摘要
改善我国女性产后抑郁症状和育儿自我效能对提高母婴健康水平和女性多孩生育意愿具有重要意义。2018年5月至2020年8月,对湖北省两个城市共743名女性进行间隔9个月的3次追踪调查,探讨产后抑郁症状和育儿自我效能之间的现状及作用路径,分析影响产后抑郁症状和育儿自我效能的人口学因素。研究发现,我国女性面临一定的产后抑郁问题和育儿角色适应困难。育儿自我效能是产后抑郁的保护因素,育儿自我效能低的女性面临更大的抑郁风险,而持续存在的抑郁症状可能反过来损害育儿自我效能。卫生工作者应根据两者在不同阶段的关联结构,制定相应的心理干预措施和育儿支持计划,避免产后抑郁问题和育儿角色适应困难对母婴健康和生育意愿造成潜在的负面影响。此外,年轻、缺乏工作保障、经济状况较差、居住在农村的女性经历更为突出的心理问题和角色压力,需要着重关注这类群体的管理工作,改善其心理健康水平和育儿角色能力,从而释放这类人群的生育潜力,发挥生育政策调整的长期效应。
Improving women’s postpartum depressive symptoms and parenting self-efficacy has an important impact on improving maternal and infant health and enhancing women’s fertility desire to have more children.From May 2018 to August 2020,a three-wave longitudinal study with an interval of 9 months was conducted among 743 women in two cities of Hubei to evaluate the status and interrelationships between postpartum depressive symptoms and parenting self-efficacy and to analyze the demographic factors affecting postpartum depressive symptoms and parenting self-efficacy.This study indicated that women experienced postpartum depressive symptoms and parenting role maladaptation.Parenting self-efficacy was a significant protective factor for postpartum depression.Women with lower levels of parenting self-efficacy were at higher risk of postpartum depression.The persistence of postpartum depressive symptoms may in turn impaired parenting self-efficacy.Health workers should develop appropriate psychological interventions and parenting support programs, based on the interrelationships between the two variables at different stages, to avoid the potential negative impact of postpartum depression symptoms and parenting role maladaptation on maternal and infant health and fertility desire.Additionally, women who are young, are unemployed, are in poor economic status, and are living in rural areas experienced more severe psychological problems and role stress.More attention should be given to these women to improve their mental health and parenting role capabilities, which will help to release reproductive potential and exert the long-term effects of fertility policy adjustment.
作者
朱艺
孙娜
殷晓旭
方鹏骞
龚言红
ZHU Yi;SUN Na;YIN Xiao-xu;FANG Peng-qian;GONG Yan-hong(School of Public Health,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China;Academy of Health Policy and Management,Huazhong University of Science and Technology,Wuhan 430030,China)
出处
《人口与发展》
北大核心
2023年第1期27-39,共13页
Population and Development
基金
国家基本公共卫生服务框架下产后抑郁社区干预模式构建与实证评价研究(72274072)。
关键词
产后抑郁症状
育儿自我效能
生育意愿
人口学因素
调查研究
Postpartum Depressive Symptoms
Parenting Self-efficacy
Fertility Desire
Demographic Factors
Investigation
