在有或没有先前存在的精神障碍的青少年中比较怀孕和怀孕后果率
Nakyung Jeon1,2, Yasser Albogami3, Sun-Young Jung4
1Pusan National University College of Pharmacy, Busan, Republic of Korea.
PloS one
|March 14, 2024
概括
患有精神障碍的青少年的怀孕率和堕胎率更高. 药物使用,双极性,抑郁和行为障碍与青少年怀孕有显著联系.
科学领域:
- 生殖健康 生殖健康
- 心理健康 心理健康
- 青少年健康 青少年健康
背景情况:
- 有限的基于人口的数据存在于精神障碍对青少年怀孕的影响.
- 心理健康状况会影响青少年关于怀孕的决定.
研究的目的:
- 调查特定精神障碍与青少年怀孕率之间的关系.
- 分析怀孕结果与13至19岁年轻人诊断的精神障碍有关.
主要方法:
- 使用MerativeTM MarketScan研究数据库 (2005-2015) 进行的回顾性队列研究.
- 分析了连续保险的13-19岁女性的怀孕发生率和结果.
- 通过2010年美国人口普查数据,利用了15种精神障碍类别的诊断代码和年龄标准化.
主要成果:
- 患有精神障碍的青少年的年龄标准化怀孕率 (15.4/1000人年) 比没有精神障碍的青少年 (8.5/1000人年) 高.
- 患有精神障碍的怀孕青少年的堕胎率显著增加 (26.7%与23.8%相比).
- 药物使用障碍,双相情感障碍,抑郁障碍和行为障碍与青少年怀孕的几率增加有显著联系.
结论:
- 被诊断为精神障碍的青少年经历了更高的怀孕率和更高的堕胎率.
- 特定的心理健康状况,特别是物质使用障碍,与青少年怀孕有很强的联系.
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