产后抑郁症(PPD)是全球公认的公共卫生问题,然而,针对孟加拉国城市地区妇女的研究仍未探索。这项研究旨在通过调查产后前2年内PPD的患病率和相关因素来解决这一研究差距。
■进行了横断面研究,招募住在城市地区的259名妇女(26.66±4.57岁),她们正在医疗服务中心就诊。社会人口因素,与儿童有关的问题,妊娠相关并发症,和PPD使用爱丁堡产后抑郁量表(EPDS)进行数据收集。数据分析采用χ2检验和SPSS软件进行logistic回归分析。
■这项研究发现,在EPDS量表上使用10(满分30)的临界值发现PPD的患病率为60.6%。Logistic回归分析确定了与PPD相关的几个重要因素,包括高家庭月收入(比值比[OR]=47.51,95%置信区间[CI]:8.34-270.54,p<0.001),收入不满意(OR=14.28,95%CI:4.75-42.87,p<0.001),最多两次妊娠(OR=2.94,95%CI=1.25-6.90,p=0.013),妊娠相关并发症(OR=2.70,95%CI=1.05-6.96,p=0.039),增加产前护理访问,和更高的分娩费用。
这项研究强调了孟加拉国城市母亲中PPD的高患病率。已确定的风险因素强调需要有针对性的心理健康举措,专门为支持弱势群体量身定制。实施这些举措可以有效应对PPD带来的挑战,并提高城市地区产后妇女的福祉。
UNASSIGNED: Postpartum depression (PPD) is a globally recognized public health concern, yet research focusing on women in urban areas of Bangladesh remains unexplored. This study aimed to address this research gap by investigating the prevalence and associated factors of PPD within the first 2 years after childbirth.
UNASSIGNED: A cross-sectional study was conducted, enrolling 259 women (26.66 ± 4.57 years) residing in urban areas who were attending healthcare delivery centers. Sociodemographic factors, child-related issues, pregnancy-related complications, and PPD using the Edinburgh Postnatal Depression Scale (EPDS) were used for data collection. Data analysis involved the application of χ 2 tests and logistic regression analysis using SPSS software.
UNASSIGNED: This study found a 60.6% prevalence of PPD using a cutoff of 10 (out of 30) on the EPDS scale. Logistic regression analysis identified several significant factors associated with PPD, including high monthly family income (odds ratio [OR] = 47.51, 95% confidence interval [CI]: 8.34-270.54, p < 0.001), income dissatisfaction (OR = 14.28, 95% CI: 4.75-42.87, p < 0.001), up to two gravidities (OR = 2.94, 95% CI = 1.25-6.90, p = 0.013), pregnancy-related complications (OR = 2.70, 95% CI = 1.05-6.96, p = 0.039), increased antenatal care visits, and higher childbirth expenses.
UNASSIGNED: This study underscores the high prevalence of PPD among urban mothers in Bangladesh. The identified risk factors emphasize the need for targeted mental health initiatives, specifically tailored to support the vulnerable group. Implementing such initiatives can effectively address the challenges posed by PPD and enhance the well-being of postpartum women in urban areas.