安哥拉母亲的护理连续和产后抑郁症之间的关联
Ai Aoki1, Keiji Mochida1, Olukunmi Omobolanle Balogun1
1Department of Health Policy, National Center for Child Health and Development, Tokyo, Japan.
Journal of affective disorders
|July 13, 2023
概括
不定期使用母婴健康服务,特别是退出护理连续 (CoC),与产后抑郁症 (PPD) 的更高可能性有关. 促进综合的CoC和心理健康服务至关重要.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 心理健康 心理健康
背景情况:
- 产后抑郁症 (PPD) 是影响母亲福祉的一个重大问题.
- 了解医疗服务利用率与PPD之间的联系对于有针对性的干预至关重要.
研究的目的:
- 调查母亲和儿童健康服务利用模式与产后抑郁症 (PPD) 发生率之间的联系.
- 识别可能增加PPD风险的特定服务利用模式.
主要方法:
- 对安哥拉"母亲和儿童健康手册"随机对照试验数据的分析.
- 使用爱丁堡产后抑郁量表 (EPDS) 识别可能的产后抑郁症 (得分≥10) 在产后6个月.
- 检查了产前护理 (ANC),设施交付和疫苗接种访问模式与PPD之间的关联,使用后勤回归,调整共变量. 护理连续 (CoC) 完整模式作为参考.
主要成果:
- 城市地区的PPD患病率为17.9%,农村地区为43.2%.
- 在城市环境中,在分娩时或分娩后退出COC显著增加了PPD几率 (AOR 1.45-1.57).
- 在农村环境中,在分娩后退出COC显著增加了PPD几率 (AOR 1.60).
结论:
- 不规则的服务利用,特别是从护理连续中断,与产后抑郁症的更高风险有关.
- 建议同时促进护理连续性和心理健康支持,以解决PPD.
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