在加拿大怀孕期间遇到歧视的经历,以及与抑郁和焦虑症状的关联
Kelsey P Davis1, Makayla Freeman2, Pariza Fazal3,4
1Department of Psychiatry, McGill University, Montreal, QC, Canada.
概括
孕妇经常经历歧视,这与增加产前焦虑和抑郁症状有关. 了解这些经验对于制定有针对性的干预措施来支持母亲心理健康至关重要.
科学领域:
- 生殖健康 生殖健康
- 心理健康 心理健康
- 社会学 社会学 社会学
背景情况:
- 怀孕期间的歧视是常见的,并且与不良结果有关.
- 加拿大关于怀孕期间人际歧视的研究缺乏.
- 本研究通过检查加拿大队列中的歧视来解决这一差距.
研究的目的:
- 量化加拿大的孕妇歧视的普遍程度.
- 识别生活经验和歧视的归因.
- 检查歧视与产前焦虑和抑郁症状之间的关联.
主要方法:
- 利用了泛加拿大大流行期间怀孕 (PdP) 研究的数据 (n=1943).
- 管理日常歧视量表 (EDS) 和抑郁和焦虑的措施.
- 通过使用传统的内容分析,分析了关于歧视原因的开放文本回应.
主要成果:
- 72%的孕妇报告经历过歧视.
- 更高的歧视频率/类型与非白人身份,单身伴侣身份,较低的SES和先前的心理健康问题有关.
- 与没有歧视 (11.5%和19.1%) 相比,频繁的歧视与明显更高的抑郁症 (35.2%) 和焦虑率 (49.1%) 相关联.
结论:
- 频繁的歧视与怀孕个体的不良心理健康结果有关.
- 了解歧视经历是制定有效干预措施的关键.
- 干预措施应应对孕妇及其婴儿的需求,同时考虑歧视的影响.
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