Incidence and influencing factors of postpartum depression and anxiety among 2 490 puerpera in Urumqi in 2020
Journal Title: Shanghai Journal of Preventive Medicine - Year 2023, Vol 35, Issue 5
Abstract
ObjectiveTo investigate the incidence and influencing factors of postpartum depression and anxiety in Urumqi during the coronavirus disease ï¼COVID-19ï¼ epidemic period in 2020.MethodsResearch subjects were the parturients who underwent postpartum health checkups in a third class hospital in Urumqi from January 2020 to December 2020. The maternal socio demographic and obstetric information were collectedï¼ and PHQ-9 and GAD-7 scales were used for screening of PPD and PPA. Calcaneal bone mineral density of the parturients was measured by French Pegasus ultrasonic bone densitometer. After univariate analysis of the related influencing factors of PPD and PPAï¼ multivariate binary logistic regression analysis was used to explore the relationship between mental disorders and various influencing factors.ResultsA total of 2 490 puerpera participated in the survey. The incidences of PPD and PPA in 2020 were 13.4 % and 10.8 %ï¼ respectively. Six factors with statistical differences after univariate analysis were included in multivariate binary logistic regression analysis. The final results suggested that age over 35 ï¼OR=1.707ï¼95%CIï¼1.142â2.551ï¼ï¼ unemployment ï¼OR=1.478ï¼95%CIï¼1.003â2.205ï¼ï¼ multipara ï¼OR=1.340ï¼95%CIï¼1.037â1.733ï¼ï¼ bone loss and osteoporosis ï¼OR=1.434ï¼95%CIï¼ 1.076â1.910ï¼ were the risk factors of PPDï¼ while breastfeeding ï¼OR=0.466ï¼95%CIï¼ 0.301â0.721ï¼ was a protective factor. Ages between 18â24 ï¼OR=1.559ï¼95%CIï¼1.282â3.097ï¼ and cesarean section ï¼OR=1.433ï¼95%CIï¼ 1.105â1.859ï¼ were the risk factors of PPAï¼ while ages between 30â34 years old ï¼OR=0.524ï¼95%CIï¼ 0.332â0.827ï¼ï¼ occupation as medical staff ï¼OR=0.282ï¼95%CIï¼ 0.807â0.919ï¼ï¼ breastfeeding ï¼OR=0.530ï¼95%CIï¼ 0.330â0.850ï¼ were protective factors.ConclusionIncidences of PPD and PPA are in middle-low levels during COVID-19 epidemic period. Ageï¼ occupationï¼ delivery modeï¼ delivery timesï¼ feeding pattern and bone mineral density are the influencing factors. Screen coverage of PPD and PPA in special period should be strengthenedï¼ and measures should be taken to reduce the risk.
Authors and Affiliations
Adila ABULAITI,HU Weiju,LIANG Xiaofei,Asimuguli KELIMU,
Keywords
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