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IF 3.2 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Archives of Public Health Pub Date : 2025-03-03 DOI:10.1186/s13690-025-01544-0

Amin Moradi, Mehdi Norouzi, Ehsan Mosa Farkhani

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引用次数: 0

摘要

背景介绍产后抑郁症（PPD）是一种影响全世界母亲的常见疾病。本研究旨在确定伊朗马什哈德市产后抑郁症的风险因素和发病频率：利用新浪健康信息系统（SINAEHR）从 2017 年 3 月 1 日至 2024 年 6 月 20 日期间的数据，开展了一项基于人群的病例对照研究。采用爱丁堡产后抑郁量表确定病例（得分大于 12 分）和对照组（得分小于 12 分）。进行了二元和多元逻辑回归分析，以确定与 PPD 相关的风险因素：在接受评估的 108,952 名妇女中，3,407 人（3.03%）被诊断为 PPD，并与同等数量的对照组进行了比对。PPD的重要风险因素包括产妇年龄≤20岁（OR = 1.76，95% CI：1.31-2.36）、流产史（OR = 1.25，95% CI：1.15-1.42）、剖宫产（OR = 1.22，95% CI：1.11-1.34）、早产（OR = 1.99，95% CI：1.67-2.37）、双胎（OR = 2.10，95% CI：1.41-3.24）和吸毒（OR = 5.76，95% CI：2.90-11.33）。心理因素与 PPD 密切相关，包括焦虑史（OR = 2.48，95% CI：2.06-2.93）、家庭暴力（OR = 4.08，95% CI：2.43-6.59）、抑郁史（OR = 5.31，95% CI：4.58-6.61）和心理困扰（OR = 4.94，95% CI：3.91-6.23）：本研究确定了 PPD 的多种风险因素，其中心理因素的关联性最强。这些发现强调了筛查心理健康问题以及在孕期和产后为高危妇女提供有针对性的支持以有效预防和管理 PPD 的重要性。

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Identifying risk factors for postpartum depression in Mashhad, Iran, 2017-2024: a population-based case-control study.

Background: Postpartum depression (PPD) is a common and debilitating disorder affecting mothers worldwide. This study aimed to identify risk factors and the frequency of PPD in Mashhad, Iran.

Methods: A population-based case-control study was conducted using data from the Sina Health Information System (SINAEHR) from March 1, 2017, to June 20, 2024. The Edinburgh Postpartum Depression Scale was used to identify cases (score > 12) and controls (score ≤ 12). Bivariate and multivariate logistic regression analyses were performed to determine risk factors associated with PPD.

Results: Among 108,952 women evaluated, 3,407 (3.03%) were diagnosed with PPD and matched with an equal number of controls. Significant risk factors for PPD included maternal age ≤ 20 years (OR = 1.76, 95% CI: 1.31-2.36), history of abortion (OR = 1.25, 95% CI: 1.15-1.42), cesarean delivery (OR = 1.22, 95% CI: 1.11-1.34), preterm delivery (OR = 1.99, 95% CI: 1.67-2.37), twin births (OR = 2.10, 95% CI: 1.41-3.24), and drug use (OR = 5.76, 95% CI: 2.90-11.33). Psychological factors were strongly associated with PPD, including history of anxiety (OR = 2.48, 95% CI: 2.06-2.93), domestic violence (OR = 4.08, 95% CI: 2.43-6.59), history of depression (OR = 5.31, 95% CI: 4.58-6.61), and psychological distress (OR = 4.94, 95% CI: 3.91-6.23).

Conclusion: This study identified multiple risk factors for PPD, with psychological factors showing the strongest associations. These findings highlight the importance of screening for mental health issues and providing targeted support to high-risk women during pregnancy and the postpartum period to prevent and manage PPD effectively.

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来源期刊

Archives of Public Health Medicine-Public Health, Environmental and Occupational Health

CiteScore

4.80

自引率

3.00%

发文量

244

审稿时长

16 weeks

期刊介绍： rchives of Public Health is a broad scope public health journal, dedicated to publishing all sound science in the field of public health. The journal aims to better the understanding of the health of populations. The journal contributes to public health knowledge, enhances the interaction between research, policy and practice and stimulates public health monitoring and indicator development. The journal considers submissions on health outcomes and their determinants, with clear statements about the public health and policy implications. Archives of Public Health welcomes methodological papers (e.g., on study design and bias), papers on health services research, health economics, community interventions, and epidemiological studies dealing with international comparisons, the determinants of inequality in health, and the environmental, behavioural, social, demographic and occupational correlates of health and diseases.