堕胎后抑郁症的全球流行:系统性审查和元分析
Natnael Atnafu Gebeyehu1, Kirubel Dagnaw Tegegne2, Kelemu Abebe3
1School of Midwifery, College of Medicine and Health Sciences, Wolaita Sodo University, Sodo, Ethiopia. jossyatnafu2020@gmail.com.
BMC psychiatry
|October 26, 2023
概括
堕胎后抑郁症影响全球34.5%的女性,患病率因地区和社会经济因素而异. 这凸显了堕胎后妇女需要获得心理健康支持和咨询的需要.
科学领域:
- 生殖健康 生殖健康
- 心理健康 心理健康
- 全球卫生流行病学
背景情况:
- 堕胎后抑郁症是生育年龄妇女的一个重要问题.
- 关于堕胎后抑郁症的流行情况的全球数据有限.
- 这项研究通过调查堕胎后抑郁症的全球流行率来弥补这一差距.
研究的目的:
- 为了确定堕胎后抑郁症的全球患病率.
- 确定影响全球堕胎后抑郁症患病率的因素.
主要方法:
- 从2023年2月到3月,在多个数据库 (如PubMed,Scopus) 进行了全面的文献搜索.
- 从15项涉及18,207名参与者的研究中提取并使用STATA分析了数据.
- 进行了出版偏差,异质性 (I2) 和子组分析 (大陆,收入组,选工具,研究设计).
主要成果:
- 堕胎后抑郁症的整体综合患病率为34.5% (95% CI:23.34,45.68),具有显著的异质性 (I2 = 71.6%).
- 流行率因地区而异 (亚洲最高为37.5%,世卫组织东地中海最高为43.1%),收入 (中低收入国家最高为42.91%),研究设计 (横截面研究最高为36.42%).
- 流行病学研究中心的抑郁症量表报告了最高的患病率 (30%).
结论:
- 堕胎后抑郁症是一个广泛的全球问题.
- 流行程度受到研究方法,诊断工具,地理位置和社会经济地位的影响.
- 医疗保健提供者应优先考虑对女性的堕胎后咨询,护理和情感支持.
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