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目的了解不同地区育龄妇女孕前心理压力风险情况,为有针对性进行孕前心理风险评估和干预提供参考。方法资料来源于2011—2014年国家免费孕前优生健康检查的3 608 290名育龄妇女调查数据,采用SPSS 20.0进行描述分析和χ~2检验,分析人口学特征和地区差异。结果 25~29岁年龄组(16.96%)、大专及本科(24.71%)和研究生及以上学历(36.67%)、服务业人员(32.42%)和教师及公务员(30.36%)、非农业户口(30.74%)的育龄妇女孕前心理压力风险的比例均较高;育龄妇女的孕前心理压力风险在东、中、西部3个地区差异有统计学意义(χ~2=63 597.06,P<0.001),东部和西部地区有孕前心理压力风险的育龄妇女所占比例明显高于中部地区;2011—2014年随着年限的增加,东、中、西部地区育龄妇女孕前心理压力风险的比例均呈明显下降趋势。结论不同地区育龄妇女的孕前心理压力风险检出率存在明显差异。
Objective To understand the risk of pre-pregnancy psychological stress in women of childbearing age in different regions and provide reference for the psychological risk assessment and intervention before pregnancy. Methods Data were collected from 3 608 290 women of childbearing age who did not have prenatal euthymes in 2011-2014. SPSS 20.0 was used for descriptive analysis and Chi-square test to analyze demographic characteristics and regional differences. Results Among 25-29 age group (16.96%), college and undergraduate (24.71%) and graduate degree or above (36.67%), service workers (32.42%) and teachers and civil servants (30.36%), non agricultural account %) Of women of childbearing age had a higher risk of pre-pregnancy psychological stress. The risk of pre-pregnancy psychological stress among women of childbearing age in the three regions of eastern, central and western regions was significantly different (χ ~ 2 = 63 597.06, P <0.001) And the proportion of women of childbearing age who had the risk of pre-pregnancy psychological stress in the western region was significantly higher than that in the central region. With the increase of the number of years from 2011 to 2014, the proportion of pre-pregnancy stress risks in pregnant women in eastern, central and western regions decreased significantly. Conclusions There is a significant difference in the detection rate of pre-pregnancy psychological stress among women of childbearing age in different areas.