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Abstract
Objective To explore the prevalence of depressive symptoms among women in late pregnancy, and assess mediating effect of self-efficacy in the association between family functions and the antenatal depressive symptoms.
Design Community-based, cross-sectional study was conducted among women during the third trimester of pregnancy.
Setting This study was conducted among pregnant women registered at community health service centres of urban Hengyang City, China from July to October 2019.
Participants 813 people were selected from 14 communities by multi-staged cluster random sampling method.
Main outcome measures The Family Adaptation Partnership Growth Affection and Resolve Index, the General Self-efficacy Scale and Patient Health Questionnaire were used to access family functions, self-efficacy and antenatal depression symptoms, respectively.
Results In this study, 9.2% pregnant women reported the symptoms of antenatal depression (95 CI% 7.2% to 11.2%). After adjustment, the results showed that severe family dysfunction (adjusted OR, AOR 3.67; 95% CI 1.88 to 7.14) and low level of self-efficacy (AOR 3.16; 95% CI 1.37 to 7.27) were associated with antenatal depressive symptoms (p<0.05). Furthermore, self-efficacy level partially mediated the association between family functions and antenatal depressive symptoms(β=−0.05, 95% CI −0.07 to −0.03, p<0.05) and the mediating effect accounted for 17.09% of the total effect.
Conclusions This study reported 9.2% positive rates of antenatal depression symptoms among women in the third trimester of pregnancy in Hengyang city, China. The mediating effect of self-efficacy on the association between family functions and antenatal depression symptoms among women in the third trimester of pregnancy was found in this study, which provide a theoretical basis to maternal and child health personnel to identify high-risk pregnant women and take targeted intervention for them.
- obstetrics
- depression & mood disorders
- social medicine
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Footnotes
Contributors Conceptualisation: BZ and ZH; Methodology: BZ, WZ and ZH; Investigation: BZ, ZH, WZ, YY, SY and XZ; Resources: XZ; Data Curation: BZ, YY and WZ; Writing-original draft preparation: BZ; Writing-review and editing, HX and ZH.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.
Patient consent for publication Not required.
Ethics approval Ethics approval was provided by the Ethics Committee of Xiangya School of Public Health, Central South University (XYGW-2019–056).
Provenance and peer review Not commissioned; externally peer reviewed.
Data availability statement Data are available on reasonable request. No data are available. For more original information, contact the corresponding author for appropriate reasons.