自杀对孕产妇死亡率的全球贡献:系统审查协议
Emma Simmons1, Jenny Gong2, Zoe Daskalopoulou2
1Medical Sciences Division, University of Oxford, Oxford, UK.
BMJ open
|September 16, 2024
概括
孕产妇自杀是全世界孕产妇死亡的主要原因之一. 本系统性审查综合了全球数据,以了解其影响,并确定产妇死亡报告中的数据差距.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 全球健康 全球健康
背景情况:
- 孕产妇自杀在全球范围内对孕产妇死亡率做出了重大贡献.
- 现有的产妇死亡报告系统缺乏标准化,阻碍了清晰的全球概述.
- 有必要综合当前关于母亲自杀死亡的证据.
研究的目的:
- 确定自杀对孕产妇死亡率的全球贡献.
- 探索母亲自杀率的地理差异.
- 评估全球关于母亲自杀和其分类的数据的质量和可用性.
主要方法:
- 系统审查协议遵循PRISMA指南.
- 在多个数据库 (Medline,Embase,PsycINFO,Global Health,CINAHL) 和灰色文献中进行全面的搜索,无需日期或语言限制.
- 包括观察性研究,国家调查和关于孕期,产前期和产后期孕产妇死亡情况的报告;由两个独立审查员进行数据提取和质量评估.
主要成果:
- 数据将以叙事方式总结.
- 如果有足够的数据允许,将进行随机效应元分析,以估计由于自杀导致的孕产妇死亡率和归因于自杀的孕产妇死亡比例.
- 分析将探讨地理差异和数据质量.
结论:
- 调查结果将提供一个全面的概述母婴自杀作为母婴死亡的原因.
- 该审查将突出全球孕产妇死亡率报告中的关键数据缺口和不一致性.
- 结果将为公共卫生战略和干预措施提供信息,以预防孕产妇自杀.
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