The effects of maternal health literacy, family functioning and self-efficacy on antepartum depression in pregnant women in China: a moderated mediation model
Abstract Background Antepartum depression (AD) is associated with a greater risk of adverse outcomes for both mothers and fetuses. Maternal health literacy (MHL), family functioning (FF), and self-efficacy (SE) are important factors affecting antepartum depression (AD) in pregnant women. Therefore,...
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| Format: | Article |
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BMC
2025-02-01
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| Series: | BMC Psychiatry |
| Online Access: | https://doi.org/10.1186/s12888-025-06557-1 |
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| author | Ling Zhang Li Ren Hongyu Li Haiyan Qiu Hong Yang Xiaolan Shi Honghui Rong Chuanfen Zheng Fengju Li Ting Luo Lu Lu Enyu Lei Dali Yi Ji-an Chen |
| author_facet | Ling Zhang Li Ren Hongyu Li Haiyan Qiu Hong Yang Xiaolan Shi Honghui Rong Chuanfen Zheng Fengju Li Ting Luo Lu Lu Enyu Lei Dali Yi Ji-an Chen |
| author_sort | Ling Zhang |
| collection | DOAJ |
| description | Abstract Background Antepartum depression (AD) is associated with a greater risk of adverse outcomes for both mothers and fetuses. Maternal health literacy (MHL), family functioning (FF), and self-efficacy (SE) are important factors affecting antepartum depression (AD) in pregnant women. Therefore, this study aimed to explore the associations between these factors and whether MHL and SE mediate the relationship between FF and AD. Methods This cross-sectional study included 1392 pregnant women from 6 hospitals in Chongqing, China. Data were collected via structured scales, including the Edinburgh Postpartum Depression Scale, the APGAR Family Care Index Scale, the Maternal Health Literacy Scale and the General Self-Efficacy Scale (GSES). Structural equation modeling(SEM) was used to test the hypothesized relationships among the variables. Results In our survey, 31.90% participants had depression symptoms. Correlation analysis revealed that all the variables were significantly correlated with AD (p < 0.01). The model indicated that FF had the strongest correlation with AD (β = -0.276, p < 0.01), followed by MHL (β = -0.248, p < 0.01) and self-efficacy (SE) (β = -0.222, p < 0.01). SE fully mediated the relationship between FF and AD and mediated the relationship between MHL and AD. There was no evidence of a mediating effect of MHL on the relationship between FF and AD. Conclusions AD is correlated with MHL, SE and FF. MHL and FF can directly affect AD and mediate AD through SE. Future programs should consider MHL promotion, FF improvement and SE strengthening as breakthrough points when planning educational programs. |
| format | Article |
| id | doaj-art-baf83673b03c477ca87bbd2405cce72d |
| institution | Kabale University |
| issn | 1471-244X |
| language | English |
| publishDate | 2025-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Psychiatry |
| spelling | doaj-art-baf83673b03c477ca87bbd2405cce72d2025-02-09T12:49:22ZengBMCBMC Psychiatry1471-244X2025-02-012511910.1186/s12888-025-06557-1The effects of maternal health literacy, family functioning and self-efficacy on antepartum depression in pregnant women in China: a moderated mediation modelLing Zhang0Li Ren1Hongyu Li2Haiyan Qiu3Hong Yang4Xiaolan Shi5Honghui Rong6Chuanfen Zheng7Fengju Li8Ting Luo9Lu Lu10Enyu Lei11Dali Yi12Ji-an Chen13Department of Health Education, College of Military Preventive Medicine, Army Medical University (Third Military Medical University)Chongqing Health Center for Women and Children, Women and Children’s Hospital of Chongqing Medical UniversityDepartment of Obstetrics and Gynecology, First Affiliated Hospital, Army Medical University (Third Military Medical University)Department of Obstetrics and Gynecology, Second Affiliated Hospital, Army Medical University (Third Military Medical University)Chongqing Health Center for Women and Children, Women and Children’s Hospital of Chongqing Medical UniversityDepartment of Obstetrics and Gynecology, Third Affiliated Hospital, Army Medical University (Third Military Medical University)Department of Health Education, College of Military Preventive Medicine, Army Medical University (Third Military Medical University)Department of Health Education, College of Military Preventive Medicine, Army Medical University (Third Military Medical University)Department of Health Education, College of Military Preventive Medicine, Army Medical University (Third Military Medical University)Department of Health Education, College of Military Preventive Medicine, Army Medical University (Third Military Medical University)Department of Health Education, College of Military Preventive Medicine, Army Medical University (Third Military Medical University)Department of Health Education, College of Military Preventive Medicine, Army Medical University (Third Military Medical University)Department of Health Education, College of Military Preventive Medicine, Army Medical University (Third Military Medical University)Department of Health Education, College of Military Preventive Medicine, Army Medical University (Third Military Medical University)Abstract Background Antepartum depression (AD) is associated with a greater risk of adverse outcomes for both mothers and fetuses. Maternal health literacy (MHL), family functioning (FF), and self-efficacy (SE) are important factors affecting antepartum depression (AD) in pregnant women. Therefore, this study aimed to explore the associations between these factors and whether MHL and SE mediate the relationship between FF and AD. Methods This cross-sectional study included 1392 pregnant women from 6 hospitals in Chongqing, China. Data were collected via structured scales, including the Edinburgh Postpartum Depression Scale, the APGAR Family Care Index Scale, the Maternal Health Literacy Scale and the General Self-Efficacy Scale (GSES). Structural equation modeling(SEM) was used to test the hypothesized relationships among the variables. Results In our survey, 31.90% participants had depression symptoms. Correlation analysis revealed that all the variables were significantly correlated with AD (p < 0.01). The model indicated that FF had the strongest correlation with AD (β = -0.276, p < 0.01), followed by MHL (β = -0.248, p < 0.01) and self-efficacy (SE) (β = -0.222, p < 0.01). SE fully mediated the relationship between FF and AD and mediated the relationship between MHL and AD. There was no evidence of a mediating effect of MHL on the relationship between FF and AD. Conclusions AD is correlated with MHL, SE and FF. MHL and FF can directly affect AD and mediate AD through SE. Future programs should consider MHL promotion, FF improvement and SE strengthening as breakthrough points when planning educational programs.https://doi.org/10.1186/s12888-025-06557-1 |
| spellingShingle | Ling Zhang Li Ren Hongyu Li Haiyan Qiu Hong Yang Xiaolan Shi Honghui Rong Chuanfen Zheng Fengju Li Ting Luo Lu Lu Enyu Lei Dali Yi Ji-an Chen The effects of maternal health literacy, family functioning and self-efficacy on antepartum depression in pregnant women in China: a moderated mediation model BMC Psychiatry |
| title | The effects of maternal health literacy, family functioning and self-efficacy on antepartum depression in pregnant women in China: a moderated mediation model |
| title_full | The effects of maternal health literacy, family functioning and self-efficacy on antepartum depression in pregnant women in China: a moderated mediation model |
| title_fullStr | The effects of maternal health literacy, family functioning and self-efficacy on antepartum depression in pregnant women in China: a moderated mediation model |
| title_full_unstemmed | The effects of maternal health literacy, family functioning and self-efficacy on antepartum depression in pregnant women in China: a moderated mediation model |
| title_short | The effects of maternal health literacy, family functioning and self-efficacy on antepartum depression in pregnant women in China: a moderated mediation model |
| title_sort | effects of maternal health literacy family functioning and self efficacy on antepartum depression in pregnant women in china a moderated mediation model |
| url | https://doi.org/10.1186/s12888-025-06557-1 |
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