Study on the Anxiety and Depression Status and Their Determinants of Late Pregnancy Women
Journal of Hunan Normal University(Medical Sciences) 2015-1
Abstract：Objective This study aims to investigate the status of anxiety and depression among late pregnancy women and explore the determinants of anxiety and depression, for the purpose of providing scientific evidence for psychological adaption and safe delivery. Methods A cross-sectional study of a random sample of late pregnancy women(n=606) was conducted in Maternal and Child Health Hospital of Hunan province from June 2014 to July 2014, using a questionnaire and indepth interview. Results The incidence of anxiety and depression was 33.3%(95%CI: 29.5%- 37.1%) and 56.7%(95%CI: 42.8%-60.6%), respectively among late pregnancy women. The protective factors of anxiety for the late pregnancy women include the one-child(OR=0.55; 95%CI 0.36- 0.83), planned pregnancy(OR=0.54; 95%CI: 0.35-0.81), and enjoy the medical insurance(OR=0.75; 95%CI:0.43-0.87). The risk factors of anxiety for the late pregnancy women include undergoing serious disease in the past(OR=2.34; 95%CI:1.15-4.77), living with her husband,s family(OR=2.75; 95%CI:1.72-4.39), living with her famliy(OR=2.25; 95%CI:1.23-4.10), the third source in pregnancy pressure increased(OR=1.65; 95%CI:1.19-2.27, and other source in pregnancy pressure increased(a OR=1.63; 95%CI:1.11-2.39). The protective factors of depression for the late pregnancy women include high education level(OR=0.53; 95%CI:0.39-0.73),the occupation was worker(OR=0.45; 95%CI:0.28-0.73), having a history of adverse pregnancy(OR=0.26; 95%CI:0.12-0.59) and the planned pregnancy(OR=0.39; 95%CI:0.26-0.59). The risk factors of depression include rural area residence(OR=3.23; 95%CI:1.73-6.03), the third source in pregnancy pressure increased(OR=1.41; 95%CI:1.03-1.92). The scores of anxiety and depression were negatively correlated with the scores on social support scale. Conclusion Late pregnancy women have a high incidence of anxiety and depression, which indicates the importance of mental health education. The research of the risk factors is helpful to targeted interventions.
Keywords：Late pregnancy, anxiety, depression, determinants, social support, cross-sectional study