Perinatal Mental Health Problems in Rural China

The Role of Social Factors

Dados Bibliográficos

ID15518066
AutoresQi Jiang (0009-0008-4157-0129, Stanford University), Yian Guo (0000-0002-6091-6358, Stanford University), Evelyn Zhang (Stanford University), Nourya Cohen (Stanford University), Mika Ohtori (Stanford University), Adrian Sun (Stanford University), Sarah-Eve Dill, Sarah‐Eve Dill (0000-0002-9321-6606, Stanford University, autor correspondente), Manpreet K Singh (0000-0002-4373-3293, Stanford University), Xinshu She (0000-0003-4717-4924, Stanford University), Alexis Medina (0000-0003-3149-2514, Stanford University), Scott Rozelle (0000-0001-5053-0243, Stanford University), Scott D Rozelle
Ano2021
Volume12
Páginas636875-636875
Data de publicação2021-12-07
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoFrontiers in Psychiatry (JOURNAL)
Identificadores do periódicoISSN: 1664-0640 • E-ISSN: 1664-0640
EditoraFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2021.636875
PMID34950062
OpenAlexW4200540137
IdiomaEN
Citações recebidas7
Referências citadas47

Background: Perinatal mental health is important for the well-being of the mother and child, so the relatively high prevalence of perinatal mental health problems in developing settings poses a pressing concern. However, most studies in these settings focus on the demographic factors associated with mental health problems, with very few examing social factors. Hence, this study examines the prevalence of the depressive, anxiety and stress symptoms among pregnant women and new mothers in rural China, and the associations between these mental health problems and social factors, including decision-making power, family conflicts, and social support. Methods: Cross-sectional data were collected from 1,027 women in their second trimester of pregnancy to 6 months postpartum in four low-income rural counties in Sichuan Province, China. Women were surveyed on symptoms of mental health problems using the Depression, Anxiety, and Stress Scale (DASS-21) and social risk factors. Multivariate logistic regression analyses were conducted to examine social risk factors associated with maternal mental health problems, with results reported as odds ratios (OR) and 95% confidence intervals (CI). Results: Among all respondents, 13% showed symptoms of depression, 18% showed symptoms of anxiety, 9% showed symptoms of stress, and 23% showed symptoms of any mental health problem. Decision-making power was negatively associated with showing symptoms of depression (OR = 0.71, CI: 0.60-0.83, p p = 0.002). Family conflict was positively associated with depression (OR = 1.53, CI: 1.30-1.81, p p p p p = 0.002), and stress (OR = 0.66, CI: 0.53-0.84, p Conclusion: Perinatal mental health problems are relatively prevalent among rural women in China and are strongly associated with social risk factors. Policies and programs should therefore promote individual coping methods, as well as target family and community members to improve the social conditions contributing to mental health problems among rural women

Anxiety · Cross-sectional study · Depression (economics · Logistic regression · Mental health · Odds ratio · Psychiatry · Social support · Child Abuse and Trauma · Child and Adolescent Psychosocial and Emotional Development · Clinical Psychology · Demography · Maternal Mental Health During Pregnancy and Postpartum · Medicine · Psychology · Internal Medicine