地域分布及评定方法的差异对中国女性妊娠期抑郁检出率的影响OACSTPCD
The impact of regional distribution and differences in assessment methods on the detection rate of depression during pregnancy in Chinese women
目的 分析不同地域分布及评定方法对中国女性妊娠期抑郁检出率的影响.方法 利用Meta分析方法,对中国女性妊娠期抑郁检出率进行系统描述,并阐明不同地域分布及评定方法对其产生的影响.结果 最终纳入39篇文献,共102 533名孕妇,检出妊娠期抑郁者24 005例,检出率为22％(95％CI:18％～27％),妊娠早期和晚期的抑郁检出率分别为25％(95％CI:18％～33％)、20％(95％CI:15％～25％).地域分布亚组分析发现:华东地区妊娠期抑郁的检出率相对较低,为18％(95％CI:13％～23％).华南地区、西南地区、华北地区及其他地区妊娠期抑郁检出率分别为27％(95％CI:14％～41％)、21％(95％CI:14％～29％)、31％(95％CI:18％～44％)、22％(95％CI:12％～31％).评定方法亚组分析发现:应用爱丁堡产后抑郁量表(EPDS)、抑郁筛查量表(PHQ-9)、抑郁自评量表(SDS)及其他量表进行妊娠期抑郁筛查的结果分别为24％(95％CI:20％～28％)、20％(95％CI:9％～31％)、39％(95％CI:23％～55％)、10％(95％CI:7％～12％).结论 中国女性妊娠早期抑郁的检出率较晚期高,华南、华北地区妊娠期抑郁检出率较高,不同的量表筛查出的妊娠期抑郁检出率亦有所不同.
Objective To analyze the impact of regional distribution and assessment methods on the detection rate of depression during pregnancy in Chinese women.Methods A meta-analysis was used to systematically describe the detection rate of depression during pregnancy in Chinese women and to clarify the effects of different regional distribution and assessment methods.Results This study finally included 39 articles,comprising 102 533 pregnant women,with 24 005 cases of detected depression during pregnancy,yielding a detection rate of 22% (95% CI:18% -27% ).The detection rates of depression during the first and third trimester of pregnancy were 25% (95% CI:18% -33% ),20% (95% CI:15% -25% ),respectively.Subgroup analysis by regional distribution found that the detection rate of prenatal depression in East China was relatively low at 18% (95% CI:13% -23% ),and the detection rate in South China,Southwest China,North China and other regions were 27% (95% CI:14% -41% ),21% (95% CI:14% -29% ),31% (95% CI:18% -44% ),and 22% (95% CI:12% -31% ),respectively.Subgroup analysis of assessment methods showed that the results of screening for depression during pregnancy using the Edinburgh postnatal depression scale(EPDS),the patient health questionnaire-9(PHQ-9),the self-rating depression scale(SDS),and other scales were 24% (95% CI:20% -28% ),20% (95% CI:9% -31% ),39% (95% CI:23% -55% )and 10% (95% CI:7% -12% ),respectively.Conclusion The detection rate of depression during pregnancy in the first trimester is higher than that in the second and third trimester,and the higher detection rates are found in South China and North China.Different assessment scales yield varying detection rates for depression during pregnancy.
叶红梅;强文静;陈荣珠;陶芳标
安徽医科大学公共卫生学院儿少卫生与妇幼保健学系,安徽合肥 230032||出生人口健康教育部重点实验室,安徽 合肥 230032||环境与人口健康安徽省重点实验室,安徽 合肥 230032||国家卫生健康委配子及生殖道异常研究重点实验室,安徽合肥 230032||中国科学技术大学附属第一医院手术室,安徽合肥 230032安徽医科大学公共卫生学院儿少卫生与妇幼保健学系,安徽合肥 230032||出生人口健康教育部重点实验室,安徽 合肥 230032||环境与人口健康安徽省重点实验室,安徽 合肥 230032||国家卫生健康委配子及生殖道异常研究重点实验室,安徽合肥 230032中国科学技术大学附属第一医院手术室,安徽合肥 230032
预防医学
中国女性妊娠期抑郁检出率
Chinawomenperiod of pregnancydepressiondetection rate
《中国妇幼健康研究》 2024 (007)
17-25 / 9
国家自然科学基金项目(81761128034)
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