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首页> 外文期刊>BMC Psychiatry >Demographic, psychosocial and clinical factors associated with postpartum depression in Kenyan women
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Demographic, psychosocial and clinical factors associated with postpartum depression in Kenyan women

机译：与肯尼亚妇女产后抑郁症相关的人口统计学，社会心理和临床因素

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Few longitudinal studies have examined associations between risk factors during pregnancy and mental health outcomes during the postpartum period. We used a cohort study design to estimate the prevalence, incidence and correlates of significant postpartum depressive symptoms in Kenyan women. We recruited adult women residing in an urban, resource-poor setting and attending maternal and child health clinics in two public hospitals in Nairobi, Kenya. A translated Kiswahili Edinburgh Postpartum Depression Scale was used to screen for depressive symptoms at baseline assessment in the 3rd trimester and follow up assessment at 6–10?weeks postpartum. Information was collected on potential demographic, psychosocial and clinical risk variables. Potential risk factors for postpartum depression were evaluated using multivariate logistic regression analysis. Out of the 171 women who were followed up at 6–10?weeks postpartum, 18.7% (95% CI: 13.3–25.5) were found to have postpartum depression using an EPDS cut off of 10. In multivariate analyses, the odds of having postpartum depression was increased more than seven-fold in the presence of conflict with partner (OR?=?7.52, 95% CI: 2.65–23.13). The association between antepartum and postpartum depression was quite strong but did not reach statistical significance (OR?=?3.37, 95% CI: 0.98–11.64). The high prevalence of significant postnatal depressive symptoms among Kenyan women underscores the need for addressing this public health burden. Depression screening and psychosocial support interventions that address partner conflict resolution should be offered as part of maternal health care.
机译：很少有纵向研究检查过孕期危险因素与产后心理健康结局之间的关联。我们使用队列研究设计来估计肯尼亚女性产后抑郁症状的患病率，发病率和相关性。我们招募了居住在城市，资源贫乏地区并在肯尼亚内罗毕的两家公立医院就诊的妇幼保健诊所的成年妇女。使用经过翻译的斯瓦希里语爱丁堡产后抑郁量表在孕晚期进行基线评估时筛选抑郁症状，并在产后6-10周进行随访评估。收集了有关潜在人口统计，社会心理和临床风险变量的信息。使用多元逻辑回归分析评估产后抑郁的潜在危险因素。在171名在产后6-10周接受随访的妇女中，使用EPDS截断10分，发现18.7％（95％CI：13.3-25.5）患有产后抑郁症。在多变量分析中，与伴侣发生冲突时，产后抑郁症增加了七倍以上（OR≥7.52，95％CI：2.65-23.13）。产前抑郁与产后​​抑郁之间的相关性很强，但没有统计学意义（OR？=？3.37，95％CI：0.98-11.64）。在肯尼亚妇女中，严重的产后抑郁症状的高患病率凸显了解决这一公共卫生负担的必要性。应对伴侣冲突解决的抑郁症筛查和社会心理支持干预措施应作为孕产妇保健的一部分提供。

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