怀孕期间多种慢性疾病的模式:使用隐性类分析的基于人群的研究
Hilary K Brown1,2,3,4,5, Kinwah Fung5, Eyal Cohen3,5,6,7,8
1Department of Health and Society, University of Toronto Scarborough, Toronto, Ontario, Canada.
多重慢性疾病 (MCC) 影响16.1%的怀孕,通常涉及心理健康和身体状况聚集在一起. 综合护理对于管理这些复杂的孕妇病例至关重要.
科学领域:
- 生殖健康 生殖健康
- 慢性疾病流行病学 慢性疾病流行病学
- 孕产妇健康 孕产妇健康
背景情况:
- 多重慢性疾病 (MCC) 在成年人中越来越普遍,但在怀孕期间研究不足.
- 了解怀孕期间的MCC是非常重要的,因为有不良健康结果的风险增加.
研究的目的:
- 为了确定孕妇中MCC的流行率.
- 为了确定MCC的孕妇中慢性疾病聚类的模式.
主要方法:
- 基于人口的队列研究在加拿大安大略省 (2007-2020年).
- 使用验证的算法确定了22种慢性疾病.
- 采用隐性类分析来检测条件集群.
主要成果:
- 在每1000个怀孕中,MCC的患病率为161.2例.
- 确定了五个不同的同时出现的条件集群.
- 常见的群体包括情绪/焦虑障碍与骨关节炎,肥胖,物质使用障碍或喘. 第五个群体包括肥胖,喘,慢性高血压和糖尿病.
结论:
- 在怀孕期间,MCC很常见,经常涉及同时出现的精神和身体健康问题.
- 强调需要进行孕前和产前干预.
- 强调综合护理策略,以优化孕妇慢性疾病的管理.
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