Prevalence and risk factors of postpartum depression in a population-based sample of women in Tangxia Community, Guangzhou

摘要

Objective:To investigate the prevalence and analyze the risk factors of postpartum depression (PPD) inTangxiaCommunity,Guangzhou, a community representative of the process of urbanization inChina.Methods:A total of1823 delivery women inTangxiaCommunity, Guangzhou were screened with theChineseVersion ofEdinburghPostnatalDepressionScale, HamiltonDepressionScale andSocialSupportRatingScale.The risk factors were evaluated by self-made questionnaire based on literature interview combined with expert consultation.The data collected were analyzed usingStudent’s t test and logistic regression inSPSS16.0.Results:The prevalence ofPPD inTangxiaCommunity,Guangzhou was27.37%.Mutivariant logistic regression analysis identified mode of delivery, puerperant from one-child family, relationship between mother-in-law and daughter-in-law and fetus gender as the risk factors ofPPD while housing condition was negatively correlated with the incidence ofPPD withOR value of0.82.The the total score of social support rating scale, the score of objective support, subjective support and social utilization degree were significantly reduced in women withPPD in contrast with women withoutPPD.Conclusions:The incidence ofPPD was slightly higher than other regions of China.It’s of great importance to distinguish risk factors in regional culture context and develop health promotion program in order to enhance the well-being of delivery women.