Prevalence and factors associated with postpartum depression during the COVID-19 pandemic among women in Guangzhou, Chin
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RESEARCH ARTICLE
Open Access
Prevalence and factors associated with postpartum depression during the COVID19 pandemic among women in Guangzhou, China: a cross-sectional study Peiqin Liang1, Yiding Wang1, Si Shi1, Yan Liu1* and Ribo Xiong2*
Abstract Background: The 2019 coronavirus disease (COVID-19) is a public health emergency of international concern. To date, there are limited studies that have investigated the impact of COVID-19 pandemic on mental health among female population. Therefore, the study aims to investigate the prevalence of postpartum depression (PPD) and it’s related factors among women in Guangzhou, China, during the COVID-19 pandemic. Methods: A cross-sectional study was performed from 30th March 2020 to 13th April 2020 using anonymous online questionnaire among 864 women at 6–12 weeks postpartum. The Chinese version of Edinburgh Postnatal Depression Scale and a questionnaire regarding associated factors were administered to all participants. Multivariate logistic regression was used to determine factors that were significantly associated with PPD. Results: The prevalence of PPD among women at 6–12 weeks postpartum was 30.0%. A multivariate logistic regression model identified significant factors as: immigrant women, persistent fever, poor social support, concerns about contracting COVID-19 and certain precautionary measures. Conclusions: The findings suggest the need for policies and interventions to not only mitigate the psychological impacts but also target disadvantaged sub-groups of women following childbirth during the COVID-19 pandemic. Keywords: Coronavirus, Postpartum depression, Epidemic, Risk factors, China
Background The 2019 coronavirus disease (COVID-19) is a highly infectious disease and have posed a global health threat [1]. Since the emergence of COVID-19 infection in Wuhan, China on December 2019, it has rapidly spread across China and other countries around the world [2]. On January 30th 2020, the World Health Organization (WHO) declared the outbreak of the COVID-19 as a * Correspondence: [email protected]; [email protected] 1 Department of gynecology &obstetrics, The Third Affiliated Hospital of Southern Medical University, 183#West Zhongshan Avenue, Guangzhou, Guangdong province, China 2 Department of rehabilitation, Nanhai Hospital, Southern Medical University, 28#Liguan Road, Lishui County, Foshan City, Guangdong Province, China
public health emergency of international concern [3]. Since the outbreak, the Chinese government has taken a swift move to reduce the spread of the virus. As of 19th March, zero domestic infection was recorded for the first time since it’s outbreak in China [4]. The ongoing COVID-19 pandemic is not only threatening people’s physical health but also inducing fear and helplessness. Previous research has explored such psychological effect during the outbreaks of infection [5–7]. During the Severe Acute Respiratory Syndrome (SARS) outbreak, 17.3% of heath workers had experienced mental symptoms [5]. During one influenza break, around 10 ~ 30% of
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