产前抑郁症对埃塞俄比亚西北部ANC服务利用率的影响
Getnet Mihretie Beyene1, Telake Azale2, Kassahun Alemu Gelaye3
1Department of Psychiatry, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia. getnet.mihretie@gmail.com.
Scientific reports
|September 2, 2023
概括
在城市埃塞俄比亚,产前抑郁症显著减少了产前护理访问. 早期发现和治疗抑郁症对于母亲和胎儿的健康至关重要,改善产前护理的利用率.
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:
- 在没有参加产前护理 (ANC) 的妇女中,孕产妇的发病率和死亡率很高.
- 产前护理对于检测和管理母亲和胎儿与怀孕有关的健康问题至关重要.
- 关于产前抑郁症对埃塞俄比亚ANC服务利用的影响的证据有限.
研究的目的:
- 调查产前抑郁症对埃塞俄比亚西北部城市妇女使用产前护理访问的影响.
主要方法:
- 一项以人口为基础的前性队列研究,涉及970名第二和第三季度的妇女.
- 爱丁堡产后抑郁症尺度被用来选产前抑郁症.
- 使用后勤回归分析来确定ANC访问不足的预测因素,并对混因素进行调整.
主要成果:
- 不充分访问ANC的累计发病率为62.58%.
- 患有产前抑郁症的妇女有75%的ANC访问不足,而非抑郁症妇女的比例为56%.
- 产前抑郁症 (AOR=1.96) 是 ANC 访问不足的重要预测因素,以及长时间的旅行时间和晚期的 ANC 启动.
结论:
- 产前抑郁症对城市埃塞俄比亚环境中的ANC访问频率产生负面影响.
- 早期发现和治疗产前抑郁症至关重要,以减轻其对母亲和胎儿健康的不良影响.
- 解决抑郁症可以改善ANC服务利用率和整体母亲和儿童的结果.
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