Antenatal depression is a disabling mental disorder among pregnant women and may cause adverse outcomes for both the mother and the offspring. Early identification and intervention of antenatal depression can help to prevent adverse outcomes. However, there have been few population-based studies focusing on the association of social and obstetric risk factors with antenatal depression in China.

To assess the sociodemographic and obstetric factors of antenatal depression and compare the network structure of depressive symptoms across different risk levels based on a large Chinese population.

The cross-sectional survey was conducted in Shenzhen, China from 2020 to 2024. Antenatal depression was assessed using the Chinese version of the Edinburgh Postnatal Depression Scale (EPDS), with a score of ≥ 13 indicating the presence of probable antenatal depression. The χ² test and binary logistic regression were used to identify the factors associated with antenatal depression. Network analyses were conducted to investigate the structure of depressive symptoms across groups with different risk levels.

Among the 44220 pregnant women, the prevalence of probable antenatal depression was 4.4%. An age ≤ 24 years, a lower level of education (≤ 12 years), low or moderate economic status, having a history of mental disorders, being in the first trimester, being a primipara, unplanned pregnancy, and pregnancy without pre-pregnancy screening were found to be associated with antenatal depression (all P < 0.05). Depressive symptom networks across groups with different risk levels revealed robust interconnections between symptoms. EPDS8 ("sad or miserable") and EPDS4 ("anxious or worried") showed the highest nodal strength across groups with different risk levels.

This study suggested that the prevalence of antenatal depression was 4.4%. Several social and obstetric factors were identified as risk factors for antenatal depression. EPDS8 ("sad or miserable") and EPDS4 ("anxious or worried") are pivotal targets for clinical intervention to alleviate the burden of antenatal depression. Early identification of high-risk groups is crucial for the development and implementation of intervention strategies to improve the overall quality of life for pregnant women.

• Antenatal depression
• Pregnancy
• Edinburgh Postnatal Depression Scale
• Social risk factors
• Obstetric risk factors

• Partner psychological state
• couple communication
• couple concordance
• mediating effect
• perceived social support
• perinatal mental health

• Latent Class Analysis
• mediating effect
• perinatal mental health
• social support patterns
• social trust

• Female
• Pregnancy
• Humans
• Mothers
• Mental Health
• Trust
• Cross-Sectional Studies
• Social Support
• China

• DOHaD
• intergenerational transmission
• perinatal health
• psychosocial resources
• racial disparities

• K01 MD016928 NIMHD NIH HHS
• UL1 TR002535 NCATS NIH HHS

• Japan
• cohort study
• perinatal depression
• reciprocity
• trust

• Care-seeking behavior
• Healthcare support
• Maternal health
• Stigma
• Trust

• Pregnancy
• Humans
• Female
• Mental Health
• Mothers
• Cross-Sectional Studies
• East Asian People
• Patient Acceptance of Health Care/psychology
• Social Stigma

• 21CSH078 National Social Science Fund of China

• Mindfulness
• pregnancy
• prenatal stress
• randomized controlled trial
• social media

In recent years, the safety issue of construction workers has become a research hotspot, and many researchers have achieved results in the impact of safety behavior regarding China’s construction industry. However, the existing research about the driving factors of safety citizenship behavior is insufficient. To fill this gap, this paper explores the driving factor of safety citizenship behavior from the perspective of social capital theory. A cross-sectional questionnaire survey, involving 311 Chinese construction workers, was conducted to verify the influence of Social Safety Capital on Safety Citizenship Behavior. The results showed that safety citizenship behavior made by workers was significantly related to social safety capital. Autonomous safety motivation mediated the relationships between social safety capital and safety citizenship behavior. Further, this research supports the differences between social safety capital and autonomous safety motivation. Specifically, the paper found that social safety capital had the largest regression coefficient for participation of suggestion-making, and autonomous safety motivation had the largest regression coefficient for the relationship between superior and subordinate by multiple regression analysis.

• motivation theory
• safety citizenship behavior
• social capital

• Adult
• China
• Construction Industry
• Cross-Sectional Studies
• Female
• Humans
• Male
• Middle Aged
• Motivation
• Safety
• Social Behavior
• Social Capital
• Young Adult

Quality of life (QoL) is a multidimensional concept that is affected by various factors. According to the literature, social capital is one of the key determinants of QoL that improves the living conditions of the entire community. This study aimed to investigate the association between social capital and QoL in pregnant women.

This cross-sectional study included 240 pregnant women with a mean age of 27.98 years who were referred to healthcare centers in Qazvin, Iran. A two-stage random sampling method was used to select the health centers and participants. Social capital, QoL, demographic and obstetric characteristics were assessed.

The mean scores of social capital, physical and mental dimensions of quality of life were 67.43, 70.2 and 71.88 respectively. All dimensions of social capital except for family and friends’ connection and tolerance of diversity had positive significant correlations with the physical and mental health dimensions of quality of life (r = 0.17 to 0.28 p < 0.05). A univariate regression model revealed that social capital had a significant association with both the physical health (B = 0.40, 95% CI: 0.19–0.61, p < 0.001) and mental health (B = 0 .44, 95% CI: 0.18–0.58, p < 0.001) dimensions of pregnant women’s quality of life. In the adjusted model, each unit increase of social capital increased pregnant women’s QoL in both the physical health and mental health dimensions.

Social capital has a significant association with women’s QoL during pregnancy. Therefore, QoL during pregnancy could be improved by considering physical, psychological and social components of their healthcare.

• Mental health
• Physical health
• Pregnancy
• Quality of life
• Social capital

• Depression
• Multilevel regression
• Rasch model
• Social trust

• Antenatal depression
• Biomarker
• Women undergoing caesarean section

• Cognitive behaviour training
• Mobile phone applications
• Negative emotion symptoms
• Parenting competence
• Postpartum depression

This study aims to investigate the association between social capital (SC) and depressive symptoms among Chinese primiparas at different time-points from their late pregnancy to postpartum.

A total of 450 primiparas were recruited for the current study. The assessments were conducted at three different time-points: T1 – while the participants were recruited at their 30–36 weeks of pregnancy in the antenatal clinic in the maternity hospital in Zhejiang, China; T2 – at their 2nd or 3rd days in the wards after delivery; T3 – at week 6 to 8 after the delivery in the postpartum examination clinic. SC was measured by the 29-item SC scale; while depressive symptoms were measured by the Edinburgh Postnatal Depression Scale. The relationships between SC and depressive symptoms were explored separately at each of the three time-points.

The prevalence of depression among the primiparas was 25% at T1, 13.5% at T2 and 20.8% at T3, respectively. However, the score of SC and its components at three time-points followed an opposite ‘V’ direction, with the highest score at T2, following by T3 and T1. At T1, the analysis suggested that depressive symptoms among the primiparas were negatively correlated with their social trust and social network levels. At T2, only social trust was negatively associated with depression. While at T3, it is social trust and social participations that were significantly negatively associated with depression.

SC was associated with depression at all three time-points during and after pregnancy. More attention should be given to SC in the maternal health promotion programs of community pregnancy health care management.

The online version of this article (10.1186/s12884-018-1673-9) contains supplementary material, which is available to authorized users.

• Antenatal and postpartum depression
• Cognitive SC
• Follow-up study
• Structural SC
• The Edinburgh postnatal depression scale