背景:全球产后抑郁症(PPD)的估计患病率,在中国,上海是17.2%,18.0%和23.2%,分别。2021年,上海容纳了320万育龄妇女,由于经济原因,他们中的大多数人与丈夫一起移居城市。由于人们认为存在社会污名化的风险,中国的精神障碍普遍缺乏寻求帮助的行为。在上海,70%的妇女没有为围产期心理健康问题寻求专业帮助。我们的目标是从多个角度收集信息,例如患有PPD和围产期抑郁症(PND)的移民妇女,他们的照顾者,卫生服务提供者和社区,了解中国产后流动妇女PPD或PND的求助行为。
方法:系统审查的首选报告项目和范围审查的荟萃分析框架将指导本次审查。一位双语研究图书馆员制定了一项全面的搜索策略,以检索已发表和未发表的中英文研究,这些研究涉及影响中国女性PPD或PND寻求帮助行为的因素。这些文献包括感知,视图,模式,接受和拒绝,倾向,概率,服务可访问性和利用率,和事实。我们将搜索PubMed,Embase,科学网和CINAHL为英国文学和CINKI为中国文学。后向和前向雪球方法将用于从选定论文的参考列表中识别其他相关论文。两名独立的审稿人将筛选标题和摘要,并审查所选论文的全文,以确定符合条件的文章进行数据提取。我们将建立一个MicrosoftAccess数据库来记录提取的数据。结果将在表格和因果图中显示,以证明提取的变量与PPD和PND的求助行为之间的关系。将根据文献中的信息制定概念模拟模型,以验证变量之间关系的逻辑,确定知识差距,并深入了解潜在的干预方法。将邀请专家和利益相关者在上海的小组模型构建(GMB)研讨会上对结果进行评论和评论。这些评论对于验证调查结果至关重要,接收反馈并获得更多见解。
背景:我们研究的文献综述部分不需要伦理批准,因为收集的信息和数据将从公开可用的来源获得,并且不会涉及人类受试者。我们的合作研究伙伴,国际桃子妇幼医院,获得IRB批准(GKLW-A-2023-020-01),用于筛选和招募GMB研讨会的参与者。斯坦福大学根据第67419号方案获得IRB批准。完整的审查将在相关会议上提交,并提交给同行评审的科学期刊发表,以报告发现。
BACKGROUND: The estimated prevalence of postpartum depression (PPD) worldwide, in
China, and Shanghai is 17.2%, 18.0% and 23.2%, respectively. In 2021, Shanghai housed a population of 3.2 million childbearing-age migrant women, most of whom migrated to the city with their husbands for economic reasons. There is a general lack of help-seeking behaviour for mental disorders in
China due to the perceived risk of social stigmatisation. In Shanghai, 70% of women did not seek professional help for perinatal mental health problems. We aim to gather information from multiple perspectives, such as the migrant women with PPD and perinatal depression (PND), their caregivers, health service providers and communities, to understand the help-seeking behaviour of postpartum migrant women with PPD or PND in
China.
METHODS: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses framework for Scoping Reviews will guide this review. A bilingual research librarian developed a comprehensive search strategy to retrieve published and unpublished English and Chinese studies involving factors influencing women\'s PPD or PND help-seeking behaviour in
China. This literature includes perceptions, views, patterns, acceptance and refusal, tendencies, probability, service accessibility and utilisation, and facts. We will search PubMed, Embase, Web of Science and CINAHL for English literature and CINKI for Chinese
literature. Backward and forward snowball approaches will be used to identify additional relevant papers from the reference lists of selected papers. Two independent reviewers will screen the title and abstract and review the full text of selected papers to identify eligible articles for data extraction. We will build a Microsoft Access database to record the extracted data. The results will be presented in tables and a causal map to demonstrate the relationships between extracted variables and help-seeking behaviours for PPD and PND. A conceptual simulation model will be formulated based on the information from the literature to validate the logic of the relationships between variables, identify knowledge gaps and gain insights into potential intervention approaches. Experts and stakeholders will be invited to critique and comment on the results during group model building (GMB) workshops in Shanghai. These comments will be essential to validate the findings, receive feedback and obtain additional insights.
BACKGROUND: The literature review component of our study does not require ethical approval because the information and data collected will be obtained from publicly available sources and will not involve human subjects. Our collaborating research partner, International Peach Maternal Child Hospital, obtained the IRB approval (GKLW-A-2023-020-01) for screening and enrolling participants in GMB workshops. Stanford University received IRB approval under protocol number 67 419. The full review will be presented at a relevant conference and submitted to a peer-reviewed scientific journal for publication to report findings.