Education level and risk of postpartum depression: results from the Japan Environment and Children's Study (JECS)

被引：98

作者：

Matsumura, Kenta ^{[1
]}

Hamazaki, Kei ^{[1
,2
]}

Tsuchida, Akiko ^{[1
,2
]}

Kasamatsu, Haruka ^{[1
]}

Inadera, Hidekuni ^{[1
,2
,12
]}

Kamijima, Michihiro ^{[3
]}

Yamazaki, Shin ^{[4
]}

Ohya, Yukihiro ^{[5
]}

Kishi, Reiko ^{[6
]}

Yaegashi, Nobuo ^{[7
]}

Hashimoto, Koichi ^{[8
]}

Mori, Chisato ^{[9
]}

Ito, Shuichi ^{[10
]}

Yamagata, Zentaro ^{[11
]}

Nakayama, Takeo ^{[13
]}

Iso, Hiroyasu ^{[14
]}

Shima, Masayuki ^{[15
]}

Kurozawa, Youichi ^{[16
]}

Suganuma, Narufumi ^{[17
]}

Kusuhara, Koichi ^{[18
]}

Katoh, Takahiko ^{[19
]}

机构：

[1] Univ Toyama, Fac Med, Toyama Reg Ctr Japan Environm & Childrens Study, 2630 Sugitani, Toyama, Toyama 9300194, Japan

[2] Univ Toyama, Fac Med, Dept Publ Hlth, Toyama, Japan

[3] Nagoya City Univ, Nagoya, Aichi, Japan

[4] Natl Inst Environm Studies, Tsukuba, Ibaraki, Japan

[5] Natl Ctr Child Hlth & Dev, Tokyo, Japan

[6] Hokkaido Univ, Sapporo, Hokkaido, Japan

[7] Tohoku Univ, Sendai, Miyagi, Japan

[8] Fukushima Med Univ, Fukushima, Japan

[9] Chiba Univ, Chiba, Japan

[10] Yokohama City Univ, Yokohama, Kanagawa, Japan

[11] Univ Yamanashi, Chuo, Japan

[12] Univ Toyama, Toyama, Japan

[13] Kyoto Univ, Kyoto, Japan

[14] Osaka Univ, Suita, Osaka, Japan

[15] Hyogo Coll Med, Nishinomiya, Hyogo, Japan

[16] Tottori Univ, Yonago, Tottori, Japan

[17] Kochi Univ, Nankoku, Kochi, Japan

[18] Univ Occupat & Environm Hlth, Kitakyushu, Fukuoka, Japan

[19] Kumamoto Univ, Kumamoto, Japan

来源：

BMC PSYCHIATRY | 2019年 / 19卷 / 01期

关键词：

Perinatal depression; Postpartum anxiety; Longitudinal study; Income; Occupation; POSTNATAL DEPRESSION; SOCIOECONOMIC-STATUS; SYMPTOMS; PREVALENCE; WOMEN; DISORDER; ANXIETY; INEQUALITIES; ASSOCIATION; POPULATION;

D O I：

10.1186/s12888-019-2401-3

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

BackgroundLower socioeconomic status is often thought to be associated with an elevated risk of postpartum depression; however, this relationship exhibits noticeable heterogeneity between studies. The present study examined this relationship in Japan.MethodsData were obtained from 90,194 mothers in an ongoing birth cohort of the Japan Environment and Children's Study. Socioeconomic status was assessed based on the mothers' highest education level during pregnancy. Postpartum depression was identified at 1 and 6months postpartum based on an Edinburgh Postnatal Depression Scale score of >= 9, and analyses were also performed based on the sub-scores for anxiety, depression, and anhedonia symptoms. Logistic and generalized linear regression model analyses were used to calculate odds ratios for postpartum depression according to education level with the highest education group (>= 16years of education) defined as the reference group, while controlling for covariates in a stepwise fashion.ResultsUnivariate analysis revealed that a lower education level was associated with a higher prevalence of postpartum depression and related symptoms. Although these relationships weakened in the fully adjusted models, odds ratios for cases and related symptoms remained significant at 1 and 6months postpartum. Among three symptom dimensions, the relationship was strongest and weakest in the depressive and anxiety symptoms, respectively.ConclusionsA lower education level was an independent risk factor for postpartum depression. In view of the low mobility of the education level, this finding suggests the potential importance of collecting information regarding education levels at the earliest opportunity.

引用

页数：11

共 47 条

[11] Adherence to "doing-the-month" practices is associated with fewer physical and depressive symptoms among postpartum women in Taiwan [J].