To estimate the national prevalence of paternal postpartum depression in China and evaluate its association with maternal postpartum depression. Methods: Systematic literature searches were conducted in databases including PubMed, Web of Science, Embase, Medline, China National Knowledge Infrastructure (CNKI), Wangfang Database, Chinese science & technology journal database (VIP) and SinoMed database. The articles reported the prevalence of paternal postpartum depression in China were collected from inception to October 1, 2015. Random effect models were used to calculate pooled estimates and 95% confidence intervals. Subgroup analysis were undertaken by period of measurement, case identification, study location and study quality. Results: Fourteen studies with a total sample size of 3 819 partners were included in this study. The pooled estimate of paternal postpartum depression was 13.6% (95% CI 8.7%-21.3%). The Pearson correlation coefficien between maternal PPD and paternal PPD was 0.295 (95% CI 0.218-0.367). The subgroup analysis showed that the estimates of paternal PPD in 0-5+6 weeks postpartum, 6-8 weeks postpartum and 8+1-24 weeks postpartum were 28.7%, 11.4% and 5.5%, respectively; when the rating scale was used as case identification method, the estimate of paternal PPD was 16.8%, and it was 4.1% when interview was used. The estimate of paternal PPD in inner areas was 22.2%, in coastal areas was 13.3% and in Hongkong/Taiwan was 7.8%. In studies with lower quality, the estimate of paternal PPD was 23.0%, and it was 9.1% in studies with higher quality. Conclusion: The national prevalence of paternal postpartum depression in China was at a high level, particularly during the postpartum 0-5+6 weeks. Paternal postpartum depression also showed a moderate positive correlation with maternal postpartum depression.
目的：采用Meta分析评价我国产妇配偶产后抑郁(postpartum depression，PPD)的发生情况及其与产妇PPD的关系。方法：系统检索PubMed，Web of Science，Embase，Medline，中国知网(CNKI)，万方数据资源系统，维普中文科技期刊数据库(VIP)，中国生物医学文献数据(CBMdisc)中从建库至2015年10月1日前公开发表的有关中国产妇配偶PPD发生率的文献。采用随机效应模型估计合并效应值及95%可信区间，并对评价时间、评价工具、研究地点及文献质量进行亚组分析。结果：最终纳入文献14篇，合计产妇配偶3 819例。产妇配偶PPD的发生率为13.6%(95% CI：8.7%~21.3%)，产妇与配偶PPD呈弱相关(r=0.295，95% CI：0.218~0.367)。亚组分析结果：产后0~5+6周，配偶PPD的发生率为28.7%，产后6~8周为11.4%，产后8+1~24周为5.5%；以量表为评价工具时，配偶PPD的发生率为16.8%，以访谈为评价工具时为4.1%；内陆地区配偶PPD的发生率为22.2%，沿海地区为13.3%，香港/台湾为7.8%；低质量文献所报道的配偶PPD的发生率为23.0%，高质量的文献为9.1%。 结论：我国产妇配偶PPD的发生率处于较高水平，尤其以产后0~5+6周最高。产妇配偶PPD的发生与产妇PPD的发生存在较弱的正相关关系。.