Evidence map›Paper›PMID 34244273›Full record

ArticleBMJ open2021

Maternal depression and loss of children under the one-child family planning policy in China: a cross-sectional study of 300 000 women.

Hanyu Wang, Eric Frasco, Jie Shang, Minne Chen, Tong Xin, Kun Tang

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 34% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. 'Nobody comes to help us': lived experiences and needs of older adults who lost their only child in China.International journal of qualitative studies on health and well-being · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 2 countries.

Hanyu WangVanke School of Public Health, Tsinghua University, Beijing, China.
Eric FrascoInstitute for Global Health, University College London, London, UK.
Jie ShangWomen's and Child Health Program, George Institute for Global Health, Beijing, China.
Minne ChenMarie Stopes International China, Beijing, China.
Tong XinDepartment of Global Health, Peking University Health Science Centre, Beijing, China.
Kun TangVanke School of Public Health, Tsinghua University, Beijing, China tangk@mail.tsinghua.edu.cn.ORCID 0000-0002-5444-186X
Vanke (China) · CNGeorge Institute for Global Health · CNPeking University · CNUniversity College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aims to explore the association between maternal depression and the loss of the only child under the family-planning (FP) policy.

designCross-sectional data from a Chinese population-based study were analysed.

settingPopulation from 10 (5 rural and 5 urban) areas in China.

participantsAround 300 000 females were included in the study. The FP group was defined as women with one or two live births. Those with no surviving child were classified into the loss-of-only-child group. The non-FP group included women who had more than two live births. Logistic regression was used to assess the relationship between major depressive disorder (MDD) and family types, after stratification and adjustment. OUTCOME: MDD was assessed using the Composite International Diagnostic Inventory.

resultsThe odds of MDD are 1.42 times higher in the FP group in general (OR=1.42, 95% CI: 1.28 to 1.57), as opposed to the non-FP group. In particular, the odds of MDD are 1.36 times greater in the non-loss-of-only-child group (OR=1.36, 95% CI: 1.21 to 1.51) and 2.80 (OR=2.80, 95% CI: 0.88 to 8.94) times greater in the loss-of-only-child group, compared with the non-FP group. The associations between FP groups and MDD appeared to be stronger in the elderly population, in those who were married, less educated and those with a higher household income. The association was found progressively stronger in those who lost their only child.

conclusionsPeople in the FP group, especially those who lost their only child, are more susceptible to MDD than their counterparts in the non-FP group. Mental health programmes should give special care to those who lost their only child and take existing social policies and norms, such as FP policies, into consideration.

Indexed as

Family Planning PolicyMajor Depressive DisorderAgedChinaCross-Sectional StudiesDepressionDeveloping CountriesFamily Planning ServicesFemaleHumansdepression & mood disordershealth policysocial medicine

Identifiers

PMID34244273
PMCPMC8273468
OpenAlexW3182671711

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.