在一个大型卫生系统中诊断产前和产后抑郁症:患病率和差异
Abbey C Sidebottom1, Marc Vacquier1, Elizabeth LaRusso2
1Allina Health, Care Delivery Research, Minneapolis, MN, USA.
怀孕期间和产后产妇抑郁症会影响母亲和婴儿的健康. 这项研究发现,虽然抑郁症查和诊断率相似,但与白人女性相比,黑人女性在怀孕期间接受诊断的可能性较低.
科学领域:
- 生殖健康 生殖健康
- 心理健康 心理健康
- 健康差异 在健康上的差异
背景情况:
- 怀孕期间和产后产妇抑郁症对母亲和婴儿都有很大的风险.
- 了解抑郁症症状和诊断的患病率和变异性对于有针对性的干预至关重要.
研究的目的:
- 为了确定怀孕期间和产后前三个月抑郁症症状和诊断的患病率.
- 分析查结果和诊断如何根据母亲的特征如种族,种族,经济地位和语言而有所不同.
主要方法:
- 一项回顾性研究分析了6523名妇女的数据,这些妇女在怀孕期间和/或分娩后接受了抑郁症查.
- 抑郁症查使用患者健康问卷 (PHQ-9),诊断通过ICD代码得到确认.
- 数据包括母亲的特征,查得分和诊断代码,最高的PHQ-9得分用于分析.
主要成果:
- 大约11%的妇女在怀孕期间 (11.3%) 和分娩后 (10.7%) 查出抑郁症呈阳性.
- 抑郁症诊断的患病率相似:怀孕期间为12.6%,产后为13.0%.
- 年轻,单身,有公共保险,多种族和美洲原住民女性的患病率更高. 值得注意的是,与白人女性相比,阳性查的黑人女性在怀孕期间被诊断的可能性是白人的一半.
结论:
- 怀孕期间的抑郁症症状和诊断受到母亲的特征的影响,突出了特定的高风险群体.
- 抑郁症诊断存在差异,特别是在怀孕期间的黑人妇女中,需要进一步调查查和诊断变异性.
- 提高心理健康护理的公平性需要意识到不同患病率和潜在的诊断变化.
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