占马拉维农村怀孕的很大一部分.
- 母亲可能是青少年产后抑郁症 (PND) 的风险因素.
- 关于这群人群中PND的流行程度和文化影响的研究有限.
研究的目的:
- 确定马拉维农村的青少年母亲中PND的流行率.
- 在这个人群中确定PND的社会和文化预测因素.
主要方法:
- 一项从2021年9月到2022年3月进行的跨部门调查.
- 在马拉维Mitundu医院招募了395名青少年母亲 (年龄≤19岁).
- 爱丁堡产后抑郁量表 (EPDS) 评估了PND;二进制后勤回归确定了预测因素.
主要成果:
- 43.6%的青少年母亲报告了可能的PND (EPDS得分≥10).
- 亲密伴侣暴力 (IPV) 与增加PND风险密切相关 (aOR 13.6).
- 缺乏家庭决策自主权 (aOR 2.3) 和与卫生工作者互动 (aOR 0.4) 是重要的因素.
结论:
- 社会和文化因素显著影响青少年母亲的心理健康.
- 需要有针对性的干预措施来解决这个弱势群体中PND的问题.
- 政策和实践的改进对于加强产后支持至关重要.
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