对Covid-19风险的看法如何影响与怀孕相关的健康决策? 一个融合的并行混合方法研究协议
Meredith Vanstone1, Rebecca H Correia2, Michelle Howard1
1Department of Family Medicine, McMaster University, Hamilton, Canada.
在COVID-19期间,孕妇面临着更大的风险和差异. 这项研究分析了围产期护理和健康结果的变化,强调了对不同人群的孕产妇疫苗接种和心理健康的影响.
科学领域:
- 孕产妇健康 孕产妇健康
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 孕妇面临严重COVID-19的更高风险.
- COVID-19政策加剧了在亲密伴侣暴力,获得医疗保健和孕妇心理健康方面的现有不平等.
- 疫情显著改变了围产期护理和健康结果.
研究的目的:
- 检查COVID-19大流行期间累积的个人健康决策对产前护理和孕产妇健康结果的影响.
- 描述2019年,2021年和2022年出生队伍之间的孕产妇疫苗接种,产周护理和心理健康支持的变化.
- 了解孕妇对COVID-19风险的看法如何影响她们与健康相关的决策.
主要方法:
- 在加拿大的融合平行混合方法研究.
- 定量:对疫苗接种,妊娠糖尿病查,产后停留和心理健康诊断 (抑郁,焦虑,适应障碍) 的行政数据 (ICES,PopData) 的回顾性队列分析.
- 定性:对2020年5月至2021年12月期间分娩的个人进行关于COVID-19风险感知和决策的描述性访谈.
主要成果:
- 在Tdap和COVID-19疫苗接种率,妊娠糖尿病查,产后住院时间,以及出生队列 (2019,2021,2022) 之间的抑郁症,焦虑症和适应障碍的出现之间的差异.
- 研究了对种族化和低收入孕妇的不同影响.
- 定性数据提供了有关怀孕个体的风险感知和在疫情期间关于健康选择的决策过程的见解.
结论:
- COVID-19大流行严重影响了围产期护理和孕产妇健康结果,在不同社会经济和民族文化群体中观察到显著的差异.
- 了解孕妇的风险感知对于有效的公共卫生干预和支持系统至关重要.
- 调查结果将为未来的医疗保健政策提供信息,并在公共卫生危机期间为孕妇提供支持.
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