The effects of traffic restriction and family function on paternal
perinatal depression during the COVID-19 pandemic in Wuhan, China
Abstract
Objectives The prevention and control of the COVID-19 pandemic might
associate with paternal perinatal depression during their partners’
delivery. This study aims to investigate the prevalence of paternal
perinatal depression exposure to the COVID-19 pandemic and to determine
the risk factors. Design This is a cross-sectional study Population The
participants of perinatal fathers were recruited in one hospital during
December 31, 2019 to April 11, 2020 in Wuhan. Methods The Edinburgh
Postnatal Depression Scale (EPDS) and the APGAR family function scale
was used to evaluate paternal perinatal depression and family function,
respectively. The chi-square tests and multivariable logistic regression
were applied for data analysis. Results There were 1,187 valid fathers
included and the prevalence of paternal perinatal depression was
13.82%. Compared with fathers recruited before the announcement of
human-to-human transmission, fathers showed significantly lower risk of
perinatal depression (OR=0.54, 95% CI: 0.34, 0.87; OR=0.30, 95% CI:
0.14, 0.63; respectively) during traffic restriction period and public
transportation reopened period in Wuhan. Low or fair of family function
significantly associated with elevated risk of paternal perinatal
depression (OR=2.45, 95% CI: 1.56, 3.83). Moreover, fathers reported
low family income, poor sleep quality, and smoking were significantly
associated with increased risks of perinatal depression. Conclusions
Paternal screening was suggested to early detect perinatal depression
during the COVID-19 pandemic. Traffic restriction and good family
function have positive impacts on paternal perinatal depression. These
results could provide some evidence for health authorities to formulate
targeted prevention and control strategies on paternal perinatal
depression.