Prevalence and Influencing Factors of Depression Among Pregnant Women in Midterm in Wuhan City:A Cross-Sectional Study
10.3870/j.issn.1672-0741.24.04.014
- VernacularTitle:武汉市孕中期妇女抑郁发生情况及影响因素研究
- Author:
Li ZOU
1
;
Le TAN
;
Yuqiao MA
Author Information
1. 武汉市汉阳区妇幼保健院,武汉 430050
- Publication Type:Journal Article
- Keywords:
second trimester;
depression;
dietary diversity score;
influencing factor
- From:
Acta Medicinae Universitatis Scientiae et Technologiae Huazhong
2024;53(6):825-832
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the prevalence of depression among the second-trimester pregnant women in Wuhan and explore the related factors of depression.Methods A cross-sectional study was performed including 2134 pregnant women in the second-trimester who attended pregnancy health care services in Hanyang Maternal and Child Healthcare Hospital in Wu-han from July 1st,2023 to March 1st,2024.The Edinburgh Postnatal Depression Scale(EPDS)was used to assess depression during pregnancy.Behaviors and lifestyles including general demographic information,pregnancy status,sleep time,dietary in-take,and regular exercise were collected through questionnaires.Dietary diversity score was used to evaluate the recent dietary status of pregnant women,and binary logistic regression was used to analyze the influencing factors of depression in the second trimester.Results Among 2134 pregnant women,the detection rate of depression in the second trimester was 10.59％(226 ca-ses).After adjusting for confounding factors such as age,family monthly income,education level,parity and abnormal pregnancy history,binary logistic regression analysis showed that pregnant women with higher education level(OR=0.69,95％CI:0.51～0.92),higher dietary diversity score(OR=0.46,95％CI:0.30～0.71),and regular exercise(OR=0.61,95％CI:0.39～0.97)had lower detection rate of depression.Pregnant women with artificial assisted reproduction(OR=1.54,95％CI:1.03～2.30),nighttime sleep duration＜7 h(OR=2.08,95％CI:1.36～3.17),smoking history before pregnancy(OR=2.21,95％CI:1.25～3.90),alcohol intake history before pregnancy(OR=2.25,95％CI:1.34～3.77),moderate to severe vomiting during pregnancy(OR=1.49,95％CI:1.12～1.98),and greasy diet during pregnancy(OR=2.19,95％CI:1.45～3.29)were at higher risk of depression.Conclusion Attention should be paid to depression during pregnancy,and health education should be strengthened.Pregnant women should be encouraged to maintain a healthy diet,do not smoke and drink,ensure adequate sleep,exercise regu-larly,and cultivate healthy behavior habits,so as to reduce the occurrence of depression during pregnancy.
