印度埃尔纳库勒姆地区产后抑郁症的流行率和决定因素:一个跨部门研究
Ani S Abraham1, Sunu C Thomas1, Jeby J Olickal1
1Public Health, Amrita Institute of Medical Sciences, Kochi, IND.
Cureus
|December 27, 2024
概括
在喀拉拉邦的一项社区研究中,产后抑郁症 (PND) 影响了20%的母亲. 穆斯林,SC/ST和孤独的母亲,或那些患有产前压力的人面临更高的PND风险,需要有针对性的干预.
科学领域:
- 公共卫生 公共卫生
- 孕产妇心理健康 孕产妇心理健康
- 流行病学 流行病学
背景情况:
- 现有的印度关于产后抑郁症 (PND) 的研究主要是基于医院的,重点是产后早期.
- 需要基于社区的研究来了解PND及其相关因素的全部范围.
- 解决PND对于改善母亲和儿童健康结果至关重要.
研究的目的:
- 为了确定Kerala的一个地区的产后抑郁症 (PND) 的患病率.
- 在社区中识别与PND相关的因素.
主要方法:
- 一项基于社区的横截面研究对330名产后妇女进行了采用多阶段集群采样.
- 通过验证的面试计划收集的数据包括社会人口统计学,产科史,新生儿特征以及个人/家庭因素.
- 使用爱丁堡产后抑郁症量表来评估产后抑郁症; 逻辑二项式回归分析了相关因素.
主要成果:
- 发现产后抑郁症 (PND) 的患病率为20% (95% CI: 16.04-24.65).
- 在穆斯林母亲 (APR=2.07) 和 অনুসূচিত জাতি/ অনুসূচিত部落 (SC/ST) 母亲 (APR=2.49) 之间观察到明显更高的PND率.
- 与增加PND风险相关的因素包括在怀孕期间经历压力事件 (APR=2.05) 和孤独感 (APR=5.83).
结论:
- 在研究区域,大约20%的母亲报告了产后抑郁症 (PND) 的症状.
- 在穆斯林母亲,SC/ST母亲以及那些报告产前压力或孤独的人群中,PND的患病率显著更高.
- 针对性,以社区为基础的干预措施对于在这些高风险人群中解决PND至关重要.
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