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Chinese Women’s Acceptance and Uptake of Referral after Screening for Perinatal Depression

China recently issued a national plan on perinatal depression (PND) screening. Previous studies elsewhere suggested that uptake of referral after screening for PND is suboptimal, but little is known in China. In this cohort study including 1126 women in Hunan, we identified women at a high risk of P...

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Autores principales: Gong, Wenjie, Jin, Xin, Cheng, Kar Keung, Caine, Eric D., Lehman, Richard, Xu, Dong (Roman)
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7700456/
https://www.ncbi.nlm.nih.gov/pubmed/33238480
http://dx.doi.org/10.3390/ijerph17228686
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author Gong, Wenjie
Jin, Xin
Cheng, Kar Keung
Caine, Eric D.
Lehman, Richard
Xu, Dong (Roman)
author_facet Gong, Wenjie
Jin, Xin
Cheng, Kar Keung
Caine, Eric D.
Lehman, Richard
Xu, Dong (Roman)
author_sort Gong, Wenjie
collection PubMed
description China recently issued a national plan on perinatal depression (PND) screening. Previous studies elsewhere suggested that uptake of referral after screening for PND is suboptimal, but little is known in China. In this cohort study including 1126 women in Hunan, we identified women at a high risk of PND using the Edinburgh Postpartum Depression Scale (EPDS) over multiple time points. We texted them and offered free consultations with a psychiatrist/psychologist. Among 248 screen-positive women, only three expressed interest and one attended the appointment. We surveyed the women about their reasons for declining referrals and preferred means of care. Of the 161 respondents, 128 (79.5%) indicated that they could cope with the condition without professional assistance and 142 (88.2%) chose their families as the preferred source of help. Only 15 (9.3%) chose professionals as their first option. Implementing a referral policy for screen-positive women would mean approximately one-third of women who gave birth in China would be eligible. Our result argues against referring all screen-positive women for professional services at this time. Interventions should instead build upon the tradition of family support in a more engaged response. These considerations are relevant for the implementation of national screening for PND in China.
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spelling pubmed-77004562020-11-30 Chinese Women’s Acceptance and Uptake of Referral after Screening for Perinatal Depression Gong, Wenjie Jin, Xin Cheng, Kar Keung Caine, Eric D. Lehman, Richard Xu, Dong (Roman) Int J Environ Res Public Health Article China recently issued a national plan on perinatal depression (PND) screening. Previous studies elsewhere suggested that uptake of referral after screening for PND is suboptimal, but little is known in China. In this cohort study including 1126 women in Hunan, we identified women at a high risk of PND using the Edinburgh Postpartum Depression Scale (EPDS) over multiple time points. We texted them and offered free consultations with a psychiatrist/psychologist. Among 248 screen-positive women, only three expressed interest and one attended the appointment. We surveyed the women about their reasons for declining referrals and preferred means of care. Of the 161 respondents, 128 (79.5%) indicated that they could cope with the condition without professional assistance and 142 (88.2%) chose their families as the preferred source of help. Only 15 (9.3%) chose professionals as their first option. Implementing a referral policy for screen-positive women would mean approximately one-third of women who gave birth in China would be eligible. Our result argues against referring all screen-positive women for professional services at this time. Interventions should instead build upon the tradition of family support in a more engaged response. These considerations are relevant for the implementation of national screening for PND in China. MDPI 2020-11-23 2020-11 /pmc/articles/PMC7700456/ /pubmed/33238480 http://dx.doi.org/10.3390/ijerph17228686 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Gong, Wenjie
Jin, Xin
Cheng, Kar Keung
Caine, Eric D.
Lehman, Richard
Xu, Dong (Roman)
Chinese Women’s Acceptance and Uptake of Referral after Screening for Perinatal Depression
title Chinese Women’s Acceptance and Uptake of Referral after Screening for Perinatal Depression
title_full Chinese Women’s Acceptance and Uptake of Referral after Screening for Perinatal Depression
title_fullStr Chinese Women’s Acceptance and Uptake of Referral after Screening for Perinatal Depression
title_full_unstemmed Chinese Women’s Acceptance and Uptake of Referral after Screening for Perinatal Depression
title_short Chinese Women’s Acceptance and Uptake of Referral after Screening for Perinatal Depression
title_sort chinese women’s acceptance and uptake of referral after screening for perinatal depression
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7700456/
https://www.ncbi.nlm.nih.gov/pubmed/33238480
http://dx.doi.org/10.3390/ijerph17228686
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