医学
母乳喂养
出勤
产后抑郁症
优势比
逻辑回归
心理健康
萧条(经济学)
公共卫生
人口
置信区间
家庭医学
儿科
人口学
精神科
环境卫生
怀孕
护理部
内科学
社会学
经济
宏观经济学
生物
遗传学
经济增长
作者
Chanyang Min,Helen Chen,Shu-Ling Chong,Olivia Xia Jiawen,Elaine Chu Shan Chew,Xiaoxuan Guo,Ng Lai Peng,Ying Chia Ch’ng,Julia ONG Lay Hoon,Joanna Tan,D. H. L. Chin,Ngiap Chuan Tan,Yoke Hwee Chan
标识
DOI:10.1016/j.ajp.2023.103701
摘要
Postpartum depression (PPD) is a public health problem that is associated with detrimental effects on the wellbeing of the mother, child and family. Early detection for PPD at the primary health level provides an opportunity for intervention. We aim to examine: (1) the prevalence rate of PPD in the primary care population, (2) acceptance and attendance rates of intervention for women who screened positive for PPD, (3) sociodemographic and maternal risk factors of PPD, and (4) the impact of PPD on breastfeeding. We implemented a mother-child dyadic screening program using the modified Patient Health Questionnaire-2 during routine well-child visits at 2 or 3 months postpartum between July 2019 and December 2021. We performed multivariable logistic regression to identify independent risk factors for PPD and described using adjusted odds ratio (OR) with corresponding 95 % confidence intervals. Among 5561 mothers, the prevalence rate of probable PPD was 2.4 %. About half (54.4 %) of mothers who screened positive accepted intervention and of these, about two-thirds accepted onward referrals to tertiary care and community mental health service, with higher attendance at the latter. In the final adjusted model, mothers who had probable PPD were more likely to be older than age 35 years (OR 1.88, 95 % CI 1.05–3.45; p < 0.05) and not breastfeeding (OR 1.9, 95 % CI 1.06–3.38; p < 0.05). Overall, our findings highlight the importance of early PPD screening and management in primary care. These findings can help inform maternal mental health service development and utilization, thereby optimizing maternal and infant outcomes.
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