Antenatal depression is associated with perceived stress, family relations, educational and professional status among women in South of China: a multicenter cross-sectional survey

Julan Xiao; Ribo Xiong; Yi Wen; Lili Liu; Yueming Peng; Chaoqun Xiao; Caixin Yin; Wenting Liu; Yanling Tao; Fengju Jiang; Min Li; Weixiang Luo; Yu Chen

doi:10.3389/fpsyt.2023.1191152

Antenatal depression is associated with perceived stress, family relations, educational and professional status among women in South of China: a multicenter cross-sectional survey

Front Psychiatry. 2023 Jun 2:14:1191152. doi: 10.3389/fpsyt.2023.1191152. eCollection 2023.

Authors

Julan Xiao^{1

2}, Ribo Xiong³, Yi Wen^{1

2}, Lili Liu⁴, Yueming Peng^{2

5}, Chaoqun Xiao⁶, Caixin Yin⁷, Wenting Liu⁸, Yanling Tao⁹, Fengju Jiang⁷, Min Li¹⁰, Weixiang Luo^{2

5}, Yu Chen⁸

Affiliations

¹ Department of Thoracic Surgery, Shenzhen People's Hospital (The Second Clinical Medical College, Jinan University; The First Affiliated Hospital, Southern University of Science and Technology), Shenzhen, Guangdong, China.
² Shenzhen Clinical Research Centre for Geriatrics, Shenzhen People's Hospital, Shenzhen, Guangdong, China.
³ The Seventh Hospital, Southern Medical University, Foshan, Guangdong, China.
⁴ Department of Psychology, School of Public Health, Southern Medical University, Guangzhou, Guangdong, China.
⁵ Department of Nursing, Shenzhen People's Hospital (The Second Clinical Medical College, Jinan University; The First Affiliated Hospital, Southern University of Science and Technology), Shenzhen, Guangdong, China.
⁶ Nanfang Hospital of Southern Medical University, Guangzhou, Guangdong, China.
⁷ Guangzhou Women and Children's Medical Center, Guangzhou, Guangdong, China.
⁸ School of Nursing, Southern Medical University, Guangzhou, Guangdong, China.
⁹ Longgang Central Hospital of Shenzhen, Shenzhen, Guangdong, China.
¹⁰ Boai Affiliated Hospital of Southern Medical University, Zhongshan, Guangdong, China.

Abstract

Background: Antenatal depression is a commonly seen mental health concern for women. This study introduced a multicenter cross-sectional survey with a large sample to provide new insights into pregnant women's depression, its socio-demographic and obstetric characteristics correlates, and its perceived stress among Chinese pregnant women.

Methods: This study conducted an observational survey according to the STROBE checklist. The multicenter cross-sectional survey was performed from August 2020 to January 2021 by distributing paper questionnaires among pregnant women from five tertiary hospitals in South China. The questionnaire included socio-demographic and obstetrics information, the Edinburgh Postnatal Depression Scale, and the 10-item Perceived Stress Scale. For the analyses, the Chi-square test and Multivariate logistic regression were utilized.

Results: Among 2014 pregnant women in their second/third trimester, the prevalence of antenatal depression was 36.3%. 34.4% of pregnant women reported AD in their second trimester of pregnancy, and 36.9% suffered from AD in third trimester of pregnancy. A multivariate logistic regression model indicated that unemployed women, lower levels of education, poor marital relationships, poor parents-in-law relationships, concerns about contracting COVID-19, and higher perceived stress could aggravate antenatal depression among participants (p<0.05).

Conclusion: There is a high proportion of antenatal depression among pregnant women in South China, so integrating depression screening into antenatal care services is worthwhile. Maternal and child health care providers need to evaluate pregnancy-related risk factors (perceived stress), socio-demographic factors (educational and professional status), and interpersonal risk factors (marital relations and relationship with Parents-in-law). In future research, the study also emphasized the importance of providing action and practical support to reduce the experience of antenatal depression among disadvantaged sub-groups of pregnant women.

Keywords: China; antenatal depression; epidemic; multicenter cross-sectional study; perceived stress; risk factors.