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Background: Perinatal depression is a maternal mental health condition that is associated with various adverse health outcomes both for the mothers and the babies.The study aim was to estimate the prevalence of perinatal depression and its risks and determinants in Mainland China.Methods: Systematic searches were conducted in 10 major databases and random effect meta-analysis was performed to achieve the pooled variance of perinatal depression. Subgroup analyses were conducted based on region, scale, methods of diagnosis and study design. Meta-regression was performed with the variables such as age, quality assessment score and gross domestic product (GDP) of the province.Results: Pooled prevalence of perinatal depression was 16.3% (CI=95%; 14.7% to 18.2%, P < 0.001), with antenatal depression 19.7% (CI=95%; 15.8% to 24.2%, P < 0.001) and postnatal depression 14.8% (CI=95%; 13.1% to 16.6%, P < 0.001).Significant publication bias was found and heterogeneity was I 2 = 98.13%. Lower socioeconomic status, poor physical health, anxiety about pregnancy and reduced social support were major risk factors while better living conditions and education were protective factors. The prevalence of perinatal depression showed a significant increasing trend in the last decade.Limitations: The review does not include studies with small sample size (n <250).Moreover a narrative review of risk and protective factors was done, these were not included in meta-analysis. Conclusion:The prevalence of perinatal depression in China is similar to low and middle-income countries. Urgent attention is needed to address this public health priority in China.

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Traditional values and beliefs about aging and older adults appear to be changing in China, as a result of transformations in family structure and social system in the context of rapid modernization and economic growth. This study examined the effects of burden views toward Chinese older adults on their depressive symptoms based on a secondary analysis of data collected from a sample of 954 Chinese adults aged 60 and over in Jiangsu Province. After controlling for sociodemographic, health, and family relationship variables, results of hierarchical multiple regression analysis revealed that participants with stronger views of older people as a burden to family and society were at higher risk of depressive symptoms. Findings of this study can inform the development of policies and programs to address mental health challenges facing older adults in China, focusing on helping them get rid of the burden views about older people, improving family relationship quality, and fostering a positive attitude toward aging in the wider society.