Knowledge attitude and practice of pregnant women on postnatal depression in Henan Province China

Abstract Postnatal depression is a common maternal mental health problem with substantial public health implications, yet limited attention has been given to pregnant women’s perceptions and responses to it. There are few studies explore pregnant women’s Knowledge, Attitude, and Practice (KAP) towar...

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Main Authors: Zhenzhen Wang, Qian Zhang, Rong Nie, Liping Zhou, Congcong Zhao, Yuan Cao, Xianghong Cheng
Format: Article
Language:English
Published: Nature Portfolio 2025-07-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-08274-x
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author Zhenzhen Wang
Qian Zhang
Rong Nie
Liping Zhou
Congcong Zhao
Yuan Cao
Xianghong Cheng
author_facet Zhenzhen Wang
Qian Zhang
Rong Nie
Liping Zhou
Congcong Zhao
Yuan Cao
Xianghong Cheng
author_sort Zhenzhen Wang
collection DOAJ
description Abstract Postnatal depression is a common maternal mental health problem with substantial public health implications, yet limited attention has been given to pregnant women’s perceptions and responses to it. There are few studies explore pregnant women’s Knowledge, Attitude, and Practice (KAP) towards postnatal depression. This study aimed to investigate the knowledge, attitude, and practice (KAP) of pregnant women regarding postnatal depression in Henan Province, China, between June and November 2023. A random sampling method was used to recruit eligible pregnant women attending antenatal care. This cross-sectional survey was conducted between June and November 2023 at the Henan Provincial People’s Hospital among pregnant women. Demographic information and KAP scores were collected by a self-designed questionnaire. Descriptive statistics, t-tests, ANOVA, Pearson correlation, and structural equation modeling (SEM) were conducted using R version 4.3.1. A total of 500 (95.97%) valid questionnaires were enrolled, with mean age of 30.78 ± 4.09 years. The mean KAP scores were 14.91 ± 2.385 (possible range: 0–20), 41.06 ± 4.160 (possible range: 11–55), 45.34 ± 7.309 (possible range: 13–65), respectively. The structural equation modeling results showed that residence and education, number of deliveries had direct effect on knowledge. Knowledge, education, and family relationships had direct effect on attitude. Knowledge, attitude, and experiencing mental illness, number of deliveries and education had direct effect on practice. Pregnant women had adequate knowledge, positive attitude, and suboptimal practice towards postnatal depression. The findings highlight the need for targeted educational interventions, family engagement, and a focus on mental health experiences to enhance clinical practices in addressing postnatal depression among pregnant women.
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spelling doaj-art-603f3751ca7b44a882076975f2da070c2025-08-20T03:42:38ZengNature PortfolioScientific Reports2045-23222025-07-0115111010.1038/s41598-025-08274-xKnowledge attitude and practice of pregnant women on postnatal depression in Henan Province ChinaZhenzhen Wang0Qian Zhang1Rong Nie2Liping Zhou3Congcong Zhao4Yuan Cao5Xianghong Cheng6Department of Maternity, Henan Provincial People’s Hospital (People’s Hospital of Zhengzhou University)Department of Maternity, Henan Provincial People’s Hospital (People’s Hospital of Zhengzhou University)School of Health Science & Nursing, Wuhan Polytechnic UniversityDepartment of Maternity, Henan Provincial People’s Hospital (People’s Hospital of Zhengzhou University)Department of Maternity, Henan Provincial People’s Hospital (People’s Hospital of Zhengzhou University)Department of Infectious Diseases, Henan Provincial People’s Hospital, People’s Hospital of Zhengzhou University)Department of Maternity, Henan Provincial People’s Hospital (People’s Hospital of Zhengzhou University)Abstract Postnatal depression is a common maternal mental health problem with substantial public health implications, yet limited attention has been given to pregnant women’s perceptions and responses to it. There are few studies explore pregnant women’s Knowledge, Attitude, and Practice (KAP) towards postnatal depression. This study aimed to investigate the knowledge, attitude, and practice (KAP) of pregnant women regarding postnatal depression in Henan Province, China, between June and November 2023. A random sampling method was used to recruit eligible pregnant women attending antenatal care. This cross-sectional survey was conducted between June and November 2023 at the Henan Provincial People’s Hospital among pregnant women. Demographic information and KAP scores were collected by a self-designed questionnaire. Descriptive statistics, t-tests, ANOVA, Pearson correlation, and structural equation modeling (SEM) were conducted using R version 4.3.1. A total of 500 (95.97%) valid questionnaires were enrolled, with mean age of 30.78 ± 4.09 years. The mean KAP scores were 14.91 ± 2.385 (possible range: 0–20), 41.06 ± 4.160 (possible range: 11–55), 45.34 ± 7.309 (possible range: 13–65), respectively. The structural equation modeling results showed that residence and education, number of deliveries had direct effect on knowledge. Knowledge, education, and family relationships had direct effect on attitude. Knowledge, attitude, and experiencing mental illness, number of deliveries and education had direct effect on practice. Pregnant women had adequate knowledge, positive attitude, and suboptimal practice towards postnatal depression. The findings highlight the need for targeted educational interventions, family engagement, and a focus on mental health experiences to enhance clinical practices in addressing postnatal depression among pregnant women.https://doi.org/10.1038/s41598-025-08274-xKnowledgeAttitudePracticePregnant womenPostnatal depression
spellingShingle Zhenzhen Wang
Qian Zhang
Rong Nie
Liping Zhou
Congcong Zhao
Yuan Cao
Xianghong Cheng
Knowledge attitude and practice of pregnant women on postnatal depression in Henan Province China
Scientific Reports
Knowledge
Attitude
Practice
Pregnant women
Postnatal depression
title Knowledge attitude and practice of pregnant women on postnatal depression in Henan Province China
title_full Knowledge attitude and practice of pregnant women on postnatal depression in Henan Province China
title_fullStr Knowledge attitude and practice of pregnant women on postnatal depression in Henan Province China
title_full_unstemmed Knowledge attitude and practice of pregnant women on postnatal depression in Henan Province China
title_short Knowledge attitude and practice of pregnant women on postnatal depression in Henan Province China
title_sort knowledge attitude and practice of pregnant women on postnatal depression in henan province china
topic Knowledge
Attitude
Practice
Pregnant women
Postnatal depression
url https://doi.org/10.1038/s41598-025-08274-x
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