新墨西哥州与物质使用障碍相关的死亡和孕产妇死亡率,2015-2019年
Jessica R Fuchs1, Melissa A Schiff2, Eirian Coronado3
1New Mexico Department of Health, 2040 S. Pacheco St, Santa Fe, NM, 87505, USA. Jessica.Fuchs@doh.nm.gov.
Maternal and child health journal
|June 12, 2023
概括
在新墨西哥州,与物质使用障碍 (SUD) 相关的孕产妇死亡更有可能发生在产后,并涉及过量服用和社会压力因素. 优先支持SUD的孕妇和产后患者,这对预防至关重要.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 成 药物 药物 药物 药物
背景情况:
- 在美国,孕产妇死亡率正在上升.
- 在新墨西哥州,与物质使用障碍 (SUD) 相关的死亡在孕妇和产后患者中以前没有被评估.
研究的目的:
- 在新墨西哥州 (2015-2019) 分析与SUD相关的与怀孕相关的死亡风险因素.
- 探索这些死亡中的物质使用模式.
主要方法:
- 在新墨西哥州 (2015-2019) 分析了与怀孕相关的死亡人数.
- 评估了人口统计学,怀孕因素,死亡情况,心理健康治疗和社会压力因素之间的关联,在与SUD相关的死亡与与SUD无关的死亡中.
- 使用奇平方测试进行单变量分析,并检查死亡时的物质使用情况.
主要成果:
- 与SUD相关的死亡更有可能发生在产后43-365天 (81%对45%),精神健康状况是主要原因 (47%对10%),由于过量服用 (41%对8%),并涉及社会压力因素 (86%对30%).
- 与SUD相关的死亡人群更有可能接受SUD治疗 (49%vs2%).
- 氨基是最常用的 (70%),多重物质使用频繁 (63%).
结论:
- 迫切需要优先支持患有SUD的孕妇和产后患者.
- 干预措施应侧重于预防死亡和改善生活质量.
- 提供者,卫生部门和社区组织之间的合作至关重要.
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