黑人妇女的社会流动性和围产期抑郁症
Melissa Hawkins1, Arun Mallapareddi2, Dawn Misra2
1Department of Health Studies, College of Arts and Sciences, American University, Washington, DC, United States.
Frontiers in health services
|September 11, 2023
概括
整个生命的财务状况都会影响黑人妇女在怀孕期间的心理健康. 无论是上升还是下降的社会流动性都与更高的抑郁症状有关,这凸显了需要量身定制的支持.
科学领域:
- 生殖健康 生殖健康
- 健康的社会决定因素
- 心理健康研究 心理健康研究
背景情况:
- 社会经济地位通常与更好的母亲心理健康有关,但这种关联对黑人女性来说不太清楚.
- 关于生命过程中的社会流动性如何影响怀孕的黑人妇女的心理健康,目前的研究有限.
- 这项研究调查了整个生命过程中感知到的财务状况对黑人妇女怀孕期间抑郁症状的影响.
研究的目的:
- 检查黑人妇女在怀孕期间感知到的财务状况对一生中抑郁症状的影响.
- 了解如何社会流动,无论是上升还是下降,都会影响这一群体中的母亲心理健康.
主要方法:
- 利用了胎儿环境对生命周期的影响 (LIFE) 追溯队列研究的数据.
- 在怀孕的黑人妇女中使用流行病学研究中心抑郁症 (CES-D) 尺度评估抑郁症状.
- 通过童年,青春期和当前怀孕的自我报告的财务状况来衡量社会流动性.
主要成果:
- 每个生命间隔的更高的财务状况都显示出对抑郁症状的保护作用,随着时间的推移,抑郁症状的程度会增加.
- 轨迹分析显示,上升和下降社会流动群体的平均CES-D得分高于静态社会流动群体的平均得分.
- 在1410名参与者中,有26%的人报告高抑郁症状 (CES-D得分>=15.3).
结论:
- 童年和当前的财务状况显著影响怀孕的黑人妇女的心理健康.
- 上升和下降的社会流动轨迹都与抑郁症状的增加有关,这强调了社会经济变化和母亲心理健康之间的复杂关系.
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