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Associations between Maternal and Infant Illness and the Risk of Postpartum Depression in Rural China: A Cross-Sectional Observational Study
- Source :
- International Journal of Environmental Research and Public Health, Volume 17, Issue 24, International Journal of Environmental Research and Public Health, Vol 17, Iss 9489, p 9489 (2020)
- Publication Year :
- 2020
-
Abstract
- This study explored how maternal and infant illness correlated with the risk of postpartum depression in the Chinese Qinba Mountains region. In total, 131 villages comprising 435 families with infants (&le<br />6 months old) were randomly sampled. We collected data on maternal and infant illnesses and maternal health knowledge level. The Depression, Anxiety, and Stress Scale-21 was used to measure the risk of postpartum depression. We used descriptive statistics and multivariate logistic regression for the analysis. Infant overall health status was a risk factor for postpartum depression (odds ratio (OR) = 1.90, 95% Confidence Interval (95% CI) = 1.10~3.28), whereas maternal overall health status was not correlated with postpartum depression (OR = 1.36, 95% CI = 0.55~3.39). For specific illnesses, infants experiencing over two common illnesses in the past two weeks (OR = 1.98, 95% CI = 1.13~3.45) and mothers experiencing over two common pains within two weeks after delivery (OR = 1.77, 95% CI = 1.02~3.08) were risk factors for postpartum depression, whereas infants with mild and severe stunted growth, maternal C-section, and postpartum body mass index (normal or overweight) were not correlated with it (all p &gt<br />0.050). Maternal health knowledge was an important moderator of maternal and infant illnesses on the risk of postpartum depression. In conclusion, maternal and infant illness were essential factors for the risk of postpartum depression in a poor rural region in western China, which may be mainly affected by the feeling of uncertainty of illness. Improved maternal and infant health and enhanced maternal health knowledge might alleviate the risk of postpartum depression.
- Subjects :
- Postpartum depression
medicine.medical_specialty
China
Health, Toxicology and Mutagenesis
lcsh:Medicine
Mothers
Overweight
Logistic regression
Article
Depression, Postpartum
03 medical and health sciences
0302 clinical medicine
Risk Factors
poor rural areas
medicine
Humans
Infant Health
030212 general & internal medicine
Risk factor
Depression (differential diagnoses)
risk of postpartum depression
030219 obstetrics & reproductive medicine
business.industry
Obstetrics
lcsh:R
Postpartum Period
Public Health, Environmental and Occupational Health
Infant
Odds ratio
medicine.disease
Cross-Sectional Studies
Anxiety
Female
observational study
medicine.symptom
maternal health knowledge
business
Body mass index
maternal and infant illness
Subjects
Details
- ISSN :
- 16604601
- Volume :
- 17
- Issue :
- 24
- Database :
- OpenAIRE
- Journal :
- International journal of environmental research and public health
- Accession number :
- edsair.doi.dedup.....932947b06a9c0f668ca8d39ae86c0fa0