CAJ | 학술논문

目的：了解广州市天河区外来女性产后抑郁症（postpartum depression， PPD）的发生率及危险因素，为本地区外来女性PPD的防治提供理论依据。方法：采用流行病学调查使用的抑郁自评量表（CES-D）、社会支持评定量表（SSRS）以及PPD影响因素调查表对广州市天河区3家医院2013年5-12月分娩的2021例外来产妇进行调查。结果：天河区外来女性PPD筛查率为18．31％，单因素分析显示夫妻出生地不一致、居住时间、新生儿疾患、婴儿性别、家庭月收入等5个因素与PPD的关系有统计学意义（P＜0．05）；多因素Logistic回归分析显示夫妻出生地不一致、居住时间、新生儿疾患、婴儿性别是PPD的危险因素，家庭月收入与PPD呈负相关，OR值为0．680；外来女性中PPD产妇SSRS总分、主观支持分、客观支持分、对支持利用度均低于正常组，差异有统计学意义（P＜0．05）。结论：广州市天河区外来女性PPD发生率较高，应加大对流动育龄人口的健康教育，完善社会支持体系，从而防治PPD的发生。
목적：료해엄주시천하구외래녀성산후억욱증（postpartum depression， PPD）적발생솔급위험인소，위본지구외래녀성PPD적방치제공이론의거。방법：채용류행병학조사사용적억욱자평량표（CES-D）、사회지지평정량표（SSRS）이급PPD영향인소조사표대엄주시천하구3가의원2013년5-12월분면적2021예외래산부진행조사。결과：천하구외래녀성PPD사사솔위18．31％，단인소분석현시부처출생지불일치、거주시간、신생인질환、영인성별、가정월수입등5개인소여PPD적관계유통계학의의（P＜0．05）；다인소Logistic회귀분석현시부처출생지불일치、거주시간、신생인질환、영인성별시PPD적위험인소，가정월수입여PPD정부상관，OR치위0．680；외래녀성중PPD산부SSRS총분、주관지지분、객관지지분、대지지이용도균저우정상조，차이유통계학의의（P＜0．05）。결론：엄주시천하구외래녀성PPD발생솔교고，응가대대류동육령인구적건강교육，완선사회지지체계，종이방치PPD적발생。
Objective To investigate the prevalence and risk factors of postpartum depression among female immigrants at Tianhe district of Guangzhou. Methods A total of 2021 migrant women postpartum in three hospitals at Tianhe district of Guangzhou were screened with Center for Epidemiological Survey Depression Scale , (CES-D), Social Support Rating Scale(SSRS) and self-made related factors questionnaire from May to December, 2013. Results This study showed postpartum depression affected 18.31% of migrant women at Tianhe district of Guangzhou. Unconditional logistic regression analysis showed a significant correlation of PPD with birth place , residence time,newborn disease,fetus gender and household income (P < 0.05). Multivariate logistic regression analysis identified birth place,residence time,newborn disease,fetus gender as the risk factors for PPD,household income was negatively correlated with the incidence of PPD with OR value of 0.680;Compared with healthy female immigrants, the total score of social support rating scale,the score of objective support,subjective support and social utilization degree were significantly reduced respectively in female immigrants with PPD. Conclusion The prevalence of PPD was high at Tianhe district of Guangzhou,health education and comprehensive social support system should be offered in order to prevent PPD.