在孕妇患有围产期抑郁症,焦虑症或严重精神疾病的患者中,社会决定因素
Bridgette Blebu1, Ashaki Jackson2, Astrid Reina3
1Bridgette Blebu (bridgette.blebu@lundquist.org), Harbor-UCLA Medical Center, Torrance, California.
Health affairs (Project Hope)
|April 1, 2024
概括
产前患者经常面临多种社会和经济挑战,以及产前情绪和焦虑障碍或严重精神疾病 (SMI). 解决这些健康的社会决定因素对于改善母亲心理健康结果至关重要.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 心理健康研究 心理健康研究
背景情况:
- 产前情绪和焦虑障碍以及严重精神疾病 (SMI) 影响了大量的孕妇.
- 众所周知,健康的社会决定因素 (SDOH) 对心理健康结果产生影响.
- 了解该群体中SDOH的同时发生对于有针对性的干预至关重要.
研究的目的:
- 在不同产前护理客户中识别共同存在的健康社会决定因素集群.
- 描述这些群体与围产期情绪和焦虑障碍以及严重精神疾病 (SMI) 相联系.
主要方法:
- 使用了潜在类分析.
- 数据来源于怀孕期间 (2017-2020年) 的社会决定因素查器.
- 该研究包括产前患者,对产前情绪和焦虑障碍或SMI诊断呈阳性查.
主要成果:
- 患有围产性情绪和焦虑障碍或SMI的产前患者是代表样本13-30%的班级的一部分.
- 这些阶级的特点是有两个以上的共同发生的社会决定因素.
- 例如,社会经济和人际关系因素的交集.
结论:
- 社会决定因素对于产前患者具有产前情绪和焦虑障碍以及SMI非常重要.
- 需要对SDOH和围产期心理健康进行一致的查.
- 在医疗保健中和医疗保健之外,解决SDOH的政策干预至关重要.
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