照顾残疾儿童的母亲的健康:一项纵向研究
1Department of Childhood and Families, Division of Mental and Physical Health, Norwegian Institute of Public Health, PO Box 222, Skøyen, Oslo, N-0213, Norway. idunn.brekke@fhi.no.
BMC women's health
|December 1, 2023
概括
与典型发育儿童的母亲相比,残疾儿童的母亲会遇到更多的健康问题,包括肌肉骨疾病和心理健康状况. 这些健康差异仍然存在,即使考虑到先前存在的孕产妇健康状况.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 孕产妇健康 孕产妇健康
背景情况:
- 养育有残疾的孩子需要更多的父母投资,并且与母亲的不良健康结果有关.
- 之前的研究在检查这些关联时经常忽视分娩前母亲的健康状况.
研究的目的:
- 调查照顾残疾儿童与母亲身心健康之间的关联.
- 为了在分析中控制产前母亲的健康状况.
主要方法:
- 利用挪威行政登记处的2009-2015年出生儿童的数据,追踪母亲和孩子的11年时间 (2009-2019).
- 使用挪威患者登记册 (NPR) 的ICD-10诊断来评估母亲的健康状况,包括产前和产后健康状况.
- 采用多重物流回归,将结果报告为几率比率 (OR) 和平均边际效应 (AME) 以95%的置信区间.
主要成果:
- 患有残疾儿童的母亲对肌肉骨疾病,抑郁症,焦虑症,睡眠障碍和偏头痛的诊断的几率更高.
- 这些差异在调整儿童,母亲和家庭特征后,对于肌肉骨障碍,抑郁症,焦虑症和睡眠障碍仍然很重要,尽管绝对差异很小.
结论:
- 抚养有残疾儿童的母亲面临着更多的健康问题,即使在对先前的母亲健康进行控制时也是如此.
- 加强对这些母亲的支持系统可能对改善她们的整体健康和福祉至关重要.
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