邻居的劣势,种族和民族,以及产后抑郁症
Ticara L Onyewuenyi1, Kelli Peterman2, Eve Zaritsky1
1Obstetrics and Gynecology, Kaiser Permanente Northern California, Oakland.
JAMA network open
|November 13, 2023
概括
邻居处境不利与分娩后抑郁症 (PPD) 有关,尤其对黑人来说,在更贫困的地区风险增加. 针对弱势社区的干预措施可能会减少产后心理健康差异.
科学领域:
- 公共卫生 公共卫生
- 心理健康 心理健康
- 社会学 社会学 社会学
背景情况:
- 产后抑郁症 (PPD) 不成比例地影响黑人.
- 越来越多地认识到邻里处于不利地位是健康的社会决定因素.
- 社区劣势,种族/种族和PPD之间的相互作用需要进行调查.
研究的目的:
- 检查邻里处于不利地位和PPD之间的关联.
- 评估这种关联是否在种族和种族群体之间存在差异.
主要方法:
- 一项基于人口的横截面研究,对122,995名分娩后的个人进行.
- 使用邻居贫困指数 (NDI) 来衡量邻居的劣势.
- 种族和种族是自我报告的;从电子健康记录中确定了PPD诊断.
- 用多变量波桑回归来分析数据.
主要成果:
- 较高的邻居劣势与大多数种族/种族群体的PPD风险增加有关.
- 黑人个体表现出最高的PPD风险,与剂量-反应关系邻里不利.
- 亚洲人,白人和其他种族/族裔群体的PPD风险增加,处于不利地位,但程度较小.
- 西班牙裔个人没有显示邻里不利和PPD之间的显著关联.
结论:
- 邻里处于不利地位是与PPD相关的重要因素,在种族和种族群体之间产生不同的影响.
- 研究结果表明,邻里处于不利地位,有助于在分娩后心理健康方面造成种族和种族差异.
- 在弱势社区进行地理定位的心理健康干预可以减轻产后心理健康不平等.
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