论文标题
怀孕期间的伴侣支持调解了母亲产后抑郁症的社会不平等，非移民和第一代移民妇女
Partner support during pregnancy mediates social inequalities in maternal postpartum depression for non-migrant and first generation migrant women
论文作者
论文摘要
背景是有优势的社会经济地位（SEP）和在怀孕期间满足社会支持（SSP）是产后抑郁症（PDD）的保护因素。有利的SEP也与满足SSP有关，使SSP成为PPD社会不平等现象的潜在调解人。 SEP，SSP和PPD与移民状态有关。这项研究的目的是量化SSP在PPD中有关母亲移民身份的社会不平等现象中的中介作用。方法将来自法国全国代表性ELFE队列研究的15,000名母亲的子样本用于当前分析。 SEP被构造为一种潜在变量，该变量是通过教育程度，职业等级，就业，财务困难和家庭收入来衡量的。 SSP的特征是合作伙伴（良好的关系，满意的支持和父亲假）和助产士的实际支持（社会心理风险因素评估和产前教育）的支持。对多个介体进行了调解分析，通过移民地位进行了分层。结果研究人群包括76％的非移民妇女，第二代移民的12％和12％。无论移民身份如何，SEP与合作伙伴的支持呈正相关。令人满意的伴侣支持与PPD评分的8名（非移民妇女）至11％（第一代移民）降低有关。没有报道抑郁症的局限性。缔解伙伴支持可以减少PPD的社会不平等现象。这项工作支持需要进行干预，纵向和定性研究，包括父亲，并适应有PPD风险的妇女，以更好地了解SSP在PPD中社会不平等中的作用。关键词社会支持，产后抑郁，流行病学，社会不平等，怀孕，调解分析
Background An advantaged socioeconomic position (SEP) and satisfying social support during pregnancy (SSP) have been found to be protective factors of maternal postpartum depression (PDD). An advantaged SEP is also associated with satisfying SSP, making SSP a potential mediator of social inequalities in PPD. SEP, SSP and PPD are associated with migrant status. The aim of this study was to quantify the mediating role of SSP in social inequalities in PPD regarding mother's migrant status. Methods A sub-sample of 15,000 mothers from the French nationally-representative ELFE cohort study was used for the present analyses. SEP was constructed as a latent variable measured with educational attainment, occupational grade, employment, financial difficulties and household income. SSP was characterized as perceived support from partner (good relation, satisfying support and paternal leave) and actual support from midwives (psychosocial risk factors assessment and antenatal education). Mediation analyses with multiple mediators, stratified by migrant status were conducted. Results Study population included 76% of non-migrant women, 12% of second and 12% of first generation migrant. SEP was positively associated with support from partner, regardless of migrant status. Satisfying partner support was associated with a 8 (non-migrant women) to 11% (first generation migrant women) reduction in PPD score. Limitations History of depression was not reported.Conclusions Partner support could reduce social inequalities in PPD. This work supports the need of interventions, longitudinal and qualitative studies including fathers and adapted to women at risk of PPD to better understand the role of SSP in social inequalities in PPD. Keywords social support, postpartum depression, epidemiology, social inequalities, pregnancy, mediation analysis
