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Article: Are concern for face and willingness to seek help correlated to early postnatal depressive symptoms among Hong Kong Chinese women? A cross-sectional questionnaire survey

TitleAre concern for face and willingness to seek help correlated to early postnatal depressive symptoms among Hong Kong Chinese women? A cross-sectional questionnaire survey
Authors
Issue Date2008
PublisherPergamon. The Journal's web site is located at http://www.elsevier.com/locate/ijnurstu
Citation
International Journal Of Nursing Studies, 2008, v. 45 n. 1, p. 51-64 How to Cite?
AbstractBackground: Face (lian) is a pervasive phenomenon in Chinese culture, exerting an immense and subtle influence on the behavior of people. Coupled with the inherent stigma of mental illness, concern for face may lead women to deny having early postnatal depressive symptoms and to refrain from seeking help from others. Objective: The aim of the study was to explore how the traditional Chinese value of face and their willingness to seek help is associated with early postnatal depressive symptoms in Hong Kong. Design: A cross-sectional comparative study design was adopted. Settings: The samples were taken from three postnatal wards in a university-affiliated regional hospital. Participants: One thousand four hundred and sixty-five women who had given birth on 2-5 days postpartum were invited to participate in this study and 1200 women (81.9%) completed the questionnaires. Women with a history or family history of depression were excluded. Methods: Multivariate logistic regression was used to calculate the odds ratios (ORs) and 95% confidence intervals (CIs) to estimate the relationships among concern for face, willingness to seek help, and early postnatal depressive symptoms. Results: The results indicated that 413 (34.4%) of the participants had early postnatal depressive symptoms. Women with high protective face, who "keep a low profile to avoid attention" (p < 0.01), and women with high acquisitive face, who "get ahead through social achievement" (GAT) (p < 0.05), were found to be more likely to show early postnatal depressive symptoms after adjusting for demo-socio-economic, obstetric, and neonatal variables. Women with high GAT were found to be 1.36 times less likely to seek help during early postnatal period (p < 0.05). Depressed women were found to be less likely to seek help (p < 0.05). Conclusions: Concern for face and willingness to seek help were important correlates associated with postnatal depressive symptoms. Health care professionals should make extensive efforts and provide more health education to reach out to these women and their families. © 2006 Elsevier Ltd. All rights reserved.
Persistent Identifierhttp://hdl.handle.net/10722/172177
ISSN
2015 Impact Factor: 3.561
2015 SCImago Journal Rankings: 1.526
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLau, Yen_US
dc.contributor.authorFu Keung Wong, Den_US
dc.date.accessioned2012-10-30T06:20:33Z-
dc.date.available2012-10-30T06:20:33Z-
dc.date.issued2008en_US
dc.identifier.citationInternational Journal Of Nursing Studies, 2008, v. 45 n. 1, p. 51-64en_US
dc.identifier.issn0020-7489en_US
dc.identifier.urihttp://hdl.handle.net/10722/172177-
dc.description.abstractBackground: Face (lian) is a pervasive phenomenon in Chinese culture, exerting an immense and subtle influence on the behavior of people. Coupled with the inherent stigma of mental illness, concern for face may lead women to deny having early postnatal depressive symptoms and to refrain from seeking help from others. Objective: The aim of the study was to explore how the traditional Chinese value of face and their willingness to seek help is associated with early postnatal depressive symptoms in Hong Kong. Design: A cross-sectional comparative study design was adopted. Settings: The samples were taken from three postnatal wards in a university-affiliated regional hospital. Participants: One thousand four hundred and sixty-five women who had given birth on 2-5 days postpartum were invited to participate in this study and 1200 women (81.9%) completed the questionnaires. Women with a history or family history of depression were excluded. Methods: Multivariate logistic regression was used to calculate the odds ratios (ORs) and 95% confidence intervals (CIs) to estimate the relationships among concern for face, willingness to seek help, and early postnatal depressive symptoms. Results: The results indicated that 413 (34.4%) of the participants had early postnatal depressive symptoms. Women with high protective face, who "keep a low profile to avoid attention" (p < 0.01), and women with high acquisitive face, who "get ahead through social achievement" (GAT) (p < 0.05), were found to be more likely to show early postnatal depressive symptoms after adjusting for demo-socio-economic, obstetric, and neonatal variables. Women with high GAT were found to be 1.36 times less likely to seek help during early postnatal period (p < 0.05). Depressed women were found to be less likely to seek help (p < 0.05). Conclusions: Concern for face and willingness to seek help were important correlates associated with postnatal depressive symptoms. Health care professionals should make extensive efforts and provide more health education to reach out to these women and their families. © 2006 Elsevier Ltd. All rights reserved.en_US
dc.languageengen_US
dc.publisherPergamon. The Journal's web site is located at http://www.elsevier.com/locate/ijnurstuen_US
dc.relation.ispartofInternational Journal of Nursing Studiesen_US
dc.subject.meshAdaptation, Psychologicalen_US
dc.subject.meshAdulten_US
dc.subject.meshCross-Sectional Studiesen_US
dc.subject.meshDenial (Psychology)en_US
dc.subject.meshDepression, Postpartum - Diagnosis - Ethnology - Prevention & Controlen_US
dc.subject.meshFemaleen_US
dc.subject.meshHealth Services Needs And Demanden_US
dc.subject.meshHealth Surveysen_US
dc.subject.meshHong Kong - Epidemiologyen_US
dc.subject.meshHumansen_US
dc.subject.meshLogistic Modelsen_US
dc.subject.meshMothers - Education - Psychologyen_US
dc.subject.meshMultivariate Analysisen_US
dc.subject.meshNursing Methodology Researchen_US
dc.subject.meshPatient Acceptance Of Health Care - Ethnologyen_US
dc.subject.meshPrevalenceen_US
dc.subject.meshPsychiatric Status Rating Scalesen_US
dc.subject.meshQuestionnairesen_US
dc.subject.meshRisk Factorsen_US
dc.subject.meshShameen_US
dc.subject.meshSocial Perceptionen_US
dc.subject.meshSocial Supporten_US
dc.subject.meshSocial Valuesen_US
dc.subject.meshSocioeconomic Factorsen_US
dc.subject.meshStereotypingen_US
dc.titleAre concern for face and willingness to seek help correlated to early postnatal depressive symptoms among Hong Kong Chinese women? A cross-sectional questionnaire surveyen_US
dc.typeArticleen_US
dc.identifier.emailFu Keung Wong, D: dfkwong@hkucc.hku.hken_US
dc.identifier.authorityFu Keung Wong, D=rp00593en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1016/j.ijnurstu.2006.08.002en_US
dc.identifier.pmid17056045-
dc.identifier.scopuseid_2-s2.0-36549079666en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-36549079666&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume45en_US
dc.identifier.issue1en_US
dc.identifier.spage51en_US
dc.identifier.epage64en_US
dc.identifier.isiWOS:000252517000006-
dc.publisher.placeUnited Kingdomen_US
dc.identifier.scopusauthoridLau, Y=35268939800en_US
dc.identifier.scopusauthoridFu Keung Wong, D=35231716600en_US

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