父母产后抑郁直接和间接影响纯母乳养:一个横截面研究
Yuefeng Tan1, Xiaona Na1, Lei Yu2
1Vanke School of Public Health, Tsinghua University, Beijing, China.
Frontiers in public health
|February 20, 2026
概括
父母产后抑郁症 (PPD) 显著影响独家母乳养 (EBF) 的意图和实践. 解决母亲和父亲的PPD对于促进家庭成功的EBF结果至关重要.
科学领域:
- 生殖健康 生殖健康
- 孕产妇和儿童的健康
- 精神病学是一个精神病学.
背景情况:
- 纯母乳养 (EBF) 对婴儿健康至关重要.
- 父母产后抑郁症 (PPD) 可以影响母亲的母乳养意图和行为.
- 行为理论的ABC模型为理解这些影响提供了一个框架.
研究的目的:
- 调查母亲和父亲PPD对EBF意图的直接和间接影响.
- 检查将家长的PPD与EBF实践联系在一起的途径.
- 了解母亲意图在父母PPD和EBF之间的关系中的作用.
主要方法:
- 273对夫妇通过使用爱丁堡产后抑郁量表 (EPDS) 填写了评估PPD症状的问卷.
- 逻辑回归分析了父母PPD和EBF意图/实践之间的关联.
- 路径分析使用WLSMV估计器确定了直接和间接的影响.
主要成果:
- 41%的母亲和28.5%的父亲对PPD进行了查,结果呈阳性.
- 母亲PPD与较低的EBF意图 (aOR=0.20) 有关.
- 父亲的PPD通过母亲的PPD间接影响母亲的意图 (β=-0.177),而母亲的PPD通过意图间接影响EBF实践 (β=-0.189).
结论:
- 在EBF的意图和实践之间存在很大的差距.
- 父母的PPD,无论是母亲的还是父亲的,直接和间接地与母乳养的结果有关.
- 对父母抑郁症的早期发现和干预对于支持纯母乳养至关重要.
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