Incidence of and social-demographic and obstetric factors associated with postpartum depression: differences among ethnic Han and Kazak women of Northwestern China
Background Studies on postpartum depression (PPD) in China have focused primarily on women of Han ethnicity, whereas work on other ethnic groups has proven limited. This study explored the ethnic differences of associated social-demographic and obstetric factors for PPD between Han-majority and Kaza...
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PeerJ Inc.
2018-01-01
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| Online Access: | https://peerj.com/articles/4335.pdf |
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| author | Ling Chen Li Ding Ming Qi Chao Jiang Xin-Min Mao Wen-Zhi Cai |
| author_facet | Ling Chen Li Ding Ming Qi Chao Jiang Xin-Min Mao Wen-Zhi Cai |
| author_sort | Ling Chen |
| collection | DOAJ |
| description | Background Studies on postpartum depression (PPD) in China have focused primarily on women of Han ethnicity, whereas work on other ethnic groups has proven limited. This study explored the ethnic differences of associated social-demographic and obstetric factors for PPD between Han-majority and Kazak-minority women in northwestern China. Methods Han and Kazak women who received routine examinations at four hospitals in a multi-ethnic area of China six weeks after childbirth between March 2016 and December 2016 were included in the study. Data on the women’s socio-demographic characteristics, obstetric factors, and possible depression at six weeks after childbirth were collected. We examined the associated factors of PPD using multivariable logistic regression analyses by ethnic group. Results The overall incidence of PPD was 14.6% (184/1,263) at six weeks after childbirth. PPD was detected more frequently among Kazak (16.1%) than Han women (13.1%). Kazak women exhibited a higher risk of PPD (adjusted OR = 1.561, 95% CI [1.108–2.198], P = 0.011). Urinary incontinence (UI) represented a significant risk factor of PPD for Kazak compared with Han women (OR = 1.720, 95% CI [1.056–2.804], P = 0.003). In contrast, the presence of the mother-in-law as a caregiver after childbirth demonstrated a positive association with PPD among Han (OR = 2.600, 95% CI [1.499–4.512], P = 0.001), but not with Kazak women. Conclusions Kazak women were more likely to develop PPD than Han women, even after controlling for confounders. Moreover, distinct risk factors for PPD existed for Han and Kazak women. Future research that explores the relationships between Han women and their mothers-in-law as well as Kazak women’s attitudes toward UI could help us further understand PPD in these populations. |
| first_indexed | 2024-03-09T07:28:21Z |
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| language | English |
| last_indexed | 2024-03-09T07:28:21Z |
| publishDate | 2018-01-01 |
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| spelling | doaj.art-90a8833e7a5f401dbd1bee1dde33cc4e2023-12-03T06:48:24ZengPeerJ Inc.PeerJ2167-83592018-01-016e433510.7717/peerj.4335Incidence of and social-demographic and obstetric factors associated with postpartum depression: differences among ethnic Han and Kazak women of Northwestern ChinaLing Chen0Li Ding1Ming Qi2Chao Jiang3Xin-Min Mao4Wen-Zhi Cai5Department of Nursing, Shenzhen hospital, Southern Medical University, Shenzhen, Guangdong, ChinaDepartment of Cardiology, Xinjiang Medical University Affiliated Second Hospital, Urumqi, ChinaDepartment of Rehabilitation and Psychology, First Affiliated Hospital of College of Medicine, Shihezi University, Shihezi, ChinaNursing Department, Fuyun People’s Hospital, Altay, ChinaReproductive Medicine Center, Xinjiang Medical University Affiliated First Hospital, Urumqi, ChinaDepartment of Nursing, Shenzhen hospital, Southern Medical University, Shenzhen, Guangdong, ChinaBackground Studies on postpartum depression (PPD) in China have focused primarily on women of Han ethnicity, whereas work on other ethnic groups has proven limited. This study explored the ethnic differences of associated social-demographic and obstetric factors for PPD between Han-majority and Kazak-minority women in northwestern China. Methods Han and Kazak women who received routine examinations at four hospitals in a multi-ethnic area of China six weeks after childbirth between March 2016 and December 2016 were included in the study. Data on the women’s socio-demographic characteristics, obstetric factors, and possible depression at six weeks after childbirth were collected. We examined the associated factors of PPD using multivariable logistic regression analyses by ethnic group. Results The overall incidence of PPD was 14.6% (184/1,263) at six weeks after childbirth. PPD was detected more frequently among Kazak (16.1%) than Han women (13.1%). Kazak women exhibited a higher risk of PPD (adjusted OR = 1.561, 95% CI [1.108–2.198], P = 0.011). Urinary incontinence (UI) represented a significant risk factor of PPD for Kazak compared with Han women (OR = 1.720, 95% CI [1.056–2.804], P = 0.003). In contrast, the presence of the mother-in-law as a caregiver after childbirth demonstrated a positive association with PPD among Han (OR = 2.600, 95% CI [1.499–4.512], P = 0.001), but not with Kazak women. Conclusions Kazak women were more likely to develop PPD than Han women, even after controlling for confounders. Moreover, distinct risk factors for PPD existed for Han and Kazak women. Future research that explores the relationships between Han women and their mothers-in-law as well as Kazak women’s attitudes toward UI could help us further understand PPD in these populations.https://peerj.com/articles/4335.pdfPostpartum depressionHealth status disparitiesUrinary incontinenceRisk factorsRace |
| spellingShingle | Ling Chen Li Ding Ming Qi Chao Jiang Xin-Min Mao Wen-Zhi Cai Incidence of and social-demographic and obstetric factors associated with postpartum depression: differences among ethnic Han and Kazak women of Northwestern China PeerJ Postpartum depression Health status disparities Urinary incontinence Risk factors Race |
| title | Incidence of and social-demographic and obstetric factors associated with postpartum depression: differences among ethnic Han and Kazak women of Northwestern China |
| title_full | Incidence of and social-demographic and obstetric factors associated with postpartum depression: differences among ethnic Han and Kazak women of Northwestern China |
| title_fullStr | Incidence of and social-demographic and obstetric factors associated with postpartum depression: differences among ethnic Han and Kazak women of Northwestern China |
| title_full_unstemmed | Incidence of and social-demographic and obstetric factors associated with postpartum depression: differences among ethnic Han and Kazak women of Northwestern China |
| title_short | Incidence of and social-demographic and obstetric factors associated with postpartum depression: differences among ethnic Han and Kazak women of Northwestern China |
| title_sort | incidence of and social demographic and obstetric factors associated with postpartum depression differences among ethnic han and kazak women of northwestern china |
| topic | Postpartum depression Health status disparities Urinary incontinence Risk factors Race |
| url | https://peerj.com/articles/4335.pdf |
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