Online Program

282003
Risk factors of mental health disorder among Chinese women in the third trimester of pregnancy


Tuesday, November 5, 2013

Yang Chen, MS, MPH, Department of Biostatistics and Epidemiology, East Tennessee State University - College of Public Health, Johnson City, TN
Liang Wang, MD, DrPH, MPH, Department of Biostatistics and Epidemiology, College of Public Health, College of Public Health, East Tennessee State University, Johnson City, TN
Maosun Fu, MD, MS, School of Public Health, Shandong University, Jinan, China
Jie Wang, MD, School of Public Health, Shandong University, Jinan, China
Arsham Alamian, PhD, MSc, MACE, Department of Biostatistics and Epidemiology, College of Public Health, East Tennessee State University, Johnson City, TN
Marc Stevens Jr., MPH, Department of Biostatistics and Epidemiology, East Tennessee State University - College of Public Health, Johnson City, TN
Mental health disorder is the leading cause of disease burden in women worldwide. Pregnant women with mental disorder are especially at risk of having offspring with adverse outcomes. This study aimed to investigate risk factors of mental health disorder among Chinese pregnant women in the third trimester. A total of 462 pregnant women in their third trimester completed interviews at three hospitals in Shandong Province, China from July to December, 2010. The Symptom Checklist-90-R (SCL-90-R) was used to evaluate mental health disorder, and was defined as total score ≥160, or scores of any symptom dimensions ≥3, or total of positive symptoms ≥43. Multiple logistic regression was used to examine the risk factors of mental health disorder, and to adjust for covariates. The total score and scores of somatization, obsessive-compulsive, anxiety, and phobic anxiety were higher than corresponding national norm by SCL-90-R assessment (all p<0.05). Multiple logistic regression showed family income, relationship with parents-in-law, concerns about child's health, fear of delivery, and pregnancy complications were negatively associated with mental health disorder (all p<0.05). More specifically, relationship with parents-in-law, fear of delivery, preference on mode of delivery (Caesarean section), and body image concerns were positively associated with anxiety (all p<0.05); Fear of delivery was positively associated with depression (p=0.023). Family income, relationship with parents-in-law, concern about child's health, fear of delivery, and pregnancy complications were identified as potential risk factors of mental health disorder in this Chinese pregnant women population. Strategies to reduce mental health disorder are needed among Chinese pregnant women.

Learning Areas:

Epidemiology
Public health or related research
Social and behavioral sciences

Learning Objectives:
Evaluate the mental health disorder for Chinese women who are in the third trimester of pregnancy. Analyze the risk factors of mental health disorder in this Chinese pregnant women population.

Keyword(s): Mental Disorders, Pregnancy

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a member of research group for maternal health. This is my current research project for mental health for pregnant women.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.