厄瓜多尔妇女产后抑郁与意外怀孕关系的定量研究

Gustavo Quintero-Cuero, Edison Castro-López, Johanna Freire-Silva, Mishel Rojas-Granizo, Cristhian Humanante-Jara, Johanna Mendoza-Zambrano, Jennifer Arcos-Simaluisa
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引用次数: 0

摘要

分析影响产后抑郁的因素,如意外怀孕,对现有文献有重要贡献,因为产后抑郁发作往往会给母亲和新生儿留下各种心理后遗症。几项研究提供的经验证据表明,经历过死产、母亲及其伴侣计划生育、非土著民族、正常分娩以及生活在城市地区等因素对产后抑郁发作的经历有显著影响。我们使用了来自2018年全国健康和营养调查(ENSANUT)的20648名母亲的代表性样本。我们使用了二元逻辑线性回归模型,其中我们估计了每个自变量的比值比(OR)和边际影响及其95%置信区间(95% CI)。我们的结果显示,曾经有过一次死产(OR=2.521;CI=2.106 - 3.018),母亲计划生育(OR=0.648;CI=0.590 - 0.710),而她的伴侣(OR=0.841;CI=0.762 - 0.928),非土著种族,正常分娩(OR=0.775;CI=0.721 - 0.833)和居住在城市地区(OR=1.085;CI=1.006 - 1.171)是显著影响产后抑郁发作概率的因素。基于我们的研究结果,我们建议卫生政策制定者和医疗专业人员考虑产后抑郁症在产褥期人群中具有重要意义或承诺,构成一种紧迫的心理状况,不应低估,而应鼓励给予应有的重视。此外,我们不应排除可能发展为这种病理的危险因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Relationship between Postpartum Depression and Unwanted Pregnancy in Ecuadorian Women: A Quantitative Study
Analyzing the factors that influence postpartum depression, such as unwanted pregnancies, contributes significantly to the current literature since episodes of postpartum depression tend to leave various psychological sequelae for the mother and the newborn. Several studies provide empirical evidence suggesting that factors such as having experienced a stillbirth episode, having planned the baby by the mother and her partner, being of a non-indigenous ethnicity, having had a normal delivery, and living in an urban area significantly affect the experience of postpartum depressive episodes. We used a representative sample of 20648 mothers from the 2018 National Health and Nutrition Survey (ENSANUT). We used a binary logistic linear regression model where we estimated the Odds Ratio (OR) and marginal impacts with their 95% confidence intervals (95% CI) for each of the independent variables. Our results show that having had an episode of stillbirth (OR=2.521; CI=2.106 - 3.018), having a planned child by the mother (OR=0.648; CI=0.590 - 0.710), and her partner (OR=0.841; CI=0.762 - 0.928), being of an ethnicity other than indigenous, having had a normal delivery (OR=0.775; CI=0.721 - 0.833) and living in the urban area (OR=1.085; CI=1.006 - 1.171) are factors that significantly affect the probability of experiencing an episode of postpartum depression. Based on our findings, we recommend that health policymakers and medical professionals consider that postpartum depression has a great significance or commitment in the puerperal population, constituting a pressing psychological condition, which should not be underestimated, but rather should be encouraged to give due attention it deserves. In addition, we should not exclude the risk factors involved in the possible development of this pathology.
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