在社区监督下妇女的围产期健康结果:一个范围审查
Allison D Crawford1, Alexander Testa2, Umber Darilek3
1School of Nursing, University of Texas Health at San Antonio, San Antonio, Texas, USA.
概括
对社区监督下的妇女的围产期健康存在有限的研究. 需要更多的研究来解决健康差异,并改善这一群体的孕产妇结果.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 犯罪学 犯罪学
背景情况:
- 社区监护中的妇女面临着影响她们健康的独特挑战.
- 这种人群的围产期健康结果未得到充分研究.
- 现有的研究往往侧重于产后,而不是整个产周期.
研究的目的:
- 进行对美国社区监督中妇女围产期健康结果的文献进行范围审查.
- 确定有关法律监督下的孕妇和产后妇女的研究缺陷.
- 为未来的研究和干预提供信息,旨在改善孕产妇健康平等.
主要方法:
- 搜索了主要的数据库 (PubMed,CINAHL,Scopus,PsycINFO,公共卫生) 来查找1970年至2023年的美国同行评审文章.
- 选了1,412个标题和摘要,检索了19个全文文章.
- 包括4项符合审查标准的研究,样本大小从10到292名参与者.
主要成果:
- 所有4项研究都集中在产后结果上,例如情绪障碍和物质使用.
- 没有任何研究检查了怀孕或分娩期间的健康结果.
- 研究主要涉及处于缓刑/假释或接受法院授权的药物治疗的妇女.
结论:
- 在了解社区监督中妇女的围产期健康方面存在重大差距.
- 研究必须扩大,包括整个产周期 (怀孕,分娩,产后).
- 针对健康,歧视和社会经济障碍的社会决定因素的干预措施对这一群体至关重要.
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