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dc.contributor.authorLu, Li
dc.contributor.authorDuan, Zhizhou
dc.contributor.authorWang, Yuan Yuan
dc.contributor.authorWilson, Amanda D.
dc.contributor.authorYang, Yong
dc.contributor.authorZhu, Longjun
dc.contributor.authorGuo, Yan
dc.contributor.authorYonglang, Lv
dc.contributor.authorYang, Xiaonan
dc.contributor.authorYu, Renjie
dc.contributor.authorWang, Shuilan
dc.contributor.authorWu, Zhengyan
dc.contributor.authorJiang, Ping
dc.contributor.authorXia, Mengqing
dc.contributor.authorWang, Guosheng
dc.contributor.authorWang, Xuixia
dc.contributor.authorTao, Ye
dc.contributor.authorLi, Xiaohong
dc.contributor.authorMa, Ling
dc.contributor.authorHuang, Liming
dc.contributor.authorDong, Qin
dc.contributor.authorShen, Hong
dc.contributor.authorSun, Jue
dc.contributor.authorLi, Shun
dc.contributor.authorDeng, Wei
dc.contributor.authorChen, Runsen
dc.date.accessioned2020-02-03T11:31:16Z
dc.date.available2020-02-03T11:31:16Z
dc.date.issued2019-12-11
dc.identifier.citationLu, L., Duan, Z., Wang, Y., Wilson, A., Yang, Y., Zhu, L., Guo, Y., Lv, Y., Yang, X., Yu, R. and Chen, R., (2020) Mental health outcomes among Chinese prenatal and postpartum women after the implementation of universal two-child policy. Journal of Affective Disorders, 264 (1), pp. 187-192en
dc.identifier.urihttps://dora.dmu.ac.uk/handle/2086/19096
dc.descriptionThe file attached to this record is the author's final peer reviewed version. The Publisher's final version can be found by following the DOI link.en
dc.description.abstractBackground Poor health status among both pregnant and postpartum women is commonly reported worldwide. The associations between mental health outcomes and giving birth to the second child since the implementation of China's universal two-child policy have not been identified. Methods A large-scale based mental health survey was conducted between March 2017 and December 2018 in Suzhou, China. The survey evaluated the symptoms of anxiety, hypomania, depression and poor sleep quality among both pregnant and postpartum women. Results A total of 3,113 questionnaires were collected, the prevalence of anxiety, hypomanic and depressive symptoms and poor sleep quality in our sample were 3.2% (95%CI: 2.6%-3.9%), 51.7% (95%CI: 49.9%-53.4%), 12.4% (95%CI: 11.3%-13.6%) and 37.8% (95%CI: 36.0%-39.5%), respectively. Logistic regression showed that giving birth to the second child was positively associated with women's age, and was negatively correlated with higher educational level and living in rented housing. Women with the second pregnancy or child were positively associated with anxiety symptoms in the whole sample (OR=1.75, 95%CI: 1.11-2.75) and among prenatal women (OR=2.11, 95%CI: 1.16-3.83), while it was inversely correlated with depressive symptoms among postpartum women (OR=0.63, 95%CI: 0.41-0.99). Conclusions Women giving birth a second time were more prone to have anxiety symptoms among the prenatal women and the whole sample, and less likely to have depressive symptoms among the postpartum women. Efficacious measures and interventions are essential to improve maternal mental health.en
dc.language.isoenen
dc.publisherElsevieren
dc.subjectSecond childen
dc.subjectChina's universal two-child policyen
dc.subjectPregnant and postpartum womenen
dc.subjectAnxietyen
dc.subjecthypomanic symptomen
dc.subjectDepressive symptomen
dc.subjectSleep qualityen
dc.titleMental health outcomes among Chinese prenatal and postpartum women after the implementation of universal two-child policyen
dc.typeArticleen
dc.identifier.doihttps://doi.org/10.1016/j.jad.2019.12.011
dc.peerreviewedYesen
dc.funderNo external funderen
dc.cclicenceCC-BY-NC-NDen
dc.date.acceptance2019-12-05
dc.researchinstituteInstitute for Psychological Scienceen


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