首次活产年龄与抑郁症之间的关系:来自NHANES 2005-2018的结果

IF 3.3 2区 医学 Q1 PSYCHIATRY
Ali Kolahdooz, Fatemeh Movahed, Mohsen Yousefi, Amirhossein Salehi, Saba Goodarzi, Arman Shafiee
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引用次数: 0

摘要

本横断面研究利用2005年至2018年的国家健康与营养调查(NHANESs)数据,研究了12岁及以上女性首次活产年龄与抑郁之间的关系。方法纳入10399名受试者,其中1260名出现抑郁症状。采用9项患者健康问卷(PHQ-9)评估抑郁症。首次活产的年龄分为18岁、18 - 25岁和25岁。结果有抑郁症状的女性多为单身、收入和教育水平较低、吸烟、体质指数较高或睡眠障碍。首次活产年龄越小,抑郁症患病率越高。单变量分析显示,在18-25岁(47%)或25岁(76%)首次活产的女性患抑郁症的几率降低,首次生育年龄每增加一年,患抑郁症的几率降低11%。多变量分析证实,即使在调整了各种因素后,首次活产的年龄与抑郁症之间也存在显著关联。结论本研究强调了首次活产年龄与抑郁症之间的关联,强调了在心理健康评估中考虑生殖史的必要性。研究结果强调了这种关系的多面性,表明了社会人口和生活方式因素对妇女心理健康结果的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The Association Between Age at First Live Birth and Depression: Results From NHANES 2005–2018

The Association Between Age at First Live Birth and Depression: Results From NHANES 2005–2018

Background

This cross-sectional study, utilizing National Health and Nutritional Examination Surveys (NHANESs) data from 2005 to 2018, examines the association between age at first live birth and depression among women aged 12 years or older.

Methods

Data encompassed 10,399 participants, with 1260 exhibiting depressive symptoms. The 9-item Patient Health Questionnaire (PHQ-9) assessed depression. Age at first live birth was categorized as <18, 18–25, and >25.

Results

Women with depressive symptoms were more likely to be single, have lower incomes and education levels, be smokers, and exhibit higher body mass indexes (BMIs) or sleep disorders. Younger age at first live birth correlated with higher depression prevalence. Univariate analysis shows decreased depression chances for women with first live births at 18–25 (47% decrease) or >25 (76% decrease), with an 11% reduction for every year increase in age at first birth. Multivariate analyses confirm a significant association between age at first live birth and depression, even after adjusting for various factors.

Conclusion

This study underscores the association between age at first live birth and depression, highlighting the need for considering reproductive history in mental health assessments. The findings emphasize the multifaceted nature of this relationship, demonstrating the impact of sociodemographic and lifestyle factors on mental health outcomes among women.

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来源期刊
Depression and Anxiety
Depression and Anxiety 医学-精神病学
CiteScore
15.00
自引率
1.40%
发文量
81
审稿时长
4-8 weeks
期刊介绍: Depression and Anxiety is a scientific journal that focuses on the study of mood and anxiety disorders, as well as related phenomena in humans. The journal is dedicated to publishing high-quality research and review articles that contribute to the understanding and treatment of these conditions. The journal places a particular emphasis on articles that contribute to the clinical evaluation and care of individuals affected by mood and anxiety disorders. It prioritizes the publication of treatment-related research and review papers, as well as those that present novel findings that can directly impact clinical practice. The journal's goal is to advance the field by disseminating knowledge that can lead to better diagnosis, treatment, and management of these disorders, ultimately improving the quality of life for those who suffer from them.
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