Evidence map›Paper›PMID 40855382›Full record

ArticleScientific reports2025

Factors influencing adherence to psychological intervention referrals among women who screened positive for postpartum depression in Shenzhen, China (2016-2020).

Dadong Wu, Siqi Chen, Siyuan Liu, Jiayi Zhang, Guanglin Zhao, Jing He, Lei Jiang

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Dadong WuShenzhen Maternity and Child Healthcare Hospital, Women and Children's Medical Center, Southern Medical University, No. 2004 Hongli Road, Shenzhen, 518028, Guangdong, China. dadong.wu.10@alumni.ucl.ac.uk.
Siqi ChenShenzhen Maternity and Child Healthcare Hospital, Women and Children's Medical Center, Southern Medical University, No. 2004 Hongli Road, Shenzhen, 518028, Guangdong, China.
Siyuan LiuSchool of Public Health, Southern Medical University, Guangzhou, China.
Jiayi ZhangShenzhen Maternity and Child Healthcare Hospital, Women and Children's Medical Center, Southern Medical University, No. 2004 Hongli Road, Shenzhen, 518028, Guangdong, China.
Guanglin ZhaoShenzhen Maternity and Child Healthcare Hospital, Women and Children's Medical Center, Southern Medical University, No. 2004 Hongli Road, Shenzhen, 518028, Guangdong, China.
Jing HeShenzhen Maternity and Child Healthcare Hospital, Women and Children's Medical Center, Southern Medical University, No. 2004 Hongli Road, Shenzhen, 518028, Guangdong, China.
Lei JiangShenzhen Maternity and Child Healthcare Hospital, Women and Children's Medical Center, Southern Medical University, No. 2004 Hongli Road, Shenzhen, 518028, Guangdong, China. jianglei652006@126.com.

Funding

National Natural Science Foundation of China,China 72374096Research Fund of Shenzhen Maternity and Child Healthcare Hospital FYA2022001Shenzhen Key Laboratory of Maternal and Child Health and Diseases,China ZDSYS20230626091559006Shenzhen Science and Technology Program,China JCYJ20230807120309020
6 · The paper itself

Abstract

Postpartum Depression (PPD) is a significant public health issue in China. Despite the launch of a universal PPD screening and intervention programme in Shenzhen, there remains a substantial gap between the number of women who screened positive and were referred for psychological interventions and those who actually presented at mental health institutions for further evaluation and treatment. This study sought to understand the factors influencing adherence to intervention referrals among women with positive PPD screening results. Using a retrospective study design, data from the programme management information system was analysed. The sample comprised 35,390 women who gave births in Shenzhen and screened positive for PPD between January 2016 and December 2020. Chi-square test and stepwise logistic regression were employed to determine factors affecting intervention uptake, with a p-value of less than 0.05 indicating statistical significance. The study found that although referral messages were given to 30,408 (85.9%) of women with positive PPD screening results, only 5,712 (16.1%) of them received psychological interventions. High school education (OR = 1.266, 95% CI: 1.1602 ~ 1.38), anxiety during pregnancy (OR = 1.126, 95% CI: 1.048 ~ 1.210), as well as bottle (OR = 1.368, 95% CI: 1.218 ~ 1.535) and mixed feeding (OR = 1.110, 95% CI: 1.043 ~ 1.181) were positively associated with treatment engagement. Conversely, women with EPDS scores of > 13 (OR = 0.892, 95% CI: 0.836 ~ 0.953), and temporary (OR = 0.860, 95% CI: 0.800 ~ 0.924) or floating residence (OR = 0.628, 95% CI: 0.550 ~ 0.713) were less likely to seek mental health support. This study contributes to a better understanding of the factors influencing intervention-seeking behaviours among women who screened positive for PPD in China. The main findings underline the necessity for tailored interventions that cater to the specific needs and circumstances of different groups of women. It is crucial to encourage treatment engagement through strategies such as psychoeducation, addressing stigma, and providing supportive resources.

Indexed as

Depression, PostpartumPatient ComplianceReferral and ConsultationAdultChinaFemaleHumansMass ScreeningPregnancyRetrospective StudiesYoung AdultChinaInfluencing factorPostpartum depressionPsychological interventionReferral uptake

Identifiers

PMID40855382
PMCPMC12379264

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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.